A 68 years old male diabetic patient presented to the Emergency Departmentwith chief complaints of slurring of speech and weakness in the left lower limb for 1 day. The patient was also experiencing respiratory symptoms from the last 4-5 days, cough, and dyspnea. On arrival in the emergency department, the patient was pyrexial. Covid-19 rapid antigen test was done was comes to positive. The patient was shifted to covid ICU, a Covid RT PCR sample was sent, and an MRI stroke protocol was planned. MRI BRAIN was suggestive of right-sided lateral medullary infarcts. Right vertebral artery flow void absent. MR ANGIO BRAIN- Eccentric short segment plaque involving the proximal segment of the left subclavian. Eccentric plaques involving the posterior aspect of left proximal ICA left petrous ICA and both cavernous ICA. Lack of flow-related enhancement in right vertebral artery! occluded. Nonvisualized inferior division of right MCA.