Question 1198
{"accessible":true,"alternatives":[{"id":6003,"text":"benign enlargement of subarachnoid spaces"},{"id":6006,"text":"bilateral subdural collections"},{"id":6005,"text":"left-sided subarachnoid hemorrhage"},{"id":6004,"text":"normal"}],"archived":false,"correctAlternativeId":6006,"explanation":"\u003cp\u003eThere are bilateral subdural collections - it is not possible from this single image to determine whether they are effusions or are hemorrhagic.\u003c/p\u003e\u003cp\u003eIn addition, there is a right-sided extracranial hematoma.\u003c/p\u003e\u003cp\u003eIn the context of encephalopathy in an otherwise normal child, subdural collections are concerning for abusive head trauma and non-accidental injury.\u003c/p\u003e","id":1198,"imageUrl":"https://prod-images-static.radiopaedia.org/images/50554592/7a9ae8e0331ebf98a14a9251f08286_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":69760},"imageAttributionCaseInfo":{"title":"Non-accidental injury - skull fracture, subarachnoid hemorrhage and subdural hematoma","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":69760,"case_param":"non-accidental-injury-skull-fracture-subarachnoid-haemorrhage-and-subdural-haematoma"},"firstQuestionPath":"/questions/1200","nextQuestionPath":"/articles/suspected-physical-abuse-1/questions/1197","relatedArticles":[{"id":69979,"title":"Abusive head trauma","link":"/articles/abusive-head-trauma?lang=us"}],"alsoUsedIn":[{"id":458,"kind":"Course","title":"Radiology Review Course - Melbourne - page 458","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/458"},{"id":458,"kind":"Course","title":"Radiology Review Course - Melbourne - page 458","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/458"},{"id":458,"kind":"Course","title":"Radiology Review Course - page 458","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/458"},{"id":639,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 639","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/639"},{"id":639,"kind":"Course","title":"2020 Virtual Conference Private Use - page 639","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/639"},{"id":639,"kind":"Course","title":"Paediatric Lectures - page 639","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/639"}],"stem":"\u003cp\u003eA 3-month-old child is admitted with a head injury. They are encephalopathic and an MRI is performed. What is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1198"}],"attemptsPercentages":[{"alternativeId":"6003","percentage":5},{"alternativeId":"6004","percentage":3},{"alternativeId":"6006","percentage":87},{"alternativeId":"6005","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"suspected-physical-abuse"}