Presentation
History of "fall from couch". The history was not consistent with the imaging results.
Patient Data
Age: 3 years
Gender: Female
From the case:
Non-accidental injury - skull fractures
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fractures of bilateral parietal bones and right temporal bone
bilateral parieto-temporal scalp swelling
collection in bilateral middle ear cavities
Findings were inconsistent with the history provided.
Case Discussion
Multiple skull fractures in a toddler with the absence of an 'appropriate' history of trauma, from the parents or caregivers should raise concern for non-accidental injury.