Diagnosis: Injury, unspecifiedClinical question: s/p traumatic fall onto anterior neck, hematoma with tracheal shift and thyroid gland disruption on CT angio. The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.The left thyroid lobe is disrupted and heterogeneous measuring 20x23mm axial dimensions and 30x40mm sagittal dimensions. The airway is displaced to the right. There is associated susceptibility effect.There is retropharyngeal space fluid present measuring up to 7 mm in thickness. This is contiguous with the visceral space hematoma.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Findings suggest a large left sided visceral space hematoma involving the left thyroid lobe. This may be extending into the superior mediastinum.2.There is retropharyngeal space fluid present which may be an extension of the left visceral space hematoma3.No cervical spinal cord compromise is appreciated.