Question: I am 28 yr old male with 3-4 years of chronic throat pain treated by many doctors. Had Nissan fundiplication without relief and had Had intubation injury to lower larynx that caused bleeding with my surgery. Tried many medications with side effects. Currently on desipramine.Had multiple laryngoscopies. Last diagnosis was laryngeal sensory neuropathy. Have recently been seeing anesthesiologist for chronic pain who has been doing multiple lidocaine injections. Tried ketamine IV without relief. Topical lidocaine helps temporarily. Gaviscon Advanced (sodium alginate) helps temporarily. PPIs did not help. Did do speech therapy early on without help. Mom has Multiple Sclerosis. Writing you because just had MRI of neck and it says:
Along the margin of the inferior left true vocal cord, at its junction with the subglottic larynx, there is a small region of curvilinear T2 hyperintense signal measuring approximately 9 mm in AP dimension by 2 mm in transverse dimension on image 17 of the axial T2 fat saturation sequence. The finding measures approximately 9 mm in maximum craniocaudal extent. This signal is also seen between the inferior margin of the left true vocal cord and the left laryngeal cartilage. One image slice further
inferiorly, the small amount of T2 hyperintense signal also appears to extend slightly
to the mucosal surface of the left lateral subglottic larynx. No obvious enhancement is
appreciated with this small finding. No abnormal edema signal is appreciated within the
left thyroid cartilage adjacent to the finding. The lack of enhancement would seem to
argue against a neoplasm. The finding might possibly representing sequela of previous
injury to this region. An internal laryngocele would be an unusual explanation as
typically laryngoceles extend superiorly and inferiorly. Recommend direct visualization
of this region with laryngoscopy.
The thyroid gland is unremarkable. No abnormal thickening or abnormal signal within the
anterior strap musculature is appreciated.
No cervical lymphadenopathy is appreciated.
No lesion of the nasopharynx, oropharynx, or hypopharynx is appreciated.
No abnormality of the parotid glands is appreciated. Incidental note is made of likely
small intraparotid lymph nodes. The submandibular and sublingual spaces are
unremarkable.
IMPRESSION: Nonspecific small region of T2 hyperintense signal involving the
undersurface of the left true vocal cord at its junction with the subglottic larynx.
The finding is of uncertain significance as discussed above. No obvious enhancement is
appreciated to suggest neoplasm.

What do you make of this new MRI. Only had CT w/contrast a few years ago. Pain doctor wants to send me to ENT again. I've seen so many...