The left cerebellar hemisphere haemorrhage has increased in size (2.6 to 4.2cm). There is associated mass-effect with effacement of the 4th ventricle or aqueduct, with associated mild hydrocephalus. There is no definite contrast enhancement in the lesion, but MRI with contrast is more sensitive for this purpose, particularly in the presence of intracranial haemorrhage. No other significant interval change.