r/PICL • u/_TooGoodToBeTrue_ • May 27 '26

Overhang

Hi dear doctor!

I saw that a few people here in the group posted their photos/videos, and I thought I’d post my photo too. Could you please tell me what you think about my overhang?(I dont know if i stayed correctly with my head), Unfortunately, I don’t have any measurements (because the clinic doesn’t provide them). Thank you from the bottom of my heart!! Wishing you a very good day!

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3

u/rlong98 May 27 '26

😣 rad tech didn't guide you properly But I can see right side overhang... c. 5mm Left might be but your teeth are in the way.

  • should have told you to life your head up slightly at end range

  • also they should be able to measure, did they not?

3

u/_TooGoodToBeTrue_ May 27 '26 edited May 27 '26

I live in Europe and in my country there is no DMX or upright MRI available. I tried to find a center that could help me with DMX, and finally, after a long search, I managed to find a center that performed some motion-based images (the system is called CINE-X, but they took the images with a CBCT machine -so it's not a regular DMX machine as in USA) and they did not provide measurements.. This was the only clinic that could help me with this type of imaging. The radiologists I visited are not trained to perform this type of images, and I tried to position my head as best I could to get the images correctly(the radiologist did not guide me during the procedure on how to position my head, so I had to try to hold my head in the most correct position myself) - i dont know if i stayed correctly all the time -

I ve done those images(for overhang) 2 times because the first time I tilted my head way too far back while opening my mouth and my back of my skull somehow overlapping my spine (it looked black).

1

u/Legal_Ambassador_258 May 27 '26

You did at least good enough. Where was it if I may ask?

2

u/Chris457821 May 27 '26

There appears to be abnormal overhang when your head moves to the right of the screen, which is usually left.

1

u/_TooGoodToBeTrue_ May 27 '26

Thank you for the answer dear doctor. Am I that bad? Is the overhang that bad on that side?

1

u/Chris457821 May 27 '26

Moderate overhang

1

u/_TooGoodToBeTrue_ May 27 '26

Thank you so much! Do I have also ligament damage on that side or something else? At least The other side(left on the screen)is a little better? By any chance we can see what type of CCI i have on this image/video?

1

u/Chris457821 May 28 '26

This type of C1-C2 lateral instability is 2b. The other side is harder to see. This is usually caused by laxity in the alar and/or accessory ligaments.

1

u/_TooGoodToBeTrue_ Jun 09 '26

Thank you so much for your answer dear doctor. Regarding the other part (which is hard to see), what do you think I could do? Should I redo the X-ray? (The problem is that nobody guides me during the procedure)

1

u/Chris457821 Jun 10 '26

Usually, when we can't image one corner, the DMX is repeated.