A 17-year-old boy presents for evaluation of
headache, nausea, and vomiting following a motor vehicle collision. He was a
restrained driver who lost control of his vehicle and hit a tree; the air bag
did not deploy. There was questionable brief loss of consciousness.
The patient’s medical history is unremarkable, and
the physical exam overall is normal. CT without contrast of the head is
obtained. The preliminary reading suggests a small hemorrhage within the
cerebrum. An image of the area in question is shown. What is your impression?