Fall on Coumadin, possible intracranial hemorrhage The examination is limited by motion artifact.The cortical sulci are in proportion to the cerebral ventricles. The previously suspected subdural hematoma anterior to the left frontal lobe is not visualized and was likely artifactual. A punctate focus of T2 hyperintensity is again demonstrated in the left centrum semiovale. The gray-white matter differentiation is preserved. No midline shift or mass effect is appreciated. There is no diffusion abnormality identified. No abnormal parenchymal susceptibility is appreciated. No fluid collections are visualized paranasal sinuses or mastoids. Nonspecific susceptibility artifact is demonstrated in the bilateral parietal scalp.There is straightening of the cervical spine with mild reversal of the cervical lordosis centered at C5-C6. There is mild retrolisthesis of C5 over C6. Anterior osteophyte formation is demonstrated at C5-C7 levels. The vertebral body heights are maintained. Mild loss of intervertebral disc space is demonstrated at C5-6 and C6-7. The spinal cord demonstrates normal caliber and signal intensity.C2-3: There is a mild disc bulge resulting in no significant spinal canal or neuroforaminal stenosis.C3-4: Posterior disc protrusion causing mild to moderate bilateral neuroforaminal stenosis.C4-C5: No significant disc herniation, neuroforaminal stenosis or spinal canal stenosis is noted at this level.C5-C6: Posterior disc osteophyte at this level causes moderate to severe bilateral neural foraminal stenosis and mild spinal canal stenosis.C6-C7: Posterior disc osteophyte causes severe bilateral neural foraminal stenosis and mild spinal canal stenosis.C7-T1: No significant disc herniation is noted at this level.
1. The previously identified subdural hematoma anterior to the left frontal lobe is not confirmed on MRI and was likely related to artifact.2. Degenerative changes of the cervical spine as described above, worse at C5-C6 and C6-C7 levels with moderate to severe bilateral neuroforaminal stenosis.