 Brain MRI:Thin subdural hematomas are present involving the posterior falx, bilateral temporoparietal regions (left greater than right), and involving the tentorium. Additionally, there is evidence of sporadic foci of subarachnoid as well as intraventricular hemorrhage. Small parenchymal hemorrhages are noted in the medial right cerebellar and lateral right cerebellar hemisphere.The ventricles and sulci are normal in size. The cerebellar tonsils are in appropriate position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for acute cerebral, brainstem or cerebellar infarction. The degree of myelination is appropriate. Flow voids are present within the major vessels indicating patency. Asymmetric scalp swelling is consistent with recent delivery. Fluid is present in the left middle ear cavity as well as within a few right mastoid air cells.Cervical spine MRI:Epidural material is present which is T1 and T2 hyperintense, without suppression on STIR technique, most prominent in the posterior epidural space beginning at the T1 level and extending below the field of view. This does not have associated mass effect, and does not result in thecal sac deformation or cord compression.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There are no MRI findings of traction-induced meningocele.
1.Thin subdural hematomas are present involving the posterior falx, bilateral temporoparietal regions (left greater than right), and involving the tentorium. Additionally, there is evidence of sporadic foci of subarachnoid as well as intraventricular hemorrhage. Small parenchymal hemorrhages are noted in the medial right cerebellar and lateral right cerebellar hemisphere.2.Spinal epidural material is present which is T1 and T2 hyperintense, without suppression on STIR technique, most prominent in the posterior epidural space beginning at the T1 level and extending below the field of view. The constellation of these findings are most consistent with a small amount of epidural hemorrhage. This does not have associated mass effect, and does not result in thecal sac deformation or cord compression. Given cervical spine acquisition technique, its inferior extent lies below the field of view and would require additional MR imaging to characterize its entirety.