The following skull x-ray is from a 3 year old with a history of a head injury 72 hours prior to presentation. He had a fall in the playground with no LOC and one incidence of vomiting post-injury. After suffering the injury, he had been observed in the ED for 4 hours, remained well and was then discharged home. He has now been brought in by his parents as he’s been irritable since the initial discharge. On examination, the only finding is a boggy swelling in the right parietal area. A skull x-ray was performed by the treating physician; what can be observed? Continue reading →