Presentation
Acute onset right sided weakness.
Patient Data
Age: 70 years
Gender: Female
From the case:
Hyperdense MCA and loss of the insular ribbon signs
Axial non-contrast

Dense left MCA sign and loss of the left insular gray-white interface. Otherwise normal, no intracranial hemorrhage.
MIP image from brain CT angio.
From the case:
Hyperdense MCA and loss of the insular ribbon signs
Axial

MIP image from a CT angiogram confirms occlusion of the left middle cerebral artery.
Case Discussion
Good example of the hyperdense MCA sign and the loss of the insular ribbon sign.