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Influence of Availability of Clinical History on Detection of Early Stroke Using Unenhanced CT and Diffusion-Weighted MR Imaging

Mark E. Mullins1,2, Michael H. Lev1,2, Dawid Schellingerhout1,2, Walter J. Koroshetz2,3 and R. Gilberto Gonzalez1,2

1 Department of Radiology, Division of Neuroradiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114.
2 Department of Radiology, Harvard Medical School, 25 Shattuck St., Boston, MA 02115.
3 Department of Neurology, Massachusetts General Hospital, Boston, MA 02114.



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  		Fig. 1A. —Left thalamic infarction in 60-year-old man. Unenhanced CT scan of head obtained 1 hr after patient presented to emergency department shows small hypodensity within left thalamus (arrow). Finding was interpreted as showing no evidence of acute stroke.

 


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  		Fig. 1B. —Left thalamic infarction in 60-year-old man. Urgent diffusion-weighted MR image obtained 2 hr after A more clearly reveals small left thalamic infarction (arrow).

 

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