Demographics:
77 years old, Female
Indication:
Trauma, neck pain, no fracture on CT
Findings
- No abnormal marrow signal
- Mild retrolisthesis at C5-C6
- Thin T2/STIR hyperintense epidural collections extending from C2 through the upper thoracic spine dorsally and from C7 through the upper thoracic spine ventrally without significant mass effect on the thecal sac in isolation
- Posterior disc osteophyte complexes in combination with ligamentum flavum hypertrophy result in severe spinal canal stenosis at C5-C6 and moderate spinal canal stenosis at C4-C5 and C6-C7
- Facet hypertrophy and uncovertebral spurring contribute to varying degrees of multilevel neural foraminal stenosis, moderate in severity on the left at C5-C6
Diagnosis
Epidural hematoma
Sample Report
No abnormal marrow signal to suggest an acute fracture occult on prior CT imaging.
No evidence of acute ligamentous or cord injury.
Mild retrolisthesis at C5-C6, which is favored degenerative in etiology.
Thin T2/STIR hyperintense epidural collections concerning for epidural hematomas extending from C2 through the upper thoracic spine dorsally and from C7 through the upper thoracic spine ventrally without significant mass effect on the thecal sac in isolation.
Underlying degenerative changes result in severe spinal canal stenosis at C5-C6 and moderate spinal canal stenosis at C4-C5 and C6-C7 as well as varying degrees of multilevel neural foraminal stenosis, moderate in severity on the left at C5-C6.
Discussion