There is a classical left middle cerebral artery territorial infarct with secondary haemorrhagic changes and intraventricular extension. This is typically seen after 2-3 days of the ischaemic event and is a potentially catastrophic event, to be watched for, especially in hypertensive patients.
Reference: Ashok Srinivasan, Mayank Goyal, Faisal Al Azri, and Cheemun Lum. State-of-the-Art Imaging of Acute Stroke. RadioGraphics 2006; 26: S75-S95.

Credit: Dr Abhijit Datir