A large wedge shaped hypodense area measuring 110 x 37 mm is seen in left Fronto-parietal region inferiorly extending into lentiform nucleus and insular cortex with associated loss of grey-white matter differentiation. No hemorrhagic transformation Mild mass effect is noted in the form of compression and partial effacement of left lateral ventricle and midline shift of 2 mm towards right No evidence of acute intracranial haemorrhage / calvarial fracture IMPRESSION: Large wedge shaped hypodense area in left Fronto-parietal region inferiorly extending into lentiform nucleus and insular cortex with associated loss of grey-white matter differentiation and mild mass effect as descried- likey represent Acute/ early subacute ischemic infarct along the territory of middle cerebral artery