50-year-old male, presents to the ED describing right sided scalp swelling following a fall. He described a generalised headache, and in ED was noted to be confused with left sided weakness.

His past medical history includes schizophrenia and Hepatitis C.

A CT was performed for suspicion of traumatic head injury.

Describe and interpret the CT scan
CT interpretation

Clinical Pearls


Sydney-based Emergency Physician (MBBS, FACEM) working at Liverpool Hospital. Passionate about education, trainees and travel. Special interests include radiology, orthopaedics and trauma. Creator of the Sydney Emergency XRay interpretation day (SEXI).

Provisional fellow in emergency radiology, Liverpool hospital, Sydney. Other areas of interest include paediatric and cardiac imaging.

Emergency Medicine Education Fellow at Liverpool Hospital NSW. MBBS (Hons) Monash University. Interests in indigenous health and medical education. When not in the emergency department, can most likely be found running up some mountain training for the next ultramarathon.

Dr Leon Lam FRANZCR MBBS BSci(Med). Clinical Radiologist and Senior Staff Specialist at Liverpool Hospital, Sydney

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