Acute MCA infarct, indicated for IV tPA and clot retrieval.

Immediate post-mechanical thrombectomy study after complete recanalization (TICI 3) demonstrates typical hemorrhage/contrast staining area in the right MCA vascular territory, in keeping with intra-arterial reperfusion therapy. No signs of cortical involvement.

Twenty-four-hour follow-up NCCT shows near complete resolution of hyperattenuating areas. No massive hemorrhagic transformation evident.