Neck pain and recent trauma. There appears to be intermediate T1 and T2 signal epidural material in the right aspect of the partly imaged upper thoracic spine. There is absence of the usual cervical lordosis, but no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Apparent intermediate T1 and T2 signal material in the right epidural space of the partly imaged upper thoracic spine may be volume averaging artifact, although hemorrhage cannot be entirely excluded in the setting of trauma. A dedicated thoracic spine MRI may be useful for further evaluation if clinically warranted. Otherwise, no evidence of cervical spine ligamentous injury or spinal cord lesions. Findings discussed with Dr. Hobbs at 2:20pm on 4/18/15.