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RIGHT WRIST:  Multiple views 0f the right wrist show a smooth soft tissue lump along the dorsal wrist which appears more lucent than the rest of the soft tissues consistent with a ganglion cyst. Degenerative changes are noted in the lunocapitate joint space. Mild osteophytosis is present.

IMPRESSION:  Ganglion cyst and degenerative changes. MRI CERVICAL SPINE:  T1 weighted sagittal images were performed through the C-spine. T1 weighted axial images were performed from the occiput to C3. STIR sagittal images were performed through the C–spine and a volume SPGR (don't know what that abbreviation stands for) acquisition was performed through the craniocervical junction.

FINDINGS:   The transverse atlantal ligament is lax. There appears to be a defect in its attachment on the left side of the atlas. The attachment to the base of the occiput appears intact, as does the attachment at the base. In the supine position, the craniocervical junction is in normal alignment. The cervical spinal cord shows normal signal and is not significantly compressed at any level.

IMPRESSION:

• At least partial disruption of the transverse atlantal ligament at its attachment to the left side of the atlas.
• Mild subluxation of C7 on T1. If there is pain referable to this region, consider posterior ligamentous injury. No acute fracture injury.

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