Legend Images from a Gad enhanced MRA reveal areas of irregularity and narrowing, most notably in the distal right vertebral artery and basilar artery. The proximal left external carotid is also narrowed. The MCAs also appear involved but are not well-seen.

Legend 2D TOF neck mra (middle) confirms disease in the right vertebral artery. A 3D TOF MRA (right images) demonstrates additional irregularity in the MCA regions. Key words: mri mra vascular stroke ischemia

Brain Diagnosis: Gd-enhanced MRA showing severe multifocal arteriosclerosis