MERCY AIGBE'S BRAIN SCAN SHOWS HEAD FRACTURE AFTER BEING BATTERED BY HER HUSBAND

Name: AIGBE MERCY
HOSPITAL: ST SOLOMON HEALTH CARE
INVESTIGATION: CT BRAIN SCAN

CT brain Scan
Indication:head injury
Findings:there is a fracture of the medial wall of the left orbit with herniation of the orbital fat and left medial rectus muscle into thee ethmoidal sinus and presence of peri-orbital emphysema.
There is also fracture of the floor of the orbit with air/fluid level in the left maxillary sinus indicative of hematoma.
Slight herniation of the left inferior oblique muscle into the maxillary sinus is also noted
No intercranial haemorrhage is seen
There is however bilateral basal ganglia calcification(most likely physiological)
Normal white/grey matter interface is preserved.
Posterior fossa structures are normal
No occular abnormality is seen

Conclusion
1 blow out fracture of the left orbit with herniation of orbital fat, medial rectus and left inferior oblique muscles.
2 left maxilary sinus hematoma
3 incidental finding of bilateral basal ganglia calcification.

Dr GA Olaniyi MBBS, FMCR
Consultant radiologist