There is a comminuted and depressed gunshot fracture centered in the inferior part of the sagittal suture with fracture lines in both parietal bones as well as in the upper part of the occipital bone. The fracture lines also involve the upper part of the sigmoid sutures (red arrows).

The immediate vicinity of the gunshot fracture is suboptimally assessed due to the streak artifact. But scrolling above the gunshot fragments, and using subdural windows, there are bilateral extra-axial hemorrhages (red arrows) likely subdural in location.

One important point is that the location of the gunshot injury and depressed fracture fragments at the sagittal suture should raise concern for injury to the superior sagittal sinus. Therefore, a CTV is likely prudent as a next imaging step.