Presentation
Fall from a height, physical examination demonstrated otorrhagia
Patient Data
Age: 30 years
Gender: Male
Race: Hispanic/Latino
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Axial bone window

Note is made of a longitudinal fracture of the right petrous bone with opacification of the right middle ear. Intracranial pneumocephalus also seen .
Case Discussion
This case shows a longitudinal temporal bone fracture. It is important to remember that sometimes only small intracranial pockets of air can suggest a temporal fracture.