PMC4235128_01
Bullet trajectory. Axial (a) CT head and (b) T2-weighted MRI head revealing bony, soft tissue, and parenchymal injury consistent with a GSW to bilateral frontal lobes, with multiple fragments of shattered bullet
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F1
Computed tomography (CT) head revealed bony, soft tissue, and parenchymal injury consistent with a GSW to bilateral frontal lobes [Figure 1].
(a) Axial T2-weighted MRI head demonstrating an irregularly shaped hematoma across both frontal lobes. (b) MRA circle of Willis revealing an asymmetric decrease in the right internal carotid artery circulation
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F2
Magnetic resonance imaging (MRI) of the head and magnetic resonance angiogram (MRA) of the circle of Willis done on post-operative day 4 showed multiple areas of restricted diffusion in the right MCA distribution, parasagittal frontal lobes, and left frontal lobe, with scattered areas of hemorrhage [Figure 2].