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Key words: atheromatous plaque, artery-to-artery embolism, carotid artery, ultrasonography PICTURES IN CLINICAL MEDICINE Figure 1. Color duplex flow imaging of the right ICA. A: On admission. A low echo plaque (arrowhead) with giant ulceration (arrow) (longitudinal sections). B: Three weeks later. A hole in the plaque (ulceration) connecting to the flow lumen of the right ICA (yellow arrow) (longitudinal and transversal sections).doi:10.2169/internalmedicine.44.1320 pmid:16415558 fatcat:3oc3l4ywhzcpxbkyeetvcw334e