Delayed Tension Pneumocephalus following Gunshot Wound to the Head: A Case Report and Review of the Literature

Figure 2

Readmission CT head and maxillofacial-sinus scan. (a) Scout image demonstrating a large pocket of hypodensity in the right frontal region consistent with pneumocephalus. (b) Axial CT demonstrating right frontal tension pneumocephalus with significant mass effect including effacement of the right lateral ventricle, midline shift, and subfalcine herniation. (c, d) Coronal reconstructed images demonstrating air communicating through the skin in the right orbital-frontal region and a small defect with shard of bone in the superior aspect of the right frontal sinus.

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