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ntaloma in this setting. These data may potentially be used to improve clinical reasoning and restrain overutilization of imaging. We present a case of an aberrant right subclavian artery (ARSA) with extremely rare vascular anomalies. A 69-year-old woman was suspected to have right internal carotid artery (ICA) stenosis. Computed tomography angiography demonstrated an ARSA and hypoplasia of the right ICA. The proximal segment of the right vertebral artery (VA) was aplasia, and a right type 1 proatlantal artery (PA) arose from the righ