RT Journal A1 Ellison JM T1 MIld cognitive impairment, carotid disease, and revascularization—reply JF JAMA JO JAMA YR 2009 FD February 25 VO 301 IS 8 SP 829 OP 830 DO 10.1001/jama.2009.173 UL http://dx.doi.org/10.1001/jama.2009.173 AB While I agree with Zazulia's evidence-based comment, it does not bear directly on my suggestion that carotid ultrasound studies be considered in the assessment of a 60-year-old woman with mild cognitive impairment and vascular risk factors. Results from a community-based study of mild cognitive impairment suggest a significant likelihood of abnormal carotid ultrasound findings in Ms E based on her multiple domain symptoms.2