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Figure 5–4. Day-of-injury computed tomography (CT) compared with follow-up magnetic resonance imaging (MRI).

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Figure 5–4. Day-of-injury computed tomography (CT) compared with follow-up magnetic resonance imaging (MRI).The day-of-injury CT images (top row) are registered at the same level of the follow-up MR (T1 sequence) images obtained 2 years postinjury (bottom row). The CT demonstrates multiple hemorrhagic lesions scattered throughout the brain but particularly in the frontotemporal and periventricular regions. Also, note the size of the ventricle on acute imaging. Even though there is effacement of the ventricle because of trauma-induced intracranial edema, the ventricle can be used to estimate original pretrauma size and used to track changes over time. Ventricular dilation is readily apparent on the follow-up MRI, seen below each CT.

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