Note superior hypophyseal reconstitution of the ACA/ACOM and medial lenticulostriate region

In addition to the above, on the LEFT the ophthalmic does a similar job as the superior hypophyseal on the right, reconstituting the olfactory branch of the ACA

Even more info can be gleaned from MIP images — Whereby on the LEFT, small branches from the proximal ophthalmic — superior hypophyseal equivalents — highlighting the homology between the two — are also present, supporting the optic apparatus and frontal base

Below are MIPs from the right

A very strange steno-occlusive lesion in the posterior genu/proximal horizontal segment of the right ICA will eventually lead to occlusion of the right ICA — more on that later.

MRI at time of the above angio

One year later

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