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Right hemispheric infarction with dense MCA sign and massive brain edema that leads to subfalcine and uncal herniation. There is associated hemorrhage within the pons and midbrain due to damage to the perforators arteries from the basilar artery known as duret haemorrhage. Moreover there is a focus of hemorrhage at left cingulate gyrus likely from damaged left ACA owing to subfalcine herniation.