School ager with neck pain after motor vehicle accident

CT and MRI of a cervical spine fracture through the left synchondrosis of the C1 vertebral body.
Axial (above left) and coronal (above right) CT without contrast of the cervical spine shows a relative slight diastasis of the left synchrondrosis of the C1 vertebral body when compared to the right synchondrosis. Axial T2 MRI without contrast of the cervical spine shows bright signal in the left synchrondosis (below left) of the C1 vertebral body and anterior to the left synchondrosis (below right).

The diagnosis was fracture of the cervical spine through the left synchondrosis of the C1 vertebral body.