Case 2

A 70 year old female with past medical history of peripheral arterial disease s/p left external iliac artery stent placement, hypertension and hyperlipidemia is noted to have a left carotid bruit on physical examination. She undergoes a carotid artery ultrasound.

Images and videos of the ultrasound are noted below:

Figure 1. Image of color and spectral Doppler of the right subclavian artery.

Figure 2. Image of color and spectral Doppler of the right subclavian artery.

Figure 3. Image of color and spectral Doppler of the right proximal common carotid artery.

Figure 4. Image of color and spectral Doppler of the right middle common carotid artery.

Figure 5. Image of color and spectral Doppler of the right distal common carotid artery.

Figure 6. Image of color and spectral Doppler of the right proximal internal carotid artery.

Figure 7. Image of color and spectral Doppler of the right middle internal carotid artery.

Figure 8. Image of color and spectral Doppler of the right vertebral artery.

Figure 9. Image of color and spectral Doppler of the left subclavian artery.

Figure 10. Image of color and spectral Doppler of the left proximal common carotid artery.

Figure 11. Image of color and spectral Doppler of the left middle common carotid artery.

Figure 12. Image of color and spectral Doppler of the left distal common carotid artery.

Figure 13. Image of color and spectral Doppler of the left proximal internal carotid artery.

Figure 14. Image of color and spectral Doppler of the left middle internal carotid artery.

Figure 15. Image of color and spectral Doppler of the left vertebral artery.

Carotid Ultrasound Case Series: What's the Diagnosis?

Case 2