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In this report, we present a case of a patient with CT angiographic artifacts related to left-sided venous injection resulting in a striking pattern of enhancement simulating vascular abnormalities, which prompted additional diagnostic imaging. To our knowledge, no similar case has been reported in the published literature to date.

Pseudopathologic Brain Parenchymal Enhancement due to Venous Reflux from Left-Sided Injection and Brachiocephalic Vein Narrowing