A 70-year old male presents in consultation from his primary care provider for evaluation of a left sided neck bruit. He is asymptomatic and denies any signs or symptoms of stroke, TIA, or amaurosis fugax. He has no history of peripheral or cerebrovascular disease but has had a 3-vessel coronary bypass in the past. He has a family history of stroke and his father had bilateral carotid endarterectomies in his 70s. An ultrasound of the carotid vessels is obtained and is shown.
Figures, Case 1. Left common carotid artery (top). Left internal carotid artery (bottom).
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