Acute onset right-sided weakness with altered conscious state.
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Acute left pontine hemorrhage. No mass effect at present. Grey-white differentiation is preserved. Ventricular size, sulcal pattern and basal cisterns all appear normal. No hydrocephalus. No bony abnormality demonstrated.
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The etiology in this case is thought to be hypertensive (patient SBP was 190 mmHg at time of presentation). Subsequent CTA COW (not shown) did not reveal an underlying vascular malformation.