9 month old female with history of fall from mother's arms onto concrete floor with scalp hematoma. Limited views of the orbits appear normal.Small right occipital subgaleal hematoma with underlying, minimally overriding occipital fracture with slight depression that is no thicker than the thickness of the bone itself.There is a subcutaneous lesion immediate above the anterior fontanelle that contains soft tissue and a small amount of fat. Suspect this may represent a hemangioma. No associated fat stranding is identified. No boney change is noted underneath the lesion to suggest a meningocele. Suspect hemangioma; correlate with physical examination. If it is not known what this lesion represents; consider an MRI with contrast for further evaluation.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Small right occipital subgaleal hematoma with underlying, minimally overriding occipital fracture with slight depression that is no thicker than the thickness of the bone itself.2. Findings suggestive of anterior subcutaneous hemangioma. If it is not known what this lesion represents; consider an MRI with contrast for further evaluation. 