Intracranial Hemorrhages and Diffuse Axonal Injury

83 year old female status post fall. Sagittal T1-weighted image (A) shows hyperintense signal involving the lateral right temporal lobe consistent with cortical contusion and subacute blood products (white arrow). Axial T2-weighted FLAIR image (B) depicts edema in the right temporal lobe from traumatic contusion (long white arrow) and a subdural hemorrhage overlying the lateral right temporal and occipital lobes (short white arrow). Axial diffusion weighted trace image (C) shows a focus of restricted diffusion within the left dorsolateral midbrain compatible with non-hemorrhagic diffuse axonal injury (white arrow). Axial gradient recalled echo image (D) shows a punctate focus of susceptibility effect within the right temporal lobe compatible with hemorrhagic diffuse axonal injury (white arrow)