Skull fracture – CT

This woman was in a high-energy road traffic accident where the right side of her forehead hit the windscreen of her car. CT brain shows extensive intracranial haemorrhage, with both extradural (pink arrow) and intraparenchymal (orange arrows) components. On bone windows, middle image, you can see a comminuted depressed fracture of the adjacent frontal bone. The fracture is nicely depicted on the volume rendered CT reconstruction on the right.