Fig 9. False-negative ligamentum flavum and true-positive interspinous soft tissue injury. Sagittal T2-weighted image shows spinous process fractures of C7 and T1 (arrows). There is increased T2 signal intensity and stretching of the interspinous ligament complex (injury confirmed at surgery). The ligamentum flavum at the level of injury appears intact on the MR imaging but was found to be injured at surgery.