Case Notes
History
22 yo male found down in prison. Unconscious at scene.Exam
Noncontrast head CT
Prior Study
Bone window CT head1. There are complex fractures of the right midface area affecting the lower right frontal sinus, and all of the right ethmoid bridge. The right ethmoid roof has angled fragments projecting into the superior mesial orbit producing extracanlhmorrhage and air resulting in 4-5 of right globe proptosis. The superior lateral right orbital fracture continues superiorly as a vertical linear fracture which is non displaced but accounts for the adjacent large volume epidural hematoma.