Volume 65 No 3  Cover Story

A case of abusive head trauma. Three-month-old boy with seizure-like movements, multiple bruises, and retinal hemorrhage. CT (left) shows bilateral subdural fluid and ill-defined low attenuation of the cerebral parenchyma. Follow up magnetic resonance imaging (center and right) reveal an atrophic brain with multifocal tissue loss and increased amount of subdural hemorrhage. Separated compartments with fluid levels (arrows) containing blood products exhibiting different signal intensities are suggestive of multistage hemorrhage.