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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain In Neck And Polycystic Kidneys

Hello I am 56 have pain in left high neck with left side head, and polycystic kidneys, need to understand what my My MRI and MRA shows, here is the opinion: Bilateral parietal few tiny ischemic foci Right cerebellum small old infarct Bilateral temporal arachnoid cysts Central and cortical involuntional brain changes Attenuation os (sagital image) segment of the both posterior cerebral artery
Mon, 31 Aug 2015
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Radiologist,  's  Response
Hello

Your findings suggests polycystic kidneys.These are developmental abnormalities and usually only need follow up ultrasound.

Findings also suggests ischemic foci in bilateral parietal region.
Ischemic changes generally occurs in conditions like hypertension,altered lipid profile,diabetes mellitus,vasculitis etc.These conditions damage small blood vessels and this leads to ischemia.
So,you need screening of these conditions.It includes proper clinical examination and investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile.

You may need to take few medicines after evaluation.

However other causes may be demyelinating disease,migraine headache,edema etc.These conditions should also be ruled out and you may need follow up MRI to see progression of lesions.

There is also an old infarct in right cerebellum.

There are also incidental arachnoid cyst in bilateral temporal region.It generally doesn't require any treatment.

There are also age related atrophic changes in brain.

Get well soon.
Take Care
Dr.Indu Bhushan
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Suggest Treatment For Pain In Neck And Polycystic Kidneys

Hello Your findings suggests polycystic kidneys.These are developmental abnormalities and usually only need follow up ultrasound. Findings also suggests ischemic foci in bilateral parietal region. Ischemic changes generally occurs in conditions like hypertension,altered lipid profile,diabetes mellitus,vasculitis etc.These conditions damage small blood vessels and this leads to ischemia. So,you need screening of these conditions.It includes proper clinical examination and investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile. You may need to take few medicines after evaluation. However other causes may be demyelinating disease,migraine headache,edema etc.These conditions should also be ruled out and you may need follow up MRI to see progression of lesions. There is also an old infarct in right cerebellum. There are also incidental arachnoid cyst in bilateral temporal region.It generally doesn t require any treatment. There are also age related atrophic changes in brain. Get well soon. Take Care Dr.Indu Bhushan