39-year-old male patient who presented with an acute left M1 occlusion with a background history of a prior left MCA infarct. Axial fat-saturated T1W MRI: crescentic hyper intense signal at the posterior aspect of the origin of the left ICA consistent with haemorrhage within the known carotid web. ICA, internal carotid artery; MCA, middle cerebral artery; T1W, T 1 weighted.