Male, 46 years old, ischemic stroke workup. Patient has aphasia, right arm hemiplegia and left-sided neglect. Status post embolectomy and recanalization of the left middle cerebral artery. There is diffusion restriction compatible with acute stroke in the left middle cerebral artery territory prominently affecting the left temporal lobe, basal ganglia, and minimally the insula. There are also small areas of acute infarct in the posterior left frontal and anterior parietal lobes, including the lateral post central gyrus. There is no evidence of hemorrhagic conversion. T2/FLAIR signal abnormality is associated with these regions. There is evidence of remote infarcts with small areas of encephalomalacia redemonstrated in the right frontal and occipital lobes. No significant mass effect or midline shift is present. There are no abnormal extra-axial fluid collections. Paranasal sinuses and mastoid air cells grossly clear.
1. Findings compatible with acute infarct in the left middle cerebral artery territory correlating with CTA findings of left middle cerebral artery occlusion. No evidence of hemorrhagic conversion.2. Small areas of encephalomalacia in the right frontal and occipital lobes likely related to remote ischemic events.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.