Multiple areas of restricted diffusion are noted in the right MCA territory. These areas include the right insular cortex, external capsule and lentiform nucleus extending up to the centrum semiovale and right periventricular frontal lobe. Multiple other foci are noted within the cortical frontal lobe and the cortical right parietal lobe. This pattern of restricted diffusion likely represents an infarct from an embolic shower.
There is haemorrhagic transformation of the largest of these infarcted areas in the deep grey matter on the right and subcortical insular cortex.