64-year-old male with follicular lymphoma. A status post fall this a.m. landed on left side of face. Swelling over left mandible. Pain with opening jaw. Evaluate for hematoma CT of brain without infusion.CT examination of brain is negative in particular no evidence of an acute post traumatic finding is detected.No evidence of hemorrhage, edema, mass effect, hydrocephalus or midline shift is detected.CT of maxillofacial.No evidence of fracture is detected in particular no evidence of fracture of mandible is detected. The fascial planes of the soft tissues of the maxillofacial region are preserved.Images at the level of C2 demonstrates extensive loculated area of lucency in a well demarcated fashion involving the left aspect of the body of C2 and extending posteriorly to the posterior elements. There is no evidence of destruction of the bone or cortical break. This finding is believed to represent a hemangioma. Likelihood of metastatic disease is considered less likely however cannot be entirely ruled out. This area would be best evaluated with an MRI examination if clinically desired.
1.Unremarkable CT of brain and in particular with evidence of post traumatic findings.2.No evidence of fracture in the CT of maxillofacial.3.Findings likely representing hemangioma involving C2 all were to exclude less likely possibility of metastatic disease an MRI would be helpful. 