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. 2018 Aug 21;9:666. doi: 10.3389/fneur.2018.00666

Figure 4.

Figure 4

Diffusion weighted scans (A,B) demonstrate multiple distal (embolic) foci of ischemia in the right MCA territory. MR Angiography (C) shows a moderate degree MCA stenosis in the proximal M1. High resolution vessel wall imaging in axial cuts before (D) and after (E) contrast enhancement as well as coronal T1 weighted vessel wall imaging sequences after contrast enhancement (F) demonstrate a hot plaque with dense eccentric enhancement. Given the embolic nature, the “hot plaque” characteristics and the relatively low degree of stenosis in a patient who was not on optimal therapy, it was decided to not perform an endovascular therapy.