Infant with acute and chronic emesis

MRI of acute and chronic subdural hematomas in child abuse
Axial CT without contrast of the brain (upper left) shows bilateral large low density extra-axial fluid collections and a left frontal small high density extra-axial fluid collection. There is also prominence of the cortical sulci and the ventricular system. Axial T1 (upper right), T2 (lower left) and FLAIR (lower right) MRI without contrast of the brain better demonstrates the extra-axial fluid collections with the bilateral large collections being bright on T1 and T2 and the small left frontal collection being iso on T1 and dark on T2.

The diagnosis was bilateral large chronic subdural hematomas with associated cerebral atrophy and a left frontal acute subdural hematoma in a child abuse patient.