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Large left sided intracerebral haematoma. It involves both deep (basal ganglia and thalamus) and parietal white matter. Its epicentre is within the left basal ganglia. The haemorrhage extends into the intraventricular and subarachnoid spaces.
There is significant mass effect relating to the haematoma 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, arteriovenous malformation. or spot sign.