Free-floating thrombus in the internal carotid artery
Transient ischemic attack.
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Small amount of thrombus projecting into the lumen at the right carotid bifurcation. Calcified and non-calcified plaque is present at both carotid bifurcations.
There is a small projection of intraluminal thrombus at the right ICA. This has been described as "free floating thrombus", an uncommon finding placing this patient at high risk for a more devastating ischemic event. This is typically managed surgically with carotid endarterectomy or medically with anticoagulation therapy.