What is meant by uneven thickening of the intima-media of the carotid arteries bilaterally?

Bilateral carotid intima-media thickening is a descriptor of imaging studies, which mainly refers to the formation of carotid plaques, and requires prompt medical treatment once detected.
In imaging angiography, bilateral carotid intima-media thickening occurs at the bifurcation of the common carotid artery, usually due to carotid plaques, and is also one of the most important manifestations of carotid atherosclerosis, which may also cause ischemic stroke and other diseases in the elderly.
The prevention of carotid plaque is usually mainly lifestyle changes, including smoking and alcohol cessation, low-salt and low-fat, exercise, weight control, etc., and if necessary, preventive application of antiplatelet drugs to reduce the incidence of ischemic cerebrovascular disease, such as aspirin. The use of drugs need to be under the guidance of a professional doctor, not unauthorized use of drugs.