Crossed cerebellar diaschisis
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There is right MCA territory decreased uptake with associated contralateral left cerebellar decreased uptake due to old right MCA infarct and gliosis.
Crossed cerebellar diaschisis (CCD) refers to a depression of blood flow and metabolism affecting the cerebellar hemisphere occurring as a result of a contralateral focal, supra-tentorial lesion (e.g. infarct, radiation necrosis, following a tumour resection).