Ischemic stroke - hyperdense MCA sign
Dense acute hemiplegia
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Hyperdense right distal internal carotid artery and proximal middle cerebral artery in keeping with thrombus.
There is a subtle loss of grey-white matter differentiation involving the right insular cortex as well as the right frontoparietal MCA territory.
The left cerebral hemisphere is unremarkable
No intracranial hemorrhage. Periventricular chronic small vessel ischemia noted. The ventricles and sulci are age-appropriate.
2 case question available
This case illustrates as obvious a hyperdense MCA sign as you are ever likely to see.
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