51-year-old female with severe headache status post fall. Rule out intracranial bleed cervical spine fracture and dislocation. There is no evidence of intracranial hemorrhage, mass or edema. Stable areas of bilateral posterior parietal encephalomalacia. Multiple diffuse areas of periventricular white matter hypodensity consistent with small vessel ischemic disease, age indeterminate. No new cortical stroke is seen. If there is clinical concern for acute ischemia, MRI may be considered.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.CERVICAL SPINE: Cervical spine demonstrates normal alignment. Vertebral bodies and intervertebral disk spaces are within normal limits. No evidence of fracture or malalignment. Prevertebral soft tissues and airways within normal limits. Mild multilevel degenerative disease throughout the cervical spine.C3-4 demonstrates mild left neuroforaminal narrowing. No evidence of central spinal stenosis.C4-5 and C5-6 are within normal limits. C6-7 demonstrates osteophytes and diffuse disk bulge without evidence of central spinal stenosis.C7/T1 within normal limits.
1. Small vessel ischemic disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.2. Mild multilevel degenerative changes without evidence of fracture or malalignment.