Background: Non communicable diseases are responsible for 71% of all deaths globally, that is 41 million people each year. Each year 85% of the premature death occurs due to non communicable disease in low and middle income courtiers. Cerebrovascular accident or stroke is one of the most common causes of death. Ultrasonography of the carotid arteries is an easily available, costeffective, noninvasive method of evaluation. Treatment of stroke depends on reaching the most accurate diagnosis. Accurate and prompt diagnosis is crucial because timely and appropriate therapy can significantly reduce the risk of stroke and long term sequelae. Several modalities of investigation are available to determine carotid arterystatus. Objectives and Aim: The Aim of this study is to compare the diagnostic value of extracranial carotid and vertebral artery Doppler and Magnetic Resonance Angiography for the diagnosis of carotid artery pathology in patients with stroke. The principal appealing points in favor of sonography are a patient comfort, accuracy, and lack of risk. MR Angiography produces a reproducible three dimensional image of carotid bifurcation with good sensitivity for high grade stenosis. Materials and Methods: After taking consent, 52 patients presenting with focal neurological deficit underwent co, or Doppler and Gadolinium enhanced MRA examination of the carotid and vertebral arteries at Department Of Radio diagnosis, Azeezia Institute of Medical Sciences, Meeyannoor, PO, Kollam, Kerala, India with the help of VOLUSON 730 [WIPRO GE ultrasound machine] with 612 MHz linear array High Definition[HD] probe and 1.5 TESLA MRI.