Headache and thoracic and lumbar pain and left arm shaking and numbness after MVA. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: The spinal cord displays normal signal and morphology and the conus medullaris is unremarkable. There is no evidence of tumors within the spinal canal. The vertebral column alignment is within normal limits. There are a few small Schmorl nodes in the lumbar spine. The vertebral body and disc space heights are otherwise preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
1. No evidence of gross intracranial structural abnormalities. 2. No evidence of spinal cord lesions.