A, Initial MDCT in the peripheral stroke center shows hypodensities of the left striatum, insula, internal capsule, M1, M2, and M3 segments. B, In the supraganglionic levels, we observe early signs in the M4, M5, and M6 segments, resulting in an ASPECTS of 0. C and D, FDCT acquired in our comprehensive stroke center 94 minutes after the initial CT shows early ischemic signs in the left anterior cerebral artery and MCA territories, resulting in an ASPECTS of 2. The M3 and M6 segments are not classified as ischemic on FDCT images.