Fall at home.
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No acute intra-axial or extra-axial haemorrhage. No acute vascular territory cortical infarct. No intracerebral mass lesion. Extensive periventricular white matter hypodensity consistent with chronic small vessel ischaemia. 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 haematoma.
Large left pinna hyperdense haematoma. The plastic surgery team took the patient to surgery for repair because of the risk of chondral ischaemia.
When bilateral, think cauliflower ears in a rugby player (forwards of course, not the backs!)