Round # 3

• Clinical History
• Radiographs
• Description of Radiographic Findings

Clinical History

A 37 year old man presents to the emergency room with an 8 day history of low grade fevers, neck stiffness, and odynophagia. His medical history is otherwise unremarkable. Physical examination reveals an uncomfortable appearing young man who holds his head in semi-flexion; there is decreased cervical range of motion upon flexion and extension, with marked paraspinous muscle spasm. There is no spinal tenderness or meningismus. Laboratory evaluation reveals a WBC of 8.3 and an ESR of 56. An X-ray of the cervical spine is obtained.

Radiographic Films

Film 1

Film 2

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