Mixed hyperacute and acute bilateral subdural haematomas, with evidence of active haemorrhage on the right side. Associated mass effect with midline shift to the left of 4mm, and early bilateral downward transtentorial herniation.
Multifocal haemorrhagic cortical contusions. Small intraparenchymal basal ganglia haemorrhages reflect haemorrhagic diffuse.
Extensive base of skull fractures
Small undisplaced fracture through the right C1 lateral mass posterolateral aspect. No other cervical spine fracture or dislocation. Degenerative spinal canal stenosis at C6/7.
No carotid or vertebral artery dissection.