Tx and Followup:
Accessory ossicle(s) adjacent to the C6 or C7 spinous processes represent dystrophic calcification of the soft tissues (in this case the ligamentum nuchae). This variant appears with advancing age and diagnosed as a coincidental finding. In some instances, the condition may simulate a healed fracture of the adjacent spinous process. In this particular case, lack of knowledge of this common normal variant led to an unneeded emergency CT of the C-spine.