Right MCA M1 occlusion

Discussion:

This case illustrates the classical hyperdense MCA sign which corresponds to an increased attenuation of the proximal portion of the MCA related to its thrombosis. 

Middle cerebral artery territory infarcts are the most common due to the size of the territory and the direct flow from internal carotid artery into the middle cerebral artery, providing the easiest path for thromboembolism. 

This patient was promptly identified and evaluated with CTA and MRI being eligible to a clot retrieval endovascular treatment. 

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