This case report highlights the challenge of radiology interpretation in acute cases especially where effective treatment is time critical. Often an investigation will have an obvious abnormality that accounts for the presenting symptoms but elsewhere, in an unrelated part of the scan, another abnormality may be present. Even in experienced teams such other findings may be overlooked. This case also documents the effect and outcome of thrombolysis in a recent silent cerebral infarct with petechial haemorrhages.

Haemorrhagic transformation of a recent silent cerebral infarct during thrombolytic stroke treatment
Karsten Bruins Slot, Eivind Berge and Joanna Wardlaw