Fig. 3
From: Intracranial vessel wall imaging: current applications and clinical implications
Imaging through the cavernous carotid arteries of a 56Â year old HIV positive man with type 1 diabetes who presented with acute left MCA territory infarcts. Postcontrast 3D BBMRI through the short axes of the juxtasellar cavernous ICA segments demonstrates eccentric wall enhancement and thickening on the left compatible with atherosclerotic plaque with a hypointense rim (arrowhead) that is highlighted by surrounding venous enhancement and compatible with calcifcation. A hypoenhancing focus (white arrow) within the enhancing, thickened wall suggests a lipid core. A small atherosclerotic plaque with minimal enhancement is seen on the right (black arrow)