Clinical notes:
12 hour followup CT following left middle cerebral artery stroke. GCS 15, aphasic. Increased oedema?
Findings:
Comparison made to CT from 12 hours earlier.
There is loss of grey-white matter differentiation involving the posterior and inferior left frontal lobe, anterior left temporal lobe and the left basal ganglia, in keeping with an establishing infarction of the left middle cerebral artery (MCA) territory. High density thrombus is seen within the M1 segment of the left MCA. There is sulcal effacement of the affected territory, and mild effacement of the left sylvian fissure and left lateral ventricle. No subfalcine, transtentorial or tonsillar herniation. No haemorrhagic transformation. No other new findings.