| Abstract/Notes |
A 37 year old male patient presented to the chiropractor with severe left sided suboccipital/neck pain for one week, with no report of trauma. The patient was currently on a course of antibiotics for a 'severe strep infection,' diagnosed by his medical doctor. A cervical radiographic exam, to include a lateral cervical neutral view was obtained by the chiropractor, who did not notice the key radiographic finding, an oval calcification inferior to the C1 anterior tubercle. On the basis of the clinical presentation, because of the severity of the pain and concern for the possibility of disc space infection or herniation, the chiropractor ordered MR imaging of the cervical spine.
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