Is the attached report indicative of the causes of dysphagia?
Get examined and evaluated by a neurologist
I have gone through your question and understand your concern.
The mri changes are due to small blood vessels block due to aging or other risk factirs like hypertension or diabetes.
The lesion in pons region is atypical but non uptake of contrast rules out any malignancy at present.
Follow up imaging is required to monitor the pons lesion.
There ia less likely chance of dysphagia due to this pons lesion.
Other possibilities may be achalsia or bulbar onset motor neuron disease.
Examination by a neurologist will be helpful.
EMG may Be required too.
Is there any wasting if tongue musculature?
Any muscle rippling or twitching movements?
Any muscle wasting in limb?
Any speech changes?
Hope you found the answer helpful.
Do get back to me for further information.
Dr N Kumar
Yes, some muscle twitching and vocal changes (vocal fry, loss of range in singing voice.)
Esophageal Manometry was done - I have not seen the report, but the technician said she saw strong evidence of the XXXXXXX failing to relax. Achalasia?
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