The head and neck represents the most complex anatomical region with contributions from virtually all body systems. For this reason, the pathology of the head and neck tends to be correspondingly complex and wide-ranging. In this presentation, we will review numerous vascular pathologies that can affect the head and neck including microvascular disease of the: carotid, vertebral, subclavian and jugular veins, graft and aneurysm and well as vascular anomalies, vascular tumors and malformations. In this presentation, we will look at a wide variety of interesting and unusual cases to showcase how diagnostic ultrasound can assist with clinical problem-solving.