There are bifrontal parenchymal hematomas with overlying subdural hemorrhage, and likely small-volume convexity subarachnoid haemorrhage. The left subdural hemorrhage contains a hypodense component, which may indicate that the patient is anticoagulated, or a hyperacute stage of hemorrhage.
There is significant mass effect resulting in rightward midline shift and uncal herniation.
Additionally, there are complex facial and calvarial fractures that are not shown.