Background: White matter hyperintensity is an independent and one of the important risk factors than can foresee future stroke and is a very common MRI brain finding. It is one of the most accessible markers to access the effect of vascular hemodynamics on the brain. Carotid Doppler indices have a strong correlation with WMH mainly due to atherosclerotic plaques. Thus these indices we can predict the white matter Hyperintensity burden Objectives: Study cerebral white matter hyperintensities association with structural and hemodynamic parameters of the carotid artery. To calculate composite intima-media thickness. Evaluate white matter Hyperintensity into low and high burden plaques. Methodology: 76 patients with white matter hyperintensities will be included in the study subsequent Carotid artery Doppler will be performed to determine various indices which will be later be correlated to MRI findings Results: Statistical parameters like specificity, sensitivity, accuracy, negative predictive value and positive predictive value of each carotid Doppler value will be correlated to white matter score. ROC curve will be plotted to prove its diagnostic accuracy Conclusion: Using carotid artery doppler, we can predict the burden of T2/FLAIR white matter ischemic changes in the brain and thus can be used as a predictor of stroke.