Male, 70 years old, status post fall, with findings on prior MRI suggestive of cervical epidural hematoma and ligamentous injury. As visualized on the survey images only, there is a T1 hyperintense subdural collection along the left cerebral hemisphere measuring up to 17 mm in thickness.Since the prior examination, the ventral epidural collection which was previously seen spanning the C1-C4 levels has resolved. No residual intraspinal fluid collections are seen and there are no areas of significant spinal canal compromise.Minimal residual STIR hyperintensity is seen within the soft tissues along the posterior atlanto-occipital ligament. Signal abnormality seen previously along the posterior atlanto-axial ligament has resolved. No other findings are seen to suggest soft tissue or ligamentous injury.The spinal cord demonstrates normal signal intensity throughout. No areas of myelomalacia or susceptibility effect are seen to suggest cord injury or cord contusion.Spinal alignment is anatomic. Vertebral body heights are preserved. Endplate edematous signal abnormality is seen at C6-7 but improved from the prior examination.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing.C4-5: Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing.C5-6: Posterior disc-osteophyte complex formation with a small central protrusion. No significant spinal canal stenosis. Mild left foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe left and moderate right foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.A subacute subdural hematoma is evident along the left cerebral hemisphere measuring up to 17 mm in thickness. This is only visualized on the survey images. Discussed with Dr. Warnke at 4:20 PM on 5/23/16.2.Resolution of cervical epidural hematoma.3.Improvement in mild soft tissue/ligamentous edema as above.4.Scattered degenerative findings without significant interval change.