case_images: PMC9427261_01
case_images: Noncontrast CT brain performed at the time of initial presentation, revealing established infarcts in the left MCA and ACA territories.
case_images: CRINM2022-4933172.001.jpg
case_images: PMC9427261_01_CRINM2022-4933172.001.jpg
case_images: fig1
case_images: CT angiography-circle of Willis scanning revealed extensive low attenuation in the left MCA and ACA territories, suggestive of extensive ischaemic infarction in these areas (Figure 1). Contrast angiography revealed diminutive M2 branches of the left MCA which appeared intact.
case_images: CT pulmonary angiogram performed on day 3 showing right-sided proximal segmental pulmonary embolism.
case_images: CRINM2022-4933172.002.jpg
case_images: PMC9427261_01_CRINM2022-4933172.002.jpg
case_images: fig2
case_images: The CTPA revealed extensive bilateral segmental and subsegmental pulmonary emboli, along with left lower lobe collapse and consolidation, with bilateral patchy ground-glass change (Figure 2).
case_images: Noncontrast CT brain performed on day 3, revealing haemorrhage in the ACA territory.
case_images: CRINM2022-4933172.003.jpg
case_images: PMC9427261_01_CRINM2022-4933172.003.jpg
case_images: fig3
case_images: Progress CT brain on day 3 showed petechial haemorrhage in the left frontoparietal MCA territory consistent with haemorrhagic transformation of affected area, with slightly increased mass effect and subfalcine herniation (Figure 3).