IMPRESSION:
1. No acute intracranial findings.
2. Marked deformity of the TMJs bilaterally that is not grossly
changed from prior head CT. There is decreased distance of the roofs
of both mandibular fossas right greater than left.
3. No acute facial bone abnormalities.
4. Minimal anterior subluxation of C3 on C4 secondary to moderately
severe left-sided facet hypertrophic change
5. Disc space narrowing C5/C6 with some posterior spurring.
6. Marked disc space narrowing with partial fusion of the disc space
at C4/C5.
Electronically signed by: Jeffrey Cahoon, MD
IMPRESSION:
1. No acute intracranial findings.
2. Marked deformity of the TMJs bilaterally that is not grossly
changed from prior head CT. There is decreased distance of the roofs
of both mandibular fossas right greater than left.
3. No acute facial bone abnormalities.
4. Minimal anterior subluxation of C3 on C4 secondary to moderately
severe left-sided facet hypertrophic change
5. Disc space narrowing C5/C6 with some posterior spurring.
6. Marked disc space narrowing with partial fusion of the disc space
at C4/C5.
Electronically signed by: Jeffrey Cahoon, MD
IMPRESSION:
1. No acute intracranial findings.
2. Marked deformity of the TMJs bilaterally that is not grossly
changed from prior head CT. There is decreased distance of the roofs
of both mandibular fossas right greater than left.
3. No acute facial bone abnormalities.
4. Minimal anterior subluxation of C3 on C4 secondary to moderately
severe left-sided facet hypertrophic change
5. Disc space narrowing C5/C6 with some posterior spurring.
6. Marked disc space narrowing with partial fusion of the disc space
at C4/C5.
Electronically signed by: Jeffrey Cahoon, MD
1. No acute intracranial findings.
2. Marked deformity of the TMJs bilaterally that is not grossly
changed from prior head CT. There is decreased distance of the roofs
of both mandibular fossas right greater than left.
3. No acute facial bone abnormalities.
4. Minimal anterior subluxation of C3 on C4 secondary to moderately
severe left-sided facet hypertrophic change
5. Disc space narrowing C5/C6 with some posterior spurring.
6. Marked disc space narrowing with partial fusion of the disc space
at C4/C5.
Electronically signed by: Jeffrey Cahoon, MD
IMPRESSION:
1. No acute intracranial findings.
2. Marked deformity of the TMJs bilaterally that is not grossly
changed from prior head CT. There is decreased distance of the roofs
of both mandibular fossas right greater than left.
3. No acute facial bone abnormalities.
4. Minimal anterior subluxation of C3 on C4 secondary to moderately
severe left-sided facet hypertrophic change
5. Disc space narrowing C5/C6 with some posterior spurring.
6. Marked disc space narrowing with partial fusion of the disc space
at C4/C5.
Electronically signed by: Jeffrey Cahoon, MD
IMPRESSION:
1. No acute intracranial findings.
2. Marked deformity of the TMJs bilaterally that is not grossly
changed from prior head CT. There is decreased distance of the roofs
of both mandibular fossas right greater than left.
3. No acute facial bone abnormalities.
4. Minimal anterior subluxation of C3 on C4 secondary to moderately
severe left-sided facet hypertrophic change
5. Disc space narrowing C5/C6 with some posterior spurring.
6. Marked disc space narrowing with partial fusion of the disc space
at C4/C5.
Electronically signed by: Jeffrey Cahoon, MD
Narrative
STUDY: CT HEAD/BRAIN, CT SPINE (CERVICAL), CT FACIAL BONES
DATE: 9/5/2018 7:58 PM
COMPARISON: CT head 5/10/2017.
INDICATION: Persistent right mandibular pain with radiation to
posterior skull and neck.
FINDINGS:
CT HEAD: Helical images were obtained through the brain without
contrast. The ventricular system is stable in appearance. No mass
effects or midline shifts are seen. No intracranial blood or
extra-axial fluid collections are identified. No convincing evidence
of acute in arch and is seen. Bone window images demonstrate no
calvarial abnormalities. There appears to be chronic deformity of the
TMJs bilaterally that do not appear to be significantly changed.
Facial CT: Helical images were obtained through the facial bones. This
confirms the presence of chronic deformities involving both TMJs.
