Clinical question : CVA. Signs and symptoms: Left-sided weakness Non-infused CT of brain:No definitive evidence of hemorrhage, edema, mass effect, midline shift or hydrocephalus. No detectable cortical stroke. There is subtle high density of right middle cerebral artery in the horizontal portion of sylvian fissure and considering patient provided clinical data possibility of thrombus within the right middle cerebral artery should be considered.Follow-up with a CTA and MRI examination of brain is recommended. Small area of low-attenuation in the region of the left external capsule may represent an old lacunar infarct. This examination is otherwise unremarkable. The above findings were relayed to the referring service via Stat Consult communication system.
1.Subtle high density of right middle cerebral artery in the right sylvian fissure as described above. Considering patient's provided clinical data this may represent clot within the right MCA main trunk.2.Small lacunar infarct of left basal ganglia.3.No evidence of acute cortical stroke or hemorrhage.