63 year old female with hypothyroidism was one day found unresponsive in her chair after a meal. She complained of weakness of the left half of her body and was admitted to a local hospital. Routine blood workup revealed hyponatremia and was treated with correction. After 10 days she was referred to a higher center for further evaluation. In view of history of left sided weakness of 10 days which partially improved, she underwent an acute stroke CT/MR protocol.