Assess for post-concussive injury: head injury in October after fall off bike. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Cervical Spine: The vertebral body are preserved. The vertebral bone marrow signal is unremarkable. There is a trace posterior disc-osteophyte complex at C4-5, but no significant spinal canal or neural foraminal stenosis at this level or the other cervical spine levels. There is associated mild loss of the usual cervical lordosis, but no spondylolisthesis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No evidence of spinal cord injury, spondylolisthesis, or significant spinal canal stenosis.