We have described a case of a suspected transient ischemic attack with a double lumen potentially resembling a dissection of the internal carotid artery on Doppler ultrasound. The identification of an arterial branch from the internal carotid artery and flowing near it using magnetic resonance imaging suggested an aberrant origin of an ascending pharyngeal artery or occipital artery. ... https://www.roneverhart.com/2003-2005-HONDA-ACCORD-2-4L-4-Cylinder-Engine-Upper-Intake-Manifold-OEM/