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. 2016 Jan;37(1):163–168. doi: 10.3174/ajnr.A4519

Fig 4.

Fig 4.

Parenchymal brain lacerations. Case 53. A, Axial NCCT image depicts a bifrontal parenchymal clefting injury with a hematocrit level within the left frontal laceration. B, The corresponding level on an axial T2WI better demonstrates the acute hemorrhagic SCWM parenchymal clefts with a fluid-hematocrit level and mild surrounding edema. C, Coronal GRE image 1 day after the acute injury demonstrates blooming artifacts of the blood-filled wide parenchymal clefts in the SCWM of the frontal lobes. Note the left parasagittal SDH (white arrowhead). D, Coronal GRE image 2 months following injury demonstrates blooming from hemosiderin-lined clefts (arrows). There has been marked retraction of the blood clot and near-apposition of the walls of the cleft within the right frontal lobe parenchymal brain laceration, while the cleft in the left SCWM remains wide and fluid-filled.