Acute Ischemic Stroke

This a CT brain image of a patient admitted to the Hospital with left sided weakness. The patient had a history of an ischemic cardiomyopathy with a diminished heart function. He also developed an intracardiac clot. This is likely an embolic stroke with fragments of the clot occluding a major cerebral blood vessel. Note a significant midline shift (brain is shifted to the left) due to cerebral edema.