This is an easy one I guess but often underestimated as a differential. Patient underwent Neck Angioresonance with a TOF sequence to discard stenosis. Previous carotid Doppler revealed a bilateral non-significant stenosis due to chronic plaque in carotid bulbs.
Here are the 3D VR images; later on I'll post some raw axial slices to confirm findings.
Click on the first image to enlarge:
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