FIGURE 87.3 Radiographic imaging of abusive head trauma A: Six-week-old infant examined by computed tomography (CT) without contrast A1: Axial CT shows focal areas of increased and decreased density in the anterior and posterior parasagittal regions (arrows ) Scalp swelling is present on the left A2: Axial bone window shows fracture of the right parietal bone (arrow ) B: Six-week-old infant examined by magnetic resonance imaging (MRI) studies Same patient as A1 B1: Sagittal T1WI shows both an older clot with methemoglobin as high