MCA infarction

Discussion:

Initial non contrast CT demonstrates no definite abnormality, although in retrospect there is subtle blurring of the grey-white matter junction and slight swelling. 

CTA and CT perfusion performed right after the non-contrast CT demonstrate a large region of avascularity involving the superior division of the right MCA territory with matching perfusion defect. 

Follow-up CT performed three days later confirms an established infarct in the same distribution. 

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