Preschooler who sustained penetrating trauma to the skull base with a rake

MR myelogram of cerebrospinal fluid leak due to dural tear
Sagittal MR myelogram (above left) shows leakage of hyperintense cerebrospinal fluid into the soft tissues inferior to the cerebellum, which lateralizes to the left side on the coronal MR myelogram (above right). Sagittal T2 MRI without contrast of the brain (below) shows the tear in the linear hypointense dura with the hyperintense cerebrospinal fluid leaking through it just inferior to the tip of the cerebellar tonsil.

The diagnosis was cerebrospinal fluid leak due to a dural tear.