77 year old gentleman presenting with right hemiparesis.
Baseline imaging: Non-contrast CT Head Bilateral calcified emboli, acutely in the left MCA brancehs.
CTA was performed:
MIP imaging highlights the calcified embolus
Heavy atherosclerotic calcification at the carotid siphon.
MRI 2 days later reveals:
Acute infarct and hemmorhagic transformation