Recently Answered Questions
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I am diagnosed with multiple sclerosis. If lesions heal does it mean the disease progressing?
Query: Hello doctor, I am a 34-years-old female. Last year I was diagnosed with multiple sclerosis (MS). I had an magnetic resonance imaging (MRI) scan with the contract last year, which showed up lesions in the brain and two were active at that time. I had another MRI last week and got my results today. I... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your question carefully, and I will try to give you a detailed answer. There are several types of multiple sclerosis, more precisely four, 1. The first type is the commonest one, relapsing-remitting, with temporary periods of exacerbation and feeling well ... Read Full »
The doctor changed my wife's seizure medicines. Is it safe?
Query: Hello doctor, My wife aged 43 years had fits (seizures) five years back. At that time, the blood reports, magnetic resonance imaging (MRI), and electroencephalogram (EEG) were normal and the doctor advised Epilex Chrono 300 mg twice a day. She used it for three years and then there was no episode of... Read Full »
Answer: Hello, Welcome to icliniq.com. She had a recurrence of seizures after stopping the medications. Usually, it is continued for five years after the second episode. If the previous magnetic resonance imaging (MRI) was normal and if it was a 3T MRI, then there is no need for any further investigations.... Read Full »
Is there any non-surgical method in practice for releasing fibrotic contracture?
Query: Hello doctor, I have a big scar in my right thigh that has led to a contracture with little flexure on my knew joint for over ten years. I have recently underwent a corrective Z-plasty release but with only little gains in flexure, the Doctor said the contracture had develop a fibrosis that needs t... Read Full »
Answer: Hi, Welcome to icliniq.com. From what I can see in the pictures is that you have got a massive tissue loss over your thigh and that too over such a long period that it has gone for severe contracture. Only the Z-plasty will definitely not give you enough results. As your doctor has suggested you wi... Read Full »
What is the best treatment for adenocarcinoma of prostate?
Query: Hello doctor, I want to know about my dad's PSA prostate biopsy report. The report is in french language and I will translate it in English. Doctor advised him to take hormone therapy and radiation therapy. Will that work? Biopsy report shows: Adenocarcinoma of prostate Gleason score 6 (3+3) ass... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks your father has been diagnosed with prostate cancer. The good thing is that his bone scan is free of metastasis (spread). I will suggest them to do an MRI (magnetic resonance imaging) pelvis and x-ray chest plus abdominal ultrasound for staging. These investiga... Read Full »
My doctor said my coronary artery looks fine in my MRI. Is it true?
Query: Hello doctor,I am 50 years old and had a cardiac MRI dark blood, bright cone blood, and delayed enhancement images with contrast gadoterate. My doctor tells me this is a great test to rule out coronary artery disease. Only thing is it want stress MRI. He stated the coronary looked good and would pre... Read Full »
Answer: Hello, Welcome to icliniq.com. Your doctor is right. Stress CMR (cardiovascular magnetic resonance imaging) is highly sensitive and specific for detecting cardiac ischemia. Furthermore, it is the test of choice for cardiac morpho-functional study and tissue characterization. Read Full »
What does hyperechoic cyst in upper pole of kidney suggest?
Query: Hello doctor, Yesterday, I had an ultrasound of my abdomen. They gave me the report online and I am not sure how to read it. The things I am looking up are extremely worrisome. It is all saying cancer. I am going for a CT scan within a week. It is without contrast because I have myasthenia gravis ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. So, you have a cystic lesion in the upper part of your kidney. First of all, you are only 28 years old and at your age, I would favor many benign lesions over malignant ones. If they are not talking about solid components of the lesions, it ... Read Full »
I am having burning sensation in groin and waist after surgery for spine TB. Please advise.
Query: Hi doctor, I am 38 years old, male. I had two surgeries at the back (thoracic and lumbar) because of spine TB 13 years ago. Now I am having burning sensation in my groin area and on my waist, mostly right side. This used to come and go for the last few months. Last year I had similar sensation for ... Read Full »
Answer: Hi, Welcome to icliniq.com. MRI lumbar spine (attachment removed to protect patient identity). Observations: There is mild straightening of the lumbar vertebrae and might suggest lumbar muscle spasm. There are small osteophytes in L2 vertebra posteriorly and L3 vertebra anteriorly. Vertebral bod... Read Full »
How likely is it that the MRI could have missed significant cancer?
Query: Hello doctor, I am a 65-year-old with a very enlarged prostate (approx 100 ccs). I had periodic hematuria. PSA has vacillated between 2.7 and 5. Blind biopsy negative. I had two prostate MRI six months apart, one designated pirad 1 and the second pirad 2. I am on flow max and Finasteride. Based on ... Read Full »
Answer: Hello, Welcome to icliniq.com. With your description, it is obvious that you have a large prostate with lower urinary tract symptoms, which you are on treatment with Finasteride for more than six months. With this scenario, PSA (prostate-specific antigen) should be read as twice the value that is re... Read Full »
Kindly interpret the MRI reports of my knee.
Query: Hello doctor,My MRI of the left knee joint was performed. A plain MRI study of the knee joint is performed in axial, sagittal, and coronal planes. Complementary CT screening was performed and images were reviewed.Observation is as follows:Early degenerative osteoarthritic changes in the form of redu... Read Full »
Answer: Hello, Welcome to icliniq.com Thank you for your query. The left knee has started degenerating. Osteoarthritic changes have started due to which there are tears in the meniscus. These are the shock absorbers of the knee joint. Marrow edema means there is some fluid collection in the bones and weaken... Read Full »
What could be the cause of my persistent throat pain?
Query: Hello doctor, I am a 37-year-old male. I had brief nausea before five months. I visited a general physician who suspected GERD and put me on Motilium for GIT and later Pan 40 then Ranitidine for three months. I vomited only once but had been having a burning sensation in my chest. The burning ches... Read Full »
Answer: Hello, Welcome to icliniq.com. I viewed your MRI images of the neck and chest area (attachment removed to protect patient identity). Neck findings, there are few small mucosal cysts in the right maxillary sinus. There is a small lobulated cyst like area anteriorly in the floor of the mouth to the... Read Full »