A carotid ultrasound report describes how much narrowing, if any, is present in the carotid arteries in your neck, usually as a percentage range, along with the appearance of any plaque and the blood-flow velocities measured. The degree of narrowing is what drives the decision about treatment.
A carotid ultrasound report describes how much narrowing, if any, is present in the carotid arteries in your neck, usually as a percentage range, along with the appearance of any plaque and the blood-flow velocities measured. The degree of narrowing is what drives the decision about treatment.
Carotid ultrasound is not one of the six studies performed at the CNS offices; there is no imaging suite here. The scan is arranged at an imaging centre or hospital vascular laboratory. What happens at CNS is the interpretation in context: the neurologist who ordered it reviews the report alongside your history and examination and explains what it changes. Transcranial Doppler, which examines vessels inside the skull, is performed on site.
Reports usually give narrowing as a range rather than a single figure, because ultrasound estimates rather than measures directly. Velocities describe how fast blood moves through the narrowed segment, and higher velocities generally indicate tighter narrowing. Plaque may be described by how it looks, which carries some information about stability, though the degree of narrowing remains the main driver of management.
Mild narrowing is usually managed with risk-factor treatment: blood pressure, cholesterol, diabetes control and stopping smoking. More significant narrowing, especially with symptoms, prompts a discussion about whether a procedure is warranted, which involves vascular surgery rather than neurology. A normal study is still useful because it removes one explanation from the list.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
MRI, CT, carotid ultrasound and lumbar puncture are not performed at these offices. They are arranged at an imaging centre or hospital, and the report is reviewed with you by the neurologist who ordered it.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: carotid artery disease; National Institute of Neurological Disorders and Stroke; American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.