（原文GaurangShah）建议多朗读英文并口译，小编翻译供参考，愿为您的放射之路锦上添花
A17-year-oldboypresentswithabruptright-sidedweaknessafterarecentfootballgame.17岁男孩，最近一场足球比赛后突发右侧肢体无力。
A
FurtherWork-up
B
C
D
(A)NoncontrastbrainCTdemonstratesasubacuteinfarctinvolvingtheleftbasalganglia(curvedarrow).(B–D)CTangiogramoftheneckwasalsoperformedandshowsafocalareaofluminalnarrowinginvolvingtheleftinternalcarotidartery(ICA)(B,D,arrows),whichhasanormallumendistally(C,circle).TherightICAisunremarkable(B,C,arrowheads).
(A)平扫CT显示左侧基底节区亚急性梗死(弯曲箭头)。(B-D)颈部CT血管造影显示左侧颈内动脉(ICA)(B，D，箭头)局部管腔狭窄，远端(C，圆)管腔正常。右侧ICA正常(B、C、箭头)。
DifferentialDiagnosis
?LeftICAdissection:Mostlikelydiagnosis,giventheyoungpatientage,historyoflikelyneckmanipulation,andotherwisecleanappearanceoftheremainingneckvasculature.
?Atheroscleroticdisease:Unlikelytopresentasafocallesioninanotherwisenormalcervicalarterialvasculature;unusualagerangeunlessother
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