A 70 y o male admitted for stroke evaluation.
Here is MRI Brain diffusion with MR Angio.
Bilateral medial occipital lobes, mesial temporal lobes and thalami (PCA territory) spared.
On Non contrast 3 D TOF brain and 2 D TOF neck angio both the ACAs and MCAs not visualized Neck angio suboptimal as pt was non coperative.
Diagnosis : Anterior circulation stroke - Simultaneous bilateral hemispheric infarcts / Bilateral ACA - MCA territory.