<p>The circle of Willis was examined using 2.5 mHz imaging transducer using squamous temporal windows. The mean velocities of the demonstrated middle cerebral arteries measured 225 cm/sec and 124 cm/sec on the respective right and left sides.</p><p>Conclusion: Conditional High velocity middle cerebral arteries due to sickle cell vasculopathy</p><p>Follow up scan is after three months is recommended</p>