Demographics:
75 years old, Male
Indication:
Trauma
Findings
- No acute fracture or traumatic malalignment of the cervical spine
- Retrolisthesis of C3 on C4 and of C4 on C5, likely degenerative in etiology
- Multilevel advanced cervical spondylosis contributing to severe canal stenosis at C3-C4 and C4-C5
- Extensive facial fractures, which are partially imaged, including:
- Right pterygoid plate fractures
- Fractures of all walls of the right maxillary sinus with hemosinus
- Fracture of the right orbital floor with adjacent extraconal hemorrhage and gas
- Comminuted fractures of the subcondylar right mandible and right mandibular ramus
- Transverse fracture through the inferior aspect of the right zygoma
- Scattered soft tissue gas in the deep spaces of the neck, including in the right temporomandibular joint
- Partially imaged endotracheal tube
- Surgical changes of left neck dissection
- Hypoplastic appearance of the right mandibular condyle
- Biapical centrilobular and paraseptal emphysema
Diagnosis
No acute fracture or malalignment
Sample Report
No acute fracture or traumatic malalignment of the cervical spine.
Multilevel advanced cervical spondylosis contributing to severe canal stenosis at C3-C4 and C4-C5. Consider MRI for further evaluation if there is clinical concern for cord trauma.
Extensive right facial fractures. Recommend dedicated face CT for further assessment.
Discussion