A 74 year-old man who had undergone left carotid endarterectomy 1 year earlier was followed-up for right asymptomatic internal carotid stenosis. The patient did not report any transient ischaemic attack or stroke appropriate to the distribution of the index carotid artery.

A clinical whole body MRI (Philips Achieva 3T) was performed with a 16 channel neurovascular array coil (fig 1). In a single study, MRI of the brain showed no acute infarction (fig 2A), contrast enhanced MR angiography (CE-MRA) of the cervical and intracranial arteries showed severe right internal carotid stenosis (fig 2B) and a standardised protocol of the carotid artery plaque, with transverse images including four different imaging parameters (fig …