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Figure 12. MIP image created after bone subtraction CT angiography shows complete elimination of bone; only small calcifications of the hyoid and laryngeal cartilage remain because of swallowing between the non-enhanced and contrast-enhanced acquisitions. The vertebral arteries are clearly demonstrated without artificial lumen reduction at the vertebral foramen. A large lymph node metastasis displaces the left carotid artery; there is mild stenosis of the right ICA.