Image IQ: History of Cyanotic Congenital Heart Disease

33-year-old male with history of cyanotic congenital heart disease status post multiple palliative cardiac surgeries.

A 33-year-old male with history of cyanotic congenital heart disease status post multiple palliative cardiac surgeries, atrial fibrillation on warfarin, presents with altered mental status.

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What's your diagnosis?

Subarachnoid hemorrhage
Increased hematocrit
Normal enhanced CT examination of the head
Venous sinus thrombosis
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