Background:Carotid disease i s a common finding in patients with CAD & its presence is associated with worse clinical outcomes, IMT provides incremental value over the traditional risk factors in predicting cardiovascular events. Ultrasonography of the carotid arteries is easily available, cost effective, non-invasive method ofevaluation. The purpose of the present study is to evaluate the severity of atherosclerosis in extracranial carotid vessels in patients diagnosed of coronaryartery disease