A 50-year-old male patient was brought to the ER department by ambulance 35 minutes after being struck by a truck while walking on the sidewalk. His wife reports that he was unconscious for approximately 5 minutes and has vomited three times. He is oriented to person but not to time and place. O/E shows an area of soft-tissue swelling over the left temporal region. The left pupil is fixed and dilated. A CT scan of the head is shown. Identify the diagnosis:
Embolism in the middle cerebral artery.
Rupture of a saccular aneurysm.
Rupture of the middle meningeal artery.
Tearing of the bridging veins.
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