Introduction: Stroke, or "cerebrovascular accident," is a medical disorder in which the brain's cells die due to insufficient blood flow. Successful stroke treatment varies according to the type of stroke, whether an infarct or a bleed, and it can be lethal without brain damage. Objective: The study aim was to compare clinical stroke diagnosis with computed tomography (CT) scan findings to determine stroke type (hemorrhagic or Ischemic). Method: This was a cross-sectional type of observational study conducted at the Department of Radiology & Imaging in Medical College for Women and Hospital (MCWH), Uttara and Catharsis Hospital, Pubail, Dhaka from January 2018 to December 2020. A total of 120 patients from the inclusion criteria were taken for the study purpose. Data of clinical diagnosis were compared individually with CT findings. Result: Out of 120 patients, 84 were males and 36 were females and they were in the age range of 20-80 years. Clinically 52 patients were suspected to have cerebral infarction, 38 intracerebral bleeds and 30 indeterminate. CT scan of the brain showed 58 cerebral infarcts, 42 intracerebral hemorrhages, 06 space-occupying lesions and 14 hemorrhagic infarcts. Conclusion: The study found that CT should be the first thing to do when a person has a stroke because it's easy, quick, and accurate at figuring out what happened.