What does the white shadow in the X-ray indicate?

Medical Case Details:

Patient aged 43 with past injury history on neck but no clinical sign present and activity normal.Please check this image. What is this white shadow?

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Discussions

Dr. Ashish Rajan Banerji
General Surgeon

This is not a medical condition, it appears to be an artefact due to overlapping of Chest X-ray with X-rays of Cervical Spine.
There is no condition with such a geometrical shape cutting across soft tissues and ribs.

11.Feb, 03:30am

Dr. Sadaf
General Practitioner

I would also endorse Dr Ashish this cervical spine AP and lateral view long flims including chest.The image with a red button like automated machine seen on AP view but barely visible on lateral view cant be any implant halo jacket? as past histroy of neck trauma seems film artifact as xray machine switch button but how it gets visible on film on illuminator/

12.Feb, 03:05pm

Dr. Arvind Guru
General Surgeon

You have overlapped two xray films held in a single hand (left hand) and taken a picture with your cell phone against the ambient light of the room door.

And xray is s/o muscular spasm and degenerative changes in a rotated lateral film.

15.Feb, 02:38am

Gayatri Kiran
Physiotherapist

I would also agree with Dr Arvind ,Dr sadaf and Dr Ashish , its only overlapping of the x rays, its not very clear . no obiovous abnormility seen.

15.Feb, 12:57pm

Dr. J. Mariano Anto Bruno Mascarenhas
Neuro Surgeon

// What is this white shadow? //

Are you talking about the white shadow in front of vertebral bodies C4 to C7

16.Feb, 02:23pm

Dr. Udaya Nath Sahoo
General Practitioner

Yes

19.Feb, 07:33pm

Dr. J. Mariano Anto Bruno Mascarenhas
Neuro Surgeon

//Yes //

Possibilities are
Pre Vertebral hematoma
Pre Vertebral Abscess
Ossified Anterior Longitudinal Ligament

20.Feb, 01:07am

Dr. Ashish Rajan Banerji
General Surgeon

In that case, it could be a Cold Abscess.
But I must point out that taking a photograph with 2 overlapping X-rays tends to confuse most readers, because X-rays are never viewed in this fashion.
You could have sent 2 photos, or made sure the films don't overlap each other.

20.Feb, 02:11am

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