Presentation
Fall. Exclude fracture.
Patient Data
Age: 85
Gender: Female
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Sagittal bone window

The common and internal carotid arteries ascend more medially than is usual and almost meet in the midline (kissing carotids). This causes apparent thickening of the prevertebral soft-tissues which could be misinterpreted by some readers as hematoma
Case Discussion
Kissing carotids causing apparent thickening of the pre-vertebral soft-tissues which could be easily misinterpreted as prevertebral hematoma. No acute traumatic injury was identified.