Notice that the nerve roots exit ABOVE the vertebra of the same number until C8, which exits between C7 and T1vertebrae; from T1 down, nerves exit BELOW the same numbered vertebra
C2 can be identified because of the dens; C7 has large transverse processes that point downward; T1 has upward pointing transverse processes
This patient has an incidental bony variant, bilateral small ribs attached to C7 called 'cervical ribs'