Age: 74yr

Sex: Female

Complaints: Left limb weakness.

Case study: Large area of diffusion restriction  with corresponding low ADC signal seen involving right fronto- parieto- temporal lobe with no signal abnormalities in corresponding T2 and FLAIR sequence.Angiography study shows non-visualisation right internal carotid artery (ICA) and its branches.No evidence of blooming in GRE sequence.

Images:

DWI

Angiography

ADC

Conclusion :

  • Acute infract involving right MCA and ACA territory.
  • Mild atrophic changes in brain.
  • MR angiogram (cerebral angiogram) shows non visualized right ICA and its main branches indicating significant thrombosis.

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