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Figure 2: (a) DWI shows acute infarct in left lateral thalamus and posterior limb of internal capsule, (b) FLAIR images shows grade 2 Fazekas small vessel ischemic changes in periventricular white matter, (c) SWI with multiple microbleeds, (d) right ICA injection in lateral view showing multiple stenotic lesions in distal ACA and MCA branches, (e) T1W precontrast fat-suppressed (FS) image showing concentric thickening of left supraclinoid ICA, and (f) T1W postcontrast fat-suppressed image showing concentric grade 2 enhancement of the left supraclinoid ICA, and (g) T1WI (FS) showing remodeling index of 0.34 in left middle cerebral artery (MCA) suggestive of negative remodeling

Figure 2: (a) DWI shows acute infarct in left lateral thalamus and posterior limb of internal capsule, (b) FLAIR images shows grade 2 Fazekas small vessel ischemic changes in periventricular white matter, (c) SWI with multiple microbleeds, (d) right ICA injection in lateral view showing multiple stenotic lesions in distal ACA and MCA branches, (e) T1W precontrast fat-suppressed (FS) image showing concentric thickening of left supraclinoid ICA, and (f) T1W postcontrast fat-suppressed image showing concentric grade 2 enhancement of the left supraclinoid ICA, and (g) T1WI (FS) showing remodeling index of 0.34 in left middle cerebral artery (MCA) suggestive of negative remodeling