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Introduction/Patient Description Extracranial carotid duplex ultrasonography (DUS) was requested within 2 weeks after sudden onset of unilateral, evolving, neck pain. Signs and symptoms related to a 53 year-old man included local swelling, skin changes, increased, local sensations, and high sensitivity to palpation. Atherosclerotic risk factors were not noted. He had contralateral radiation therapy, neck and
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