Ischaemic stroke: hyperdense middle cerebral artery
Dense acute hemiplegia.
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Hyperdense right distal internal carotid artery and proximal middle cerebral artery is in keeping with thrombus. There is 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 haemorrhage. Periventricular chronic small vessel ischaemia noted. The ventricles and sulci age appropriate.
2 case question available
This case illustrates as obvious a dense MCA sign as you are ever likely to see.