There appears to be a dehiscence in the roofs of both mandibular
fossas right greater than left. No acute fractures are seen. The
paranasal sinuses appear clear. There is moderate deviation of the
anterior nasal septum to the right. The orbital contents appear
symmetric and unremarkable.
Cervical spine CT: Helical images were obtained through the cervical
spine. Sagittal and coronal reconstructions were performed. No
prevertebral soft tissue swelling is identified. There is minimal
anterior subluxation of C3 on C4.. There is marked disc space
narrowing at C4/C5. Portion of the disc spaces fused. There is also
marked disc space narrowing at C5/C6 with some posterior spurring. The
other disc levels appear to be fairly well maintained. There is
prominent facet hypertrophy and arthritic change on the left at C3/C4.
There are no fractures or destructive lesions seen.
STUDY: CT HEAD/BRAIN, CT SPINE (CERVICAL), CT FACIAL BONES
DATE: 9/5/2018 7:58 PM
COMPARISON: CT head 5/10/2017.
INDICATION: Persistent right mandibular pain with radiation to
posterior skull and neck.
FINDINGS:
CT HEAD: Helical images were obtained through the brain without
contrast. The ventricular system is stable in appearance. No mass
effects or midline shifts are seen. No intracranial blood or
extra-axial fluid collections are identified. No convincing evidence
of acute in arch and is seen. Bone window images demonstrate no
calvarial abnormalities. There appears to be chronic deformity of the
TMJs bilaterally that do not appear to be significantly changed.
Facial CT: Helical images were obtained through the facial bones. This
confirms the presence of chronic deformities involving both TMJs.
There appears to be a dehiscence in the roofs of both mandibular
fossas right greater than left. No acute fractures are seen. The
paranasal sinuses appear clear. There is moderate deviation of the
anterior nasal septum to the right. The orbital contents appear
symmetric and unremarkable.
Cervical spine CT: Helical images were obtained through the cervical
spine. Sagittal and coronal reconstructions were performed. No
prevertebral soft tissue swelling is identified. There is minimal
anterior subluxation of C3 on C4.. There is marked disc space
narrowing at C4/C5. Portion of the disc spaces fused. There is also
marked disc space narrowing at C5/C6 with some posterior spurring. The
other disc levels appear to be fairly well maintained. There is
prominent facet hypertrophy and arthritic change on the left at C3/C4.
There are no fractures or destructive lesions seen.
STUDY: CT HEAD/BRAIN, CT SPINE (CERVICAL), CT FACIAL BONES
DATE: 9/5/2018 7:58 PM
COMPARISON: CT head 5/10/2017.
INDICATION: Persistent right mandibular pain with radiation to
posterior skull and neck.
FINDINGS:
CT HEAD: Helical images were obtained through the brain without
contrast. The ventricular system is stable in appearance. No mass
effects or midline shifts are seen. No intracranial blood or
extra-axial fluid collections are identified. No convincing evidence
of acute in arch and is seen. Bone window images demonstrate no
calvarial abnormalities. There appears to be chronic deformity of the
TMJs bilaterally that do not appear to be significantly changed.
Facial CT: Helical images were obtained through the facial bones. This
confirms the presence of chronic deformities involving both TMJs.
There appears to be a dehiscence in the roofs of both mandibular
fossas right greater than left. No acute fractures are seen. The
paranasal sinuses appear clear. There is moderate deviation of the
anterior nasal septum to the right. The orbital contents appear
symmetric and unremarkable.
Cervical spine CT: Helical images were obtained through the cervical
spine. Sagittal and coronal reconstructions were performed. No
prevertebral soft tissue swelling is identified. There is minimal
anterior subluxation of C3 on C4.. There is marked disc space
narrowing at C4/C5. Portion of the disc spaces fused. There is also
marked disc space narrowing at C5/C6 with some posterior spurring. The
other disc levels appear to be fairly well maintained. There is
prominent facet hypertrophy and arthritic change on the left at C3/C4.
There are no fractures or destructive lesions seen.
DATE: 9/5/2018 7:58 PM
COMPARISON: CT head 5/10/2017.
INDICATION: Persistent right mandibular pain with radiation to
posterior skull and neck.
FINDINGS:
CT HEAD: Helical images were obtained through the brain without
contrast. The ventricular system is stable in appearance. No mass
effects or midline shifts are seen. No intracranial blood or
extra-axial fluid collections are identified. No convincing evidence
of acute in arch and is seen. Bone window images demonstrate no
calvarial abnormalities. There appears to be chronic deformity of the
TMJs bilaterally that do not appear to be significantly changed.
