Unfortunately, there is now haemorrhagic transformation of the acute right MCA territory infarct, with large hyperdense central right cerebral haematoma measuring approx 7.2 x 4.8 x 3.0 cm (52 mL). This is associated with right cerebral sulcal/lateral ventricular effacement, up to 5 mm leftward midline shift, moderate IVH and mild/early hydrocephalus. Right MCA M2 segment and branches remain very hyperdense.