Round #4

• Clinical History
• Radiographs
• Description of Radiographic Findings

Clinical History

The patient is a 63 year old woman with a five year history of progressive neck pain and stiffness. She presents to clinic complaining of marked limitation of motion, and is having increasing difficulty extending her neck. She denies morning stiffness, back pain, fever, or peripheral arthritis. Her medical history is only notable for hypertension and hyperlipidemia. Physical examination reveals an obese woman with significant cervical paraspinous muscle spasm, increased occiput to wall distance, and reduced range of motion to flexion and extension of the cervical spine. An X-ray of the cervical spine was obtained.

Radiographic Films

Film 1

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