Large left parietal cortical-subcortical hemorrhage with an underlying patchy area of diffusion restriction, eliciting blooming on GRE, high signal on DWI and low signal on ADC, consistent with hemorrhagic infarction. Mild surrounding edema with localized mass effect.
Associated distension, signal alteration (intermediate T1 and low T2), and significant abnormal GRE blooming of the dorsal segment of the superior sagittal sinus and multiple superficial cortical veins represent venous sinus thrombosis.