Figure 1. The VWMRI of MCA plaque characteristic in a patient with ischemic stroke recurrence. A female patient, 56 years old, experienced her first ischemic stroke in August 2019. MRA revealed severe stenosis of the M1 segment of the left MCA (A). At the same time, DWI displayed a punctate high signal in the left centrum semiovale (B), and VWMRI revealed centripetal thickening of the MCA and severe lumen stenosis (C). In November 2019, the patient experienced a recurrent ischemic stroke. MRA displayed an aggravated stenosis of the M1 segment of the left MCA (A1), and DWI showed a new patchy high signal in the left centrum semiovale (B1). Furthermore, VWMRI revealed an aggravated centripetal thickening of the MCA and a worsening lumen stenosis (C1).