A 36-year-old man with a fall from a height and a C6 fracture (not shown). An illustrative diagram (A) shows grade III injury. CTA axial (B) and sagittal (C) images show a focal outpouching of the anterior wall of the distal cervical right ICA (black arrow), suggesting a pseudoaneurysm, grade III injury. Case courtesy Sachin S. Saboo, MD, UT Southwestern Medical Center, Dallas, Texas.