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Paramedics bring in an elderly female who fell at the nursing
home. By report, she slipped on something and fell forward, landing
chin-first on the edge of a coffee table. She complained immediately
of neck pain and was immobilized by EMS. Vitals are P 75, BP 180/105,
RR 20, sat 95% RA. She is alert and appropriate. General exam reveals
only a small contusion/laceration on the chin. Her neurologic exam is
You order a medical work-up (cause of fall), as well as the ubiquitous head and C-spine CT scanning.
About 30 minutes later, the CT tech calls you to review the scan.
What does it show?