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Radiology · CT head: subdural hematoma
Sample itemAn older patient after a minor fall has a crescent-shaped extra-axial collection that crosses suture lines on CT. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Subdural hematoma
Subdural hematomas are usually crescentic because blood spreads along the cerebral convexity beneath the dura. They commonly result from torn bridging veins.
Option by option
A. Extradural hematoma
Extradural hematoma is typically biconvex and limited by sutures.
B. Epidermoid cyst
Epidermoid cyst has a different chronic imaging appearance.
C. Pituitary apoplexy
Pituitary apoplexy is centered in the sellar region.
D. Subdural hematoma (correct)
Correct. A crescentic collection crossing sutures is subdural blood.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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