Case 173

Male patient, 25 years of age, brought by the SAMU (Mobile Emergency Service) to the emergency room of the João XXIII Hospital, after falling off a motorcycle. On physical examination, the patient was intubated and hemodynamically stable. He received three points in the Glasgow coma scale, pupils of equal size, measuring 2mm each, both reactive to light. A computed tomography (CT) was requested.

Based on the clinical picture and the images, what is the most likely diagnosis and the most probable origin of the bleeding?

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