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CT Head Occip fx

Findings: CT brain: There is diffuse enlargement of the ventricles and extra-axial CSF spaces, predominantly involving the frontal lobes bilaterally. Confluent hypodensity in the supratentorial white matter is consistent small vessel ischemic change. Brain parenchyma is otherwise unremarkable throughout. There is no mass effect or shift of midline structures. There is no hydrocephalus. There is no evidence of intracranial hemorrhage. Dense atherosclerotic calcifications are noted in the cavernous carotid arteries. Mild left parietal scalp soft tissue swelling is noted. Orbits, globes and adjacent soft tissue structures are otherwise unremarkable. The paranasal sinuses are predominantly clear. Linear lucency through the occipital bone extends to the opisthion and is consistent with a non-displaced fracture. Scattered lucencies surrounding the maxillary teeth are likely related to periodontal disease. CT cervical spine: Diffuse degenerative changes of the cervical spine are noted with severe disc height loss, uncovertebral joint and facet hypertrophy at the C3-C4, C4-C5 and C5-C6 levels. There is moderate bilateral foraminal stenosis at the C4-C5 and C5-C6 levels. Mild central canal stenosis is also identified at these levels. There is no obvious epidural hematoma. The paraspinal soft tissues of the neck demonstrate mild atherosclerotic calcification of the carotid bulbs bilaterally. Subcentimeter nodules in the thyroid gland are a nonspecific finding and of doubtful clinical significance. Aortic arch is noted the high riding on the left. The thoracic structures otherwise unremarkable. IMPRESSION: 1. Nondisplaced occipital bone fracture extending to the posterior margin of the foramen magnum. There is no associated intracranial hemorrhage at this time. 2. Diffuse senescent changes without evidence of acute intracranial pathology. 3. Diffuse degenerative changes with variable canal and foraminal stenosis. No displaced cervical spine fractures appreciated.