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A female patient (61 years old) diagnosed as acute ischemic stroke due to atherosclerotic stenosis in the left MCA M1 segment. (A) The white arrow points to the symptomatic MCA atherosclerotic stenosis (MRA imaging). (B) The white arrow points to the symptomatic MCA plaque (high-resolution vessel wall imaging). (C,D) Multiple infarcts involving the perforator distribution (diffusion-weighted imaging). MCA, middle cerebral artery; MRA, magnetic resonance angiography.
