Signs and symptoms: Headaches, neck pain C3 -- C4. Clinical question: Is there evidence of fracture/dislocation. Non-enhanced CT of brain:M. there is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Cortical sulci, ventricular system and all CSF cisterns as well as gray -- white matter differentiation remains to be normal.Calvarium is intact.CT of the cervical spine:There is no evidence of fracture or subluxation. Very minimal degenerative changes of cervical spine is noted. Reformatted images demonstrate normal alignment the vertebral column. No definitive neural foramina compromise or central spinal stenosis. Limited images through the apices of the lungs demonstrate emphysematous pole I bilaterally. Multi-level subtle bulge of disk material is present. This is more pronounced at C3 -- C4 and apparent subtle mass effect on the cord. This findings can be better evaluated with an MRI exam.
1.Unremarkable nonenhanced CT of brain.2.No evidence of fracture or subluxation of cervical spine. Minimal degenerative disk disease. 