Figure 1A: MRI showing isolated hemorrhage in the 4th ventricle. 1B: CT scan showing a hyperdense area of blood density noted within 4th ventricle, likely Intraventricular hemorrhage. Upstream dilatation of bilateral lateral and 3rd Ventricle is noted, possibly due to obstructive hydrocephalus.1C: Susceptibility Weighted Image showing blooming foci in the 4th Ventricle. 1D: T1 weighted image showing hyperintense area within 4th Ventricle. 1E, F: CT scan taken after VP shunt showing EVD tube in situ with tip in the right lateral ventricle. Mild hydrocephalus (reduced) seen.