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There is diffuse subarachnoid haemorrhage within the basal cisterns, sulci and all ventricles. There is a 12 mm rounded high attenuation area centred on the left MCA probably representing an MCA aneurysm.
The optic nerves appear thickened bilaterally likely secondary to papilloedema. In addition, there is a high attenuation area within the left posterior globe likely reflecting haemorrhage, Terson syndrome.
No tonsillar or uncal herniation. There is widespread sulcal effacement.
Opinion: Extensive, diffuse subarachnoid haemorrhage likely secondary to left MCA aneurysm rupture.