Presentation
Altered mental status.
Patient Data
Age: 50 years
Gender: Female
From the case:
Dense left MCA sign with left MCA infarction
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Dense left middle cerebral artery (MCA) extending from the carotid terminus likely represent thrombus. Large left middle cerebral territory infarction without hemorrhagic conversion. Minimal midline shift.
Case Discussion
Typical appearance of a hyperdense MCA sign with a left MCA infarction. The most likely source for the thrombus is the heart (left atrial appendage or left ventricle) or carotid artery with embolization into the MCA.
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