An annotated case of a patient admitted for suspected stroke in the left Sylvian/MCA territory with a stroke-protocol CTA demonstrating signs of acute thromboembolic infarction in the distribution of the M1 segment of the left MCA. Mechanical thrombectomy allowed for adequate reperfusion and improvement of clinical symptoms.

**This case is part of the teaching curriculum for the neurology module during MD training at Université de Montréal.**