Patient presents with acute onset of [symptom 1, e.g., headache], [symptom 2, e.g., altered mental status], and [symptom 3, e.g., hemiparesis] suggestive of intracerebral hemorrhage.  Symptoms onset occurred [time of onset] on [date].  Neurological examination reveals [specific neurological findings, e.g., right-sided hemiplegia, decreased level of consciousness, aphasia, sensory deficits].  Differential diagnosis includes thalamic stroke, ischemic stroke, subdural hematoma, and brain tumor.  Non-contrast head CT scan performed on [date] demonstrates a hyperdense lesion consistent with an acute hemorrhage located within the [left/right] thalamus.  Hemorrhage size is approximately [size] with evidence of [mass effect, midline shift, intraventricular extension if present].  Patient's medical history is significant for [relevant comorbidities, e.g., hypertension, diabetes, anticoagulant use].  Current medications include [list medications].  Patient denies [relevant negatives, e.g., recent head trauma, illicit drug use].  Initial laboratory results include [list relevant lab values, e.g., INR, CBC, BMP].  Thalamic hemorrhage diagnosis confirmed based on clinical presentation and imaging findings.  Treatment plan includes [blood pressure management, reversal of anticoagulation if applicable, neurosurgical consultation if indicated, supportive care].  Patient admitted to [ICU/neurology floor] for close monitoring and further management.  Prognosis discussed with patient and family.  ICD-10 code I61.8 assigned.