MRI Brain:
DWI sequence with ADC calculation was performed, as a limited post-stroke examination. Correlation is made with CT brain which identified hyperacute right MCA territory ischemia.
Serpiginous right insular cortical diffusion restriction with ADC depression, consistent with acute ischemia, and correlating with clinical signs and CT appearance. In addition, multiple foci of diffusion restriction extend multifocally over cortical frontoparietal gyri, all within right middle cerebral artery territory.
Conclusion:
Multifocal cortical right MCA territory infarction, most prominently involving the right insular cortex, corresponding to CT appearance and clinical signs.