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CT scan of a 67 year old woman who fell and hit the left side of her head showing an acute subdural hematoma along the right frontal, parietal, and temporal lobes which has caused a significant mass effect including a right-to-left subfalcine herniation. There is an acute hemorrhagic contusion along the anterior aspect of the left temporal lobe where she hit her head, an acute subarachnoid hemorrhage within the left sylvian fissure, and an acute subdural hematoma along the left frontal lobe. There are skull and facial bone fractures, including an acute fracture involving the left temporal skull which continues inferiorly to involve the anterior floor of the left middle cranial fossa and the left greater wing of the sphenoid. There is also an acute hematoma within the superior medial aspect of the left orbit.