40 year-old male status post fall. Experiencing left-sided numbness/tingling. Evaluate for ICH/C-spine fracture There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. Mucosal thickening in the ethmoid sinuses representing mild sinus disease. Mastoid air cells are normally pneumatized.Cervical spine demonstrates normal alignment and no fracture. Neuroforamina are patent. No prevertebral soft tissue swelling. Questionable disc protrusion at the C5/C6 level to the left of midline. An MRI would be warranted if clinically indicated.
1. No evidence of intracranial process or cervical spine fracture.2. Questionable protruding disc to the left of midline at the level of C5/C6. MRI would provide more detail if clinically warranted.