Facial CT: Helical images were obtained through the facial bones. This
confirms the presence of chronic deformities involving both TMJs.
There appears to be a dehiscence in the roofs of both mandibular
fossas right greater than left. No acute fractures are seen. The
paranasal sinuses appear clear. There is moderate deviation of the
anterior nasal septum to the right. The orbital contents appear
symmetric and unremarkable.
Cervical spine CT: Helical images were obtained through the cervical
spine. Sagittal and coronal reconstructions were performed. No
prevertebral soft tissue swelling is identified. There is minimal
anterior subluxation of C3 on C4.. There is marked disc space
narrowing at C4/C5. Portion of the disc spaces fused. There is also
marked disc space narrowing at C5/C6 with some posterior spurring. The
other disc levels appear to be fairly well maintained. There is
prominent facet hypertrophy and arthritic change on the left at C3/C4.
There are no fractures or destructive lesions seen.
STUDY: CT HEAD/BRAIN, CT SPINE (CERVICAL), CT FACIAL BONES
DATE: 9/5/2018 7:58 PM
COMPARISON: CT head 5/10/2017.
INDICATION: Persistent right mandibular pain with radiation to
posterior skull and neck.
FINDINGS:
CT HEAD: Helical images were obtained through the brain without
contrast. The ventricular system is stable in appearance. No mass
effects or midline shifts are seen. No intracranial blood or
extra-axial fluid collections are identified. No convincing evidence
of acute in arch and is seen. Bone window images demonstrate no
calvarial abnormalities. There appears to be chronic deformity of the
TMJs bilaterally that do not appear to be significantly changed.
Facial CT: Helical images were obtained through the facial bones. This
confirms the presence of chronic deformities involving both TMJs.
There appears to be a dehiscence in the roofs of both mandibular
fossas right greater than left. No acute fractures are seen. The
paranasal sinuses appear clear. There is moderate deviation of the
anterior nasal septum to the right. The orbital contents appear
symmetric and unremarkable.
Cervical spine CT: Helical images were obtained through the cervical
spine. Sagittal and coronal reconstructions were performed. No
prevertebral soft tissue swelling is identified. There is minimal
anterior subluxation of C3 on C4.. There is marked disc space
narrowing at C4/C5. Portion of the disc spaces fused. There is also
marked disc space narrowing at C5/C6 with some posterior spurring. The
other disc levels appear to be fairly well maintained. There is
prominent facet hypertrophy and arthritic change on the left at C3/C4.
There are no fractures or destructive lesions seen.
STUDY: CT HEAD/BRAIN, CT SPINE (CERVICAL), CT FACIAL BONES
DATE: 9/5/2018 7:58 PM
COMPARISON: CT head 5/10/2017.
INDICATION: Persistent right mandibular pain with radiation to
posterior skull and neck.
FINDINGS:
CT HEAD: Helical images were obtained through the brain without
contrast. The ventricular system is stable in appearance. No mass
effects or midline shifts are seen. No intracranial blood or
extra-axial fluid collections are identified. No convincing evidence
of acute in arch and is seen. Bone window images demonstrate no
calvarial abnormalities. There appears to be chronic deformity of the
TMJs bilaterally that do not appear to be significantly changed.
Facial CT: Helical images were obtained through the facial bones. This
confirms the presence of chronic deformities involving both TMJs.
There appears to be a dehiscence in the roofs of both mandibular
fossas right greater than left. No acute fractures are seen. The
paranasal sinuses appear clear. There is moderate deviation of the
anterior nasal septum to the right. The orbital contents appear
symmetric and unremarkable.
Cervical spine CT: Helical images were obtained through the cervical
spine. Sagittal and coronal reconstructions were performed. No
prevertebral soft tissue swelling is identified. There is minimal
anterior subluxation of C3 on C4.. There is marked disc space
narrowing at C4/C5. Portion of the disc spaces fused. There is also
marked disc space narrowing at C5/C6 with some posterior spurring. The
other disc levels appear to be fairly well maintained. There is
prominent facet hypertrophy and arthritic change on the left at C3/C4.
There are no fractures or destructive lesions seen.
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