Person injured in unspecified vehicle accident, sequela [V89.9XXS], Reason for Study: ^Reason: Assess brain injury History: 13 yo s/p motor vehicle accident, with R subdural hematoma, s/p bolt Brain MRIMotion artifact degraded exam quality.Redemonstration of right hemispheric subdural hematoma with subtle mass effects against underlying brain parenchyme and localized subtentorial subdural hematoma.There is focal brain edema and subarachnoid blood products at the site of ICP monitoring device at the right superior frontal gyrus. There is no evidence of acute ischemic lesion.The ventricles, sulci and cisterns are unremarkable except minimal effacement of right lateral ventricle. Normal flow voids are identified in the major intracranial vessels. Mucosal thickening of sphenoid sinus. Opacifications on bilateral mastoid air cells.Cervical spine MRIThere is straightening of cervical lordosis which is non specific. The cranial-cervical junction is normal. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The cord signal is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal stenosis, cord compression or myelopathy.
1. Right hemispheric subdural hematoma with minimal mass effects as described above, unchanged compared to prior CT scan.2. No evidence of acute ischemic infarction. No evidence of brain parenchymal hemorrhage except some blood products at the right superior frontal gyrus where ICP monitoring device was inserted.3. Straightening of cervical spine, otherwise unremarkable Cervical spine MRI.