File:Acute P1 occlusion with PCA ischemia penumbra (CT perfusion) (Radiopaedia 72084-82590 Axial FLAIR 9).jpg

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Summary:

Description
  • Radiopaedia case ID: 72084
  • Image ID: 51716553
  • Image stack position: 9/35
  • Plane projection: Axial
  • Aux modality: FLAIR
  • Study description: MRI day 2 post ECR
  • Study findings: Increased DWI signal intensity in the left occipital lobe, the medial aspect of the left thalamus, posterior left thalamus, superior left vermis, left cerebellar hemisphere, left midbrain in keeping with evolving cerebral, cerebellar, thalamus and midbrain infarcts. Focal area of gyriform restricted diffusion in the right frontal lobe that may represent a focal cortical laminar necrosis. Marked T2 signal hyperintense change in the left temporal lobe and right frontal lobe that may be secondary to previous ischemic insult/injury. Mild to moderate periventricular white matter T2 signal hyperintensity suggests chronic small vessel ischemia.
  • Modality: MRI
  • System: Interventional
  • Findings: No intracranial hemorrhage. Stable hypodensity in the left temporal lobe in keeping with a previous infarct. Small hypodensity in the inferior right frontal cortex also in keeping with an established infarct. Periventricular hypoattenuation in keeping with chronic small vessel ischemic disease. Grey-white matter differentiation has been maintained elsewhere in the brain. The proximal left posterior cerebral artery appears hyperdense.
Date Published: 7th Nov 2019
Source https://radiopaedia.org/cases/acute-p1-occlusion-with-pca-ischaemia-penumbra-ct-perfusion
Author Craig Hacking
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current20:57, 16 April 2021Thumbnail for version as of 20:57, 16 April 20212,135 × 2,530 (1.04 MB) (talk | contribs)Radiopaedia project rID:72084 (batch #979-9 A9)

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