CEREBROSPINALECTOMYIntern: "Everyone on rounds knows more than me." Me: "Name one thing I said this morning you couldn't have." Intern: "You said the lesion was left MCA." Me: "He was weak on the right and couldn't get a word out." Intern: "...oh." Me: "That's the whole trick. We're just louder about the obvious." Send this to the intern who thinks everyone else was born knowing.
EXPLAINED (ACCURACY-CHECKED)
Right hemiparesis with expressive aphasia localises to the left cerebral hemisphere, typically left middle cerebral artery territory, because language is left-dominant in roughly 95% of right-handed and the majority of left-handed people.
Established clinical neuroanatomy: left-hemisphere language dominance and MCA-territory localisation of right hemiparesis with aphasia. Verified against standard teaching; PubMed/Consensus not reachable this run.
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