FINDINGS: DWI demonstrates a large area of increased signal in the left temporal and parietal lobe with cortical and subcortical dominance, partly with gyriform pattern. Besides, hyperintensities are visualized in the caudate head and body and there are patchy hyperintensities scattered over the entire left hemisphere.
FLAIR shows corresponding hyperintense signal in the above mentioned areas.
T1 SPIR demonstrates a crescent-shaped hyperintensity in the course of the left ICA.
No other brain abnormalities.
NB: mucosal swelling in the maxillary sinus bilaterally. Bilateral cervical lymphadenopathy is noted.
CONCLUSION: Large ischemic infarction in the left hemisphere predominantly in the temporal and parietal lobes in keeping with an occlusion/ dissection of the left ICA.