31. Radiology Case 6

Caitlin Hackett¹ and Joshua K. Aalberg¹

(1)

Department of Emergency Medicine, Wexner Medical Center at The Ohio State University, Columbus, OH, USA

Caitlin Hackett

Email: Caitlin.Hackett@osumc.edu

Joshua K. Aalberg (Corresponding author)

Email: joshua.aalberg@osumc.edu

Keywords

Spontaneous from coagulopathyThrombolysisVascular malformationNeoplasmEpidural anesthesiaPaget’s disease of the skullBilateral

Case 6a

Indication for the Exam

77-year-old man arrives after a motorcycle accident with positive loss of consciousness. He had obvious facial trauma, but seemed neurologically intact.

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Radiographic Findings

Lentiform hyperdense collection along the left frontotemporal convexity with mild mass effect.

Diagnosis

Epidural Hematoma

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Case 6b Indication for the Exam

19-year-old male presents after being kicked in the face by a bull. He had extensive trauma to the face with a Glasgow Coma Score of 5.

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Radiographic Findings

He had crescentic hyperdense collection along the right frontal convexity compatible with acute subdural hematoma. There is mass effect and midline shift. The irregular area of hypodensity in the central portion of the hematoma is concerning for active bleeding (swirl sign).