Presentation
Fall at home.
Patient Data
No acute intra-axial or extra-axial hemorrhage. No acute vascular territory cortical infarct. No intracerebral mass lesion. Extensive periventricular white matter hypodensity consistent with chronic small vessel ischemia. The sulcal and ventricular pattern are consistent with stated age. The mastoid air cells and imaged paranasal sinuses are aerated. No calvarial fracture seen, persistent metopic suture which is a normal anatomic variant. Left parietal subgaleal scalp and left pinna hematoma.
Case Discussion
Large left pinna hyperdense hematoma. The plastic surgery team took the patient to surgery for repair because of the risk of chondral ischemia.
When bilateral, think cauliflower ears in a rugby player (forwards of course, not the backs!)
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