Presentation
Sudden onset of weakness of the left side of the body
Patient Data
Acute infarction following the territory of the right MCA with mass effect and midline shift to the left by a few millimeters. The abnormal high signal on T1WI images may be attributed to hemorrhagic transformation.
The abnormal periventricular sheet of high signal intensity is a sequela of small vessel ischemia.
Case Discussion
Acute infarction of the right middle cerebral artery territory with restricted diffusion in the form of the high signal on DWI and low signal on ADC map. The abnormal high signal on T1WI images may be attributed to hemorrhage.