Review Question - QID 215177

A 58-year-old man is brought to his primary care clinic by his wife 1 month after having a stroke. She notes that since the patient’s discharge from the hospital, he has been undergoing rehabilitation with minimal improvement in his symptoms. The patient’s speech is fluent, with proper tone and grammar but is incomprehensible. When asked if he knows where he is, the patient replies, “over the window.” In addition, he has trouble understanding spoken and written commands. His past medical history is significant for hypertension and hyperlipidemia. His medications include aspirin, atorvastatin, clopidogrel, and losartan. His temperature is 98.6°F (37.0°C), blood pressure is 145/86 mmHg, pulse is 78/min, and respirations are 12/min. Physical exam shows normal strength and sensation throughout. Ocular examination reveals a right superior quadrantanopia. Which of the following highlighted areas in Figure A represents the most likely location of ischemic injury in this patient?