Female, 37 years old, with subarachnoid hemorrhage. Assess for spinal vascular lesion. Blood product is again seen collected along the ventral brainstem with extension down into the cervical region. The majority of this blood product is located at the level of the pons and medulla with only a small amount reaching into the cervical spine.The upper cervical cord is mildly displaced by this blood product but does not seem to be severely compressed. There may be very mild patchy T2 hyperintensity within the upper cord but this is equivocal and could simply be reactive to the adjacent blood product. No discrete lesions are seen at any point within the visualized spinal cord. On postcontrast images no clear enhancing lesions are demonstrated. At most, there may be mild pial enhancement in the brainstem and upper cord which is likely reactive. No tangle of vessels or vascular nidus is seen.Slight reversal of the normal cervical lordosis may be positional. Vertebral body morphology is within normal limits. Small enhancing lesions within the C5 and T1 and T2 vertebral bodies probably represent hemangiomas.C2-3: Mild facet hypertrophy. Otherwise unremarkable.C3-4: Mild posterior disk osteophyte complex. No significant spinal canal or neuroforaminal stenosis.C4-5: Mild posterior disk osteophyte formation with a superimposed left paracentral/foraminal disk protrusion. This protrusion mildly contacts the lateral spinal cord. No significant generalized spinal canal or neuroforaminal stenosis. C5-6: Minimal posterior disk osteophyte formation. No significant spinal canal or neuroforaminal stenosis. C6-7: Unremarkable. C7-T1: Unremarkable.
1. Redemonstration of subarachnoid blood products extending along the ventral brainstem from the level of the pons to the upper cervical cord.2. There may be mild ill-defined signal abnormality within the upper cervical cord, perhaps reactive to the adjacent blood product.3. No discrete or enhancing lesions are seen within the visualized spinal cord. No vascular lesions are suspected.4. Scattered mild degenerative disk findings with a disk protrusion at C4-5 mildly pinching upon the lateral aspect of the cord.