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An 83-year-old woman, taking a direct oral anticoagulant, presented to our emergency department 15 days after a fall on an escalator. She reported that, at that time, she had sustained an extracranial haematoma on the left forehead and had a CT scan, which was otherwise unremarkable. She was concerned because the haematoma had been decreasing in size over the past 2 weeks, but it had stopped decreasing for the previous 2 days. There were no other symptoms, and the neurological examination was unremarkable. A pulsatile, minimally tender, soft tissue mass was present on the left temporal region, about 4×2 cm in size, with linear scabbing overlying it. This mass was compressible to about half of its original volume, and once released, it returned to its original size ( figure 1).