To assess an activity within an atherosclerotic plaque, chemical exchange saturation transfer (CEST) imaging was demonstrated with the multi-pool model Bloch equation. This study was performed with eleven patients with carotid stenosis, was evaluated with each estimated parameters; bulk water, magnetization transfer, amide proton transfer (APT), and nuclear Overhauser effect (NOE). There was no significant difference between mean APT and NOE at 3.5 ppm. This result indicates that CEST plaque imaging should be evaluated with distinguishing APT and NOE. Multi-parametric analysis of CEST imaging may obtain detailed information for component as well as metabolite substances within an atherosclerotic plaque.