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Loss of blood supply to brain tissue, usually due to thrombus or embolus.
Dense R MCA: Hyperdense MCA sign = acute thrombus.
Dense L MCA + ACA infarction with oedema: Shows early swelling, loss of greyโwhite differentiation.
Bleeding within the brain parenchyma โ high density area on CT.
Cerebellar haemorrhage: Risk of brainstem compression, often needs neurosurgical review.
Blood in basal cisterns/sulci, usually from ruptured aneurysm. "Thunderclap headache".
Crescent-shaped bleed between dura and arachnoid; usually due to torn bridging veins.
Large left acute + subacute SDH with midline shift: Emergency โ may need burr hole or craniotomy.
Biconvex/lentiform bleed, often after temporal bone fracture with middle meningeal artery injury.
CT Pulmonary Angiogram (CTPA): Saddle embolus at bifurcation of pulmonary arteries.
VQ Scan: Mismatched perfusion defects suggest PE when ventilation is preserved.
Bronchiectasis, mucus plugging, and hyperinflated lungs.
Multiple round pulmonary metastases (renal, choriocarcinoma, thyroid, melanoma).