 MRI brain:The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. Isolated punctate low signal in the susceptibility sequence with associated diffusion restriction is seen in the subcortical white matter adjacent to the post central gyrus. This may imply diffuse axonal injury.Normal vascular flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is partial opacification of the paranasal sinuses and the maxillary sinuses.Subgaleal hematoma is seen adjacent to the right parietal bone.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. 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. The visualized portion of the lungs demonstrates right apical pleural effusion.
1. Findings are compatible with several foci of right parietal lobe diffuse axonal injury associated with a microhemorrhage.2. Subgaleal hematoma adjacent to the right parietal bone. 3. No evidence of cervical spine injury.4. Findings suggest right pleural effusion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.