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Rheumatoid arthritis

(A) Anterior subluxation of C1 on C2. Lateral radiograph in flexion shows 1 cm of anterior subluxation (arrow). (B) C5-C6 disc narrowing. The MRI in flexion confirms the degree of deformity but also demonstrates compression of the cervicomedullary junction. (In: Greenberg J. Neuroimaging. Used with permission from McGraw-Hill Education)