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Large right-sided intracerebral hematoma. It involves both deep (basal ganglia) and frontal lobar structures. Its epicentre is within the right basal ganglia. The hemorrhage extends into the intraventricular space.
There is significant mass effect relating to the hematoma causing midline shift, compression of the third ventricle and partial effacement of ipsilateral cortical sulci. The temporal horns of the lateral ventricles are dilated in keeping with hydrocephalus.
CT angiogram shows no aneurysm or arteriovenous malformation. A small focus of hyperattenuation is present within the centre of the hematoma in keeping with a spot sign.