65 year old gentleman presented with acute onset left sided weakness since waking up in the morning.
Scattered areas of hypoattenuation are seen involving the subcortical and deep white matter of right frontal lobe, corona radiata and external capsule. Diffusion weight MR images confirm restriction in keeping with acute cerebral infarction. No evident hemorrhagic transformation.
Classic case of cerebral arterial territorial infarction – right MCA. Additional negative reporting for any hemorrhagic transformation, dense blood vessels supplying the affected region and also to look for any form of crossed cerebellar diaschisis.