Asphyxiation due to hanging, undetermined, initial encounter [T71.164A], Reason for Study: ^Reason: Evaluate for seizure focus History: 12 yo M s/p hanging injury and seizures Brain MRI:No evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Mucosal thickenings on bilateral ethmoid sinus and small retention cyst on the left maxillary sinus.Neck MRA:3D time of flight MRA neck images with maximum intensity projections of the neck vessels demonstrate normal flow enhancement in a normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. There is normal flow enhancement through the bilateral common carotid, carotid bifurcations, internal/external carotid, and vertebral arteries. C-Spine MRIThere is loss of normal cervical lordosis. The cranial-cervical junction is normal. Spinal cord signal intensity is normal. Vertebral body signal intensity is normal. Paravertebral soft tissues appear to be normal.There is no evidence of spinal canal or neural foraminal stenosis.
Normal brain MRI, Normal Neck MRA and Normal C spine MRI 