The cervicothoracic junction is not entirely included on the frontal view and the lateral view was also limited. A swimmer’s view was not obtained. The exam is slightly under penetrated. The upper thoracic spine is limited by overlying structures and the bones and soft tissues.

The right and left paravertebral lines are widened likely from hematoma.

The vertebral bodies and spinous processes are not abnormally aligned.

There are 12 rib-bearing vertebral bodies.

There is a compression fracture and anterior wedging of the T7 vertebral body. The posterior elements are intact. There is no end plate avulsion fracture, but there is compression of the superior end plate of T7.

There is no displacement of a fracture fragment into the soft tissues or spinal canal.

There is disruption of the trabecular pattern of the superior end plate of T7 from the compression fracture.

There is widening of the disc spaces above and below the compression fracture of T7.

There is no subluxation or rotational abnormality at a disc space.

There is no widening, rotational abnormality, or displacement of facets at any motion segment. There is no facet joint or foraminal narrowing.

There is no abnormality of the soft tissues and bones of the included neck and upper extremities. There is no abnormality of the included lungs, mediastinum other than the paravertebral soft tissues, airways, or upper abdomen. A clip at T10-T11 on the frontal view is likely outside of the patient.

There are no other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently.