PMC5056274_01
Sagittal (a) and coronal (b) CT angiogram of the head and neck demonstrating a 1.5 x 0.8 cm focal adherent mural thrombus (red arrows) in the left common carotid artery 4 cm proximal to the bifurcation resulting in less than 50% stenosis of the luminal diameter.
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fig1
A CT angiogram of the head and neck showed a 1.5 x 0.8 cm thrombus adhering to the wall of the left common carotid artery 4 cm proximal to the bifurcation without evidence of atherosclerosis or dissection (Figure 1).
Sagittal CT angiogram of the neck (3 months later) showing very minimal mural thrombus remaining.
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His repeat CT angiogram 3 months later (Figure 2) showed very minimal mural thrombus remaining and therefore his anticoagulation was discontinued; however, he remained on a low dose aspirin.