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Conventional MRI images show abnormal signal of the left temporal, left parietal lobe as well as left basal ganglia associated with a mass effect on the left Sylvian fissure, left lateral ventricle with few mm shifting of the midline structures. The typical MR signal of acute infarction is seen within almost all the infarcted area with low SI on T1 and high SI on FLAIR and T2 images also restricted diffusion on DWI. The conventional T1 images demonstrate abnormal high signal intensity within the basal ganglia region suspicious of hemorrhage, SWI shows the low signal of blood within the central part of the infarcted area. MRI findings suggest left middle cerebral artery infarction with ECASS parenchymal hematoma type 1.