Presentation
End-stage renal failure. Confusion and mild headache.
Patient Data
Age: 60 years
Gender: Female
From the case:
MCA calcified embolism
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/89255/annotated_viewer_json?lang=us"}
Patchy hypodensity in the white matter of the middle cerebral artery territory is noted. There is also positive mass effect in the region with loss of grey-white matter differentiation and probable cortical swelling.
In the Sylvian fissure, a branching calcific density is present consistent with a calcified embolus, with the largest component extending into the inferior division of the MCA. Features are those of a subacute infarct secondary to a calcified thromboembolism.