Fig. 1

(the brain CT SCAN without contrast, the first imaging study [day 0]). A A large heterogeneous hyperdense area seen within the left frontotemporal lobes and associated with marked surrounding edema formation, suggestive of acute hemorrhage and causing significant pressure effect on the left lateral and anterior aspect of third ventricle, resulting marked shift of midline structures to the right side. Also note significant hyperdense material within lateral and third ventricles, suggestive of intraventricular hemorrhage B Sign of dilatation of lateral ventricles is seen, suggestive of associated hydrocephalus formation which is secondary to intraventricular hemorrhage and resulting communicating type of hydrocephalus. C Signs of two faint rounded hypodense lesions are seen within both cerebellar hemispheres along with other ones at the different parts of both cerebral hemispheres (not shown here) suggestive of early abscess formation. Sign of acute hemorrhage within fourth ventricle is also seen. D Sign of another smaller hyperdense lesion at the high convexity of the right parietal lobe also is seen, again suggestive of acute hemorrhage