Clinical question: Trauma with neck tenderness. Signs and symptoms: Neck pain. Nonenhanced cervical MRI:There is normal anatomical alignment of cervical spine.There is normal signal intensity of vertebral column and including soft tissue.There is normal signal intensity and caliber of the cervical and upper most visualized thoracic cord.As was noted on prior head CT examinations there is a stable extra-axial hemorrhage along the dorsal aspect of clivus inferiorly and with minimal extension into the upper cervical spine. The finding measures maximum of 5 mm in thickness and approximately 23 mm in cranial cephalad access. This hematoma results in partial effacement of prepontine cistern and the subtle deformity of the cervical medullary junction of the cord. The CSF cistern remains widely patent and there is no detectable signal abnormality of the cord at this level. The upper cervical extension of this finding is very thin and minimal and without mass effect.There is no evidence of a spinal canal compromise of the cervical or upper most visualized thoracic spine. No significant degenerative changes of cervical spine is noted and there is no evidence of neural foraminal compromise at any level.
1.Normal signal intensity and alignment of the vertebral column.2.Normal signal intensity and caliber of cervical and upper most visualized thoracic cord.3.Subdural hematoma along the inferior-dorsal aspect of clivus as detailed above. This finding demonstrate no interval change since prior study and without significant mass effect on the adjacent cord. Please see above comments.4.No evidence of spinal stenosis or neural foraminal compromise at any level.