71 year old male with history of fall with neck pain. Please evaluate. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.There is grade I retrolisthesis of C5 on C6 of approximately 5 mm that appears unchanged from the prior MRI 3/3/2009. In addition, there are destructive changes of the endplates at C5-C6 that is also unchanged; these findings are compatible with a chronic, non-progressive destructive process.Disk bulge noted at C3-C4; unchanged from previous MRI.No acute fracture. The remainder of the spine is in normal alignment.
1. Stable destructive process at C5-C6; there are no findings to suggest acute or progressive process.2. No acute intracranial abnormality.