ANSWER
The plain film demonstrates bilateral parietal skull fractures, more evident on the left than right side. Subsequent noncontrast CT of the skull confirmed these fractures, and also showed bilateral subdural hematomas.
Such findings, both clinically and radiographically, are highly worrisome and suggestive of nonaccidental injury (ie, abuse). This unfortunate infant was placed immediately under the care of the Department of Family and Children Services and moved to the pediatric ICU for close monitoring.