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There is subtle loss of normal grey white differentiation in comparison to posterior fossa contents, which can be an early CT sign of hypoxic-ischaemic encephalopathy. Possible subtle sulcal effacement. No intracranial haemorrhage is identified.
No hydrocephalus. No subfalcine, uncal or tonsillar herniation. No skull fracture or bony abnormality.
CT Cervical Spine:
Patient has been intubated with NGT in situ.
Straightening of the cervical alignment. No fracture of the cervical spine is identified.
Large haematoma is seen within the right neck grossly expanding the right levator muscles and anteriorly displacing the swollen sternocleidomastoid muscle. Further haematoma superficial to sternocleidomastoid. Fluid tracks along the posterior cervical space.
Confluent consolidation is seen within the dependant lungs bilaterally with more widespread patchy ground glass changes, consistent with aspiration.
1. CT findings raise possibility of hypoxic brain injury.
2. No cervical spine fracture
3. Large right neck haematoma involving paravertebral muscles and anteriorly displacing the sternocleidomastoid, secondary to known history of hanging. If there is concern for dissection or active bleeding, a contrast study could be performed.
4. Consolidation within the dependant lungs bilaterally, likely from aspiration.