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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 intact.

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. 
alt

 
What does it show?
 

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