Demographics:
83 years old, Female
Indication:
Left sided weakness
Findings
- Focal hyperattenuation associated with an M2 branch of the right MCA
- No definite areas of loss of gray-white differentiation
- Patchy subcortical and periventricular white matter hypoattenuation
- Calcified intracranial atherosclerosis
Diagnosis
Acute right MCA territory infarct (dense vessel sign)
Sample Report
Focal hyperattenuation associated with an M2 branch of the right MCA concerning for age-indeterminate thrombus. Consider CTA for further evaluation. No definite CT findings of infarct; however, MRI is more sensitive for acute infarct.
Sequelae of chronic microvascular ischemic disease. Calcified intracranial atherosclerosis.
Discussion