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hey everyone welcome to another episode of the rad review itamp;#39;s going to be a total mondo rager we are discussing radiology topics for the resuscitationist my name is rupal jane from the university of maryland school of medicine and this is episode number nine the dot sign versus the spot sign this episode weamp;#39;re going to discuss the difference between these two radiographic signs seen on ct imaging of the brain of stroke patients now the names of these radiographic abnormalities may be similar but donamp;#39;t get them twisted see the dot sign is seen on dry ct of patients with ischemic stroke versus the spot sign which is seen on ct angiography of patients with hemorrhagic stroke now the important thing to remember is that if you see either of these signs know that they both increase mortality letamp;#39;s jump into a case your patient is a 54 year old male with sudden onset left hemiparesis and right gaze preference onset of symptoms one hour ago now this is your dry