There is soft tissue swelling of the scalp.   [Yes/No]

There is evidence of a fracture-linear/mixed, nondisplaced/displaced/depressed/complex calvarial fracture with or without diastasis.   [Yes/No]

There is evidence of a fracture crossing any of the meningeal artery or major dural sinuses sites.   [Yes/No]

There is evidence of a calvarial fracture extending into or from the intracranial surface of any of the paranasal sinuses, temporal bone /sigmoid plate/ lesser sphenoid wing or optic canal with or without intracranial gas.
  [Yes/No]

There is evidence of concurrent abnormalities not likely related to recent brain injury.   [Yes/No]

There is evidence of subperiosteal/subgaleal hemorrhage along either the inner or outer calvarial surface.   [Yes/No]

There is evidence of epidural/subdural/intradural/ subarachnoid hemorrhage.   [Yes/No]

There are mixed-age CNS injuries.   [Yes/No]

There is evidence of  intraaxial direct impact injuries: brain contusion or superficial gliding contusions /coup opposite side (counter coup event), / intraventricular hemorrhage.   [Yes/No]

There is evidence of brain laceration from missile type penetrating injuries.   [Yes/No]

There is evidence of intraaxial (non-direct impact acceleration/deceleration) brain shear injuries or diffuse axonal injuries (i.e. DAI) arterial microvascular shear effect causing microhemorrhages at the gray-white junction or along the major forceps of the corpus callosum.   [Yes/No]

There is evidence of venous tether avulsion injuries, possibly with brain laceration (linear parenchymal hemorrhage).   [Yes/No]

There is evidence of any brain herniation.   [Yes/No]

There is evidence of regional brain swelling from dysautoregulation and expanded intravascular pool, but without apparent brain edema.   [Yes/No]

There is evidence of intercurrent ICA/ACA/PCA or circummesencephalic artery stroke(s) from herniation or choking.   [Yes/No]

There is evidence of global (diffuse) cytogenic edema likely related to concurrent apneic episode with cytotoxic brain edema.   [Yes/No]

There is evidence of major arterial post traumatic dissection.   [Yes/No]

There is evidence of pial or meningeal arterial entrapment in a fracture.   [Yes/No]

There is evidence of major arterial post traumatic injury producing a pseudoaneurysm.   [Yes/No]

There is evidence of major arterial post traumatic injury producing a high or low flow AV fistula.   [Yes/No]

There is evidence of deformity (external compression) or thrombosis of a dural sinus.   [Yes/No]

There is evidence of concurrent abnormalities not likely related to recent brain injury.   [Yes/No]