High attenuation centred on the right thalamus consistent with an acute haemorrhage. There is haemorrhage extension into the ventricular system. No subarachnoid or subdural haemorrhage.
The haematoma and perilesional oedema result in compression and midline shift of the 3rd ventricle. The temporal horns of the lateral ventricles appear dilated in keeping with early hydrocephalus.
Marked periventicular and deep white matter low attenuation in keeping with severe small vessel disease. Mild generalised cerebral volume loss.