Presentation
Neck pain radiating to both upper limbs.
Patient Data
Mild prevertebral edema/fluid is seen with suspicious calcification along the inferior aspect of the anterior arch of the atlas along the insertion site of the longus colli muscle.
Irregularity is seen along the atlantoaxial joint with chronic erosions/subcortical cystic changes.
Multilevel degenerative spondylotic changes are observed, including marginal osteophytes, disc degeneration, protrusion, thecal sac compression, and foraminal compression.
CT confirms the presence of calcification along the inferior aspect of the anterior arch of the atlas along the insertion site of the longus colli muscle.
Calcification is also seen along the superior aspect of dens.
Case Discussion
The findings are consistent with calcific tendinitis of the longus colli muscle. The presence of calcification along the superior aspect of the dens may suggest the possibility of an underlying crystal deposition disease (follow-up not available).
Unable to process the form. Check for errors and try again.