Large right lobar haemorrhage (frontal and parietal lobes) involving cortex, subcortical white matter and periventricular white matter. There is subarachnoid and intraventricular haemorrhage. The haematoma has multiple finger-like projections.
Significant mass effect resulting in midline shift and obstructive hydrocephalus of the lateral ventricles.
Mild periventricular low attenuation may represent small vessel change or transependymal CSF spread.