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. 2020 Oct 20;63(3):417–430. doi: 10.1007/s00234-020-02564-z

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 3 — Case “AHT6”. 7 month-old (AHT 6). Presumed AHT with impact (confessed “shaken-impact-syndrome”). 3A: T2* ax, 3B: SWI ax, 3C: T2w ax and 3D: cCT, bone window. Images 3B and 3D were not available to the evaluators. SWI (3B) has a higher sensitivity for the detection of bleeding in MRI. The cortical vein rupture (curved arrow) was better delineated in SWI (3B) compared to T2* (3A). 3A and 3B show a small retinal bleeding (straight arrows). The fracture was difficult to diagnosis in MRI (see T2w:3C) compared to CT (3D). • Anamnesis (not available for the neuro/radiologists): 40 cm high fall on laminate • Due to the additional MRI findings resulting from the impact (fracture and soft tissue swelling) this case was evaluated by one neuroradiologist as an accidental injury. • Two non-neuroradiologists misdiagnosed this case as a NAHT, but did not rule out pAHT. Both investigators recognized evidence of a fracture in the MRI.