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Fig. 14. 59-year-old woman with multifocal great vessel stenoses due
to Takayasu's arteritis (TA). Maximum-intensity-projection coronal MR
angiogram shows occlusion of right brachiocephalic artery (arrow),
severe stenosis of right subclavian artery (single arrowhead), and
occlusion of proximal left subclavian artery (double arrowheads).
Subclavian arteries are reconstituted by collateral vessel formation
bilaterally. Note relatively proximal great vessel involvement; whereas giant
cell arteritis may have imaging appearance similar to that of TA, lesions are
usually located more distally in latter disorder.