CASE HISTORY:
25 years old patient, unconscious after a car accident. The clinical examination reveals a skull cap hematoma on the left.



FINDINGS:
Unenhanced CCT (i.e. without contrast administration).
Left frontal
sickle-shaped, hyperdense (60-80HE) mass between skull cap and brain surface. Considerable mid-line shift to the right. Flattened gyri.


DIAGNOSIS:

Left-sided acute parietofrontal
subdural hematoma with consecutive mass effect and
mid-line shift to the right.
Brain edema.


Information on the internet:

1) Uniklinik Saarland
2) PathoPic