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Carotid Ultrasound Case Series: What's the Diagnosis?

Case 1

A 55 year old lady presents to the cardiology clinic for preoperative evaluation prior to knee replacement surgery for osteoarthritis. Her past medical history is significant for hypertension and osteoarthritis. Her physical examination is fairly unremarkable except for a carotid bruit heard bilaterally. She undergoes a carotid artery ultrasound.

Images of her carotid ultrasound are as follows:

Figure 1. Image of color and spectral Doppler of the right proximal internal carotid artery.

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Figure 2. Image of color and spectral Doppler of the right middle internal carotid artery

Figure 3. Image of color and spectral Doppler of the right distal internal carotid artery.

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Figure 4. Grey scale imaging of the right proximal internal carotid artery and common carotid artery

Figure 5. Image of color and spectral Doppler of the left proximal internal carotid artery.

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

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

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 Figure 8. Grey scale imaging of the left proximal internal carotid artery and common carotid artery

Figure 9. This represents the appearance of distal left internal carotid artery under power Doppler angiogram. 

 
 
Click below to take the self evaluation quiz for this case. After successfully passing the quiz you can view explanatory notes about the choices as well as references for further reading before proceeding to the next case.

 

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