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Fig. 2A. 58-year-old man with transient ischemic attacks in whom
breath-hold contrast-enhanced MR angiography of carotid circulation was
carried out. Coronal maximum-intensity-projection MR image reveals weblike,
tight stenosis (white arrow) at origin of left internal carotid
artery. Origins of great vessels (black arrows) from aortic arch are
sharp and well visualized. Left carotid bifurcation and vertebrobasilar system
are also clearly visible. Tight stenosis (arrowhead) in distal left
vertebral artery is evident. Early filling of right subclavian and
brachiocephalic veins (open arrow) does not obscure visualization of
structures necessary for diagnosis.
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