What are the options if the C7T1 level cannot be visualized

A swimmer's view may be obtained when the C7-T1 level cannot be visualized on a lateral cervical spine radiograph. This view is obtained in the supine position by raising the patient's arm overhead and directing the x-ray beam obliquely cephalad through the axilla. An alternative is to obtain a cross-table radiograph with traction applied to the patient's arms. Another option is to obtain bilateral oblique views of the C7-T1 level. Alternatively, a computed tomography (CT) scan of the cervical spine with sagittal reconstructions through the C7-T1 spinal level can be obtained.

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