Acute MCA Infarct on CT

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First image shows Acute Middle Cerebral Artery (MCA) Infarct. It is only seen as diminished size of the sulci, diminished grey-white matter differentiation, as well as reduced delineation of the putamen and external capsule - when compared with normal left side. Second image 19 hours later shows well defined large MCA infarct with clear swelling of the ischemic brain tissue.
Cases like this are a real challenge for radiologist.

You might also check my previous cases:
Acute MCA Infarct
Media Infarct - CT Perfusion

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