Injury, other and unspecified, unspecified site (fracture of facial bones, rupture of diaphragm, renal injury etc). Motor vehicle collision with pedestrian, pedestrian injured MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is subtle T2 and FLAIR signal hyperintensity along the medial aspects of the cerebellar hemispheres. There is a small focus T2 and FLAIR signal hyperintensity along the lateral aspect of the left orbital gyrus.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are partially opacified. The visualized portions of the mastoid air cells are opacified. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.There is fluid in the posterior nasopharynx and oropharynx.There are pleural effusions and partial opacification of the right lung apex.There appears to be a tubular structure looped in the patient's hypopharynx.
1.Findings suggest subtle injuries to the left orbital gyrus and medial aspects of the cerebellar hemispheres.2.No evidence for cervical spinal cord injury.3.The patient has known skull base and facial fractures. Please refer to prior CT exams for further comments.4.The nasogastric tube is suspected to be looped in the patient's nasopharynx.5.Pleural effusions and lung opacity. Please refer to chest x-ray for further comments.