Signs and symptoms: MVC. No neck pain. Clinical question: 71-year-old.? Fracture. Nonenhanced head CT:Findings of small vessel disease of indeterminate age is present and evident by few small patchy periventricular and subcortical white matter low attenuation.No evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus.Calvarium is intact. Visualized paranasal sinuses and mastoid air cells are unremarkable. Limited view of the orbits are unremarkable.Nonenhanced CT of cervical spine:No evidence of fracture or subtle change is detected. The alignment of the vertebral column is unremarkable. Advanced degenerative disk disease at C6 -- C7 level and to a lesser degree at other levels are present. Sagittal reformatted images demonstrate significant bulge of disk material at C3 -- C4 which appears to be in contact with the ventral aspect of the cord. Possibility of a herniated disk cannot be ruled out. Please correlate with neurological exam and if needed follow-up with an MRI is recommended. Examination also demonstrated degenerative changes of posterior elements from C3 -- C4 inferiorly.Degenerative changes of cervical spine results in right neural foramina compromise at C5 -- C6 and left neural foramina at C6 to C7 level.
1.Nonenhanced head CT demonstrates minimal findings of small vessel disease of indeterminate age and otherwise unremarkable.2.CT of cervical spine demonstrates no evidence of fracture or malalignment. Extensive degenerative disk disease and hypertrophic changes of posterior elements are present. Significant bulge of disk material at C3 there C4 is best a patient on sagittal reformatted images and possibility of a herniated disk cannot be rule out.