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M/80 years with four episodes of left MCA TIAs. Color Doppler ultrasound shows left ICA 80% stenosis with peak systolic velocity of 204 cm/s (A). No neovascularization is seen on CEUS (B). On CTA, plaque is hypoattenuating and surface shows a single Type III ulceration (C). On MRI, plaque appeared isointense on PD (D), hypointense on T2WI (E), mildly hyperintense on T1WI (F), and isointense on TOF (G), suggestive of lipid core. Fibrous cap was well visualized
