 The cervical spine is in normal alignment. The vertebral body and disk heights are well-maintained. No focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine. THORACIC SPINE
1. Findings most consistent with a thin subacute epidural hematoma extending throughout the thoracic spine without significant mass effect on the thecal sac. Some of the signal abnormality in the dorsal epidural space in the thoracic spine likely corresponds to the epidural venous plexus which can be better assessed with postcontrast images, although end-stage renal disease contraindicates gadolinium administration. No cord compression or cord signal abnormality. Small layering subarachnoid hemorrhage is also questioned in the upper thoracic spine, possibly related to redistribution from the intracranial subarachnoid hemorrhage. 2. Small bilateral pleural effusions.3. Diffuse low T1 marrow signal which is nonspecific but can be seen in conditions such as chronic anemia.4. Small bilateral pleural effusions.Dr. Ali discussed findings with Dr. Kak at 1450 hrs on 1/20/2015.