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AP Chest radiograph showing faint right lower zone consolidation with minimal pleural effusion.
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Chest radiograph (Fig. 1) revealed faint right lower zone consolidation with minimal pleural effusion.
Plain head CT demonstrating subarachnoid hemorrhage at left Sylvain fissure (arrow).
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Urgent CT head revealed acute subarachnoid hemorrhage (Fig. 2).
Susceptibility weighted image (A) displayed dark blooming along the left sylvian fissure (orange arrow) corresponding to subarachnoid haemmorage seen in CT. 3D time of flight intracranial MRA (B) showed a small obliquely oriented saccular aneurysm arising from the anterior temporal branch of the left MCA (blue arrow).
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Further assessment with brain CT angiogram, Magnetic Resonant Imaging, and angiogram (MRI/MRA) confirmed left tempo-partial subarachnoid hemorrhage together with probable left middle cerebral artery infective aneurysm (Fig. 3).