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What Does This CT Scan Image Indicate?
Question: Good day Dr Spaho
This is a follow up on a prior assessment following the incident of violence on 14/15 XXXXXXX 2015 where patient suffered a blow to the head with a pole-shaped implement in an act of violence.
It is known that the indentation appeared within days or weeks after the swelling had subsided following the trauma. By taking a ruler, the indentation on the top back of the skull is permanent, and measured at 4cm x 2cm to date.
Sante CT Viewer 3D was made use of for 3D reconstruction of the skull from CT scan, (as image 0000-0323-00 3D CT Reconstruction at site of impact) to assist "the layman" in visualizing the extent of the indentation and trauma. The skull was orientated in the Viewer 3D to highlight the region of concern.
The image from the 3D Viewer, and CT scan is available at: https://drive.google.com/drive/folders/0B90glucIcidFdlBfU2ExOENUa28
What conclusions can one draw from the CT scan, reconstruction, and size of the persistent indentation? Is it more likely due to a blow to the skull, or from "natural causes"?
This is a follow up on a prior assessment following the incident of violence on 14/15 XXXXXXX 2015 where patient suffered a blow to the head with a pole-shaped implement in an act of violence.
It is known that the indentation appeared within days or weeks after the swelling had subsided following the trauma. By taking a ruler, the indentation on the top back of the skull is permanent, and measured at 4cm x 2cm to date.
Sante CT Viewer 3D was made use of for 3D reconstruction of the skull from CT scan, (as image 0000-0323-00 3D CT Reconstruction at site of impact) to assist "the layman" in visualizing the extent of the indentation and trauma. The skull was orientated in the Viewer 3D to highlight the region of concern.
The image from the 3D Viewer, and CT scan is available at: https://drive.google.com/drive/folders/0B90glucIcidFdlBfU2ExOENUa28
What conclusions can one draw from the CT scan, reconstruction, and size of the persistent indentation? Is it more likely due to a blow to the skull, or from "natural causes"?
Brief Answer:
Depressed outer layer of skull.
Detailed Answer:
Hello and thanks for asking me directly.
I examined the 3D reconstruction you uploaded.
There is an indentation at the top of the skull measuring approximately
2x3 cm.
It seems to be extended only at the outer skull layer (dipole).
Since the indentation was noticed only after trauma, there is no reason to think otherwise, because it should have been noticed before.
My personal opinion is that this is a traumatic outer layer of the skull depression.
Hope you found the answer helpful.
Let me know if I can assist you further.
Take care.
Depressed outer layer of skull.
Detailed Answer:
Hello and thanks for asking me directly.
I examined the 3D reconstruction you uploaded.
There is an indentation at the top of the skull measuring approximately
2x3 cm.
It seems to be extended only at the outer skull layer (dipole).
Since the indentation was noticed only after trauma, there is no reason to think otherwise, because it should have been noticed before.
My personal opinion is that this is a traumatic outer layer of the skull depression.
Hope you found the answer helpful.
Let me know if I can assist you further.
Take care.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Answered by
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