The craniocervical junction and/or C7-T1 are not entirely included on the exam.   [Yes/No]

The exam is over or under penetrated.   [Yes/No]

The exam is limited by overlying structures, bones or soft tissues, body habitus, patient positioning, support devices, or motion.   [Yes/No]

The soft tissues anterior to C1-C7 are widened or the prevertebral fat stripe is not seen.   [Yes/No]

The paravertebral soft tissues are abnormally widened.   [Yes/No]

There is calcification, foreign body, abnormal air, or other abnormal density in the prevertebral or paravertebral soft tissues.   [Yes/No]

The distance between the basion and the posterior axial line is > 12 mm.   [Yes/No]

The distance between the basion and the tip of the dens is > 12 mm.   [Yes/No]

The atlanto-axial joint distance is > 2 mm on the lateral view.   [Yes/No]

The distance between the dens and the lateral masses of C1 is abnormally asymmetrically widened on an odontoid or AP view.   [Yes/No]

The lateral mass(es) of C1 abnormally override(s) the articular pillar(s) of C2 on an odontoid or AP view.   [Yes/No]

The anterior vertebral body line, posterior vertebral body line, articular pillar line, and/or spinolaminar line is/are abnormal.   [Yes/No]

The articular pillars or lateral masses, lamina, or other posterior elements are rotated or displaced into the spinal canal or the interlaminar clear zone of the spinal canal.   [Yes/No]

The visualized spinous processes are malaligned on the AP view or distracted on the lateral view.   [Yes/No]

There is reversal or straightening of the normal lordosis or abnormal angulation/curvature or motion of the cervical spine on frontal, lateral, flexion and/or extension views.   [Yes/No]

There is a fracture or deformity of the base of the skull or occipital condyles.   [Yes/No]

There is a fracture or deformity of the anterior or posterior arch of C1.   [Yes/No]

There is a fracture or deformity of the lateral mass(es) of C1.   [Yes/No]

There is a fracture or deformity of the dens or C2 vertebral body.   [Yes/No]

There is a fracture or deformity of the pars interarticularis/articular pillars or other posterior elements of C2.   [Yes/No]

There is a fracture or distraction of a C3-T1 vertebral body, transverse or spinous process, or other posterior element.   [Yes/No]

There is evidence of an end plate avulsion or other fracture.   [Yes/No]

There is displacement of a fracture fragment into the soft tissues, spinal canal, or interlaminar clear zone of the spinal canal.   [Yes/No]

There is anterior wedging or compression of a vertebral body or end plate.   [Yes/No]

There is evidence of an aggressive disease process manifest as a lytic, sclerotic, or destructive abnormality of a vertebral body, end plate, pedicle, lamina, articular pillar, transverse or spinous process.   [Yes/No]

There is focal or diffuse abnormal mineralization.   [Yes/No]

There is distraction or focal widening of a disc space.   [Yes/No]

There is anterolisthesis, retrolisthesis, subluxation, or rotational abnormality of a disc space.   [Yes/No]

There is widening, rotational abnormality, or displacement of facets at any motion segment (e.g. locked or jumped, perched facets, or fracture dislocation).   [Yes/No]

There is disc space narrowing with or without erosive or sclerotic changes of the end plates other than from degenerative change.   [Yes/No]

There is facet joint narrowing or sclerosis other than from degenerative change.   [Yes/No]

The included maxillofacial region, thoracic spine, ribs, or other bones of the upper thorax are abnormal.   [Yes/No]

There is air or a foreign body or other abnormality in the soft tissues of the lower head, neck or upper thorax.   [Yes/No]

There is an apical mass, thickening, pleural cap or effusion, or pneumothorax.   [Yes/No]

The airway is narrowed or displaced.   [Yes/No]

There are post surgical changes of the bones or soft tissues of the lower head, neck, or upper thorax.   [Yes/No]

There is an abnormality or complication of post-surgical hardware.   [Yes/No]

There are support lines or tubes in an abnormal position.   [Yes/No]

There are degenerative changes or other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently.   [Yes/No]