16-Month-Old Boy, Born at Gestational Age of 28 Weeks, Presenting With Unexplained Facial Burns (IMAGE)

American Roentgen Ray Society

16-Month-Old Boy, Born at Gestational Age of 28 Weeks, Presenting With Unexplained Facial Burns

Caption

He also had unexplained rib, humerus, and tibial fractures, three skull fractures, severe acute hypoxic brain injury with transtentorial herniation, and intracranial subdural hematoma in interhemispheric falx and tentorium. Child diagnosed with abusive head trauma. A. Sagittal STIR image from whole-spine MRI demonstrates edema in nuchal ligament consistent with ligamentous injury (arrow) and epidural hematoma extending along thoracic spine (arrowhead), associated with compression fractures from T4 to T7 (rectangle). Epidural hematoma isolated to thoracolumbar spine. B. Lateral radiograph of thoracic spine clinically interpreted as negative for spine fracture. C. Axial gradient-recalled echo T2-weighted MR image at L4 demonstrates posterior hematoma obliterating epidural fat, consistent with epidural hematoma (arrow).

Credit

American Roentgen Ray Society (ARRS), American Journal of Roentgenology (AJR)

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