Extradural hemorrhage (huge)
Head trauma. GCS 3.
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Massive biconvex extradural hematoma form a fracture of the skull (not seen; note the swelling of temporalis overlying the hematoma) resulting in marked midline shift and hydrocephalus of the left lateral ventricle (which should be slit like, but its outflow is obstructed).
Typical appearances of an albeit massive extradural hemorrhage.