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Laboratory Radiology

Does my Mri finding suggest MS? Is a LP or second episode/mri still needed for diagnosis?

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31 YO, Caucasian female. MS symptoms such as vertigo, balance problems, daily headache and chronic migraine, tinnitus and hearing loss in left ear, memory problems, pinching/stinging pain, itching/tingling skin, muscle spasms and muscles easily weaken… Tests were run to rule out other causes from lupus to diabetes to hepatitis etc… Before symptoms began mri was Normal, but now States “Minimal nonspecific faint spotty FLAIR
hyperintensities in posterior periventricular white matter.” this was completed without contrast. My question is, does this Mri finding suggest MS? Is a LP or second episode/mri still needed for diagnosis? Any insight is helpful, just struggling to find answers and effective treatment on this journey. Follow up not until January. Thank you!





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Is there a problem with my blood tests, I have 98.3 Fever?

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Hello I am a 28 year old female who does not smoke, drink or use drugs. I get sick very often, one day I woke up and started throwing up bile. When I went to the doctor I was told there weren’t any signs of bacteria and I did not have a fever. My blood work was flagged for the following however: MCHC 35.4 (reference range31.5-35), Neutrophils 12.1 (reference range 1.2-7.3), Lymphocytes .3 (reference range .5-3.5) and Monocytes were .9 (reference range .2-.7) My RBC was 4.87 (reference 3.67-5.38) and my WBC was 13.5 (reference range 3.2 – 10.6). Is there a problem with these results? And if I was suffering from an acute infection would it not show up through tests and not raise my temperature? My temp at the time was 97.9 degrees and it is currently 98.3. Thank you!





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My baby has ESR result of 50 ( lab limit is 29-30) and hemoglobin level of 10.5, is it a problem?

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my baby daughter is 2yr and 7 months and was bad cold and cough was three weeks then she had breathing difficulties.then doctor given drop for nose ,then it came relief ,and doctor asked to do FBC and ESR test then the doctor highlighted that ESR level is high report result is 50 ( required limit is 29-30) and also himoglobin level was 10.5 doctor I am in confused mind what is this issue and do we need to repeat same test after one month kindly advise me .

Thanking you





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I have numbness in my hands and feet, frequent urination, forgetfulness and anxiety. What is wrong with me?

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I am a 56 year old female who has recently been experiencing numbness in my hands and feet, frequent urination, noticing a strange burning smell, forgetfulness and anxiety. I have been referred for a MRI scan of the brain and have received my report (attached). What is wrong with me?

mri-scan-result





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Cancer back in 2015, are laboratory results worrisome?

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Hi, my mom recently have her routine laboratories because she had cancer way back 2015, s/p mastectomy and 6sessions of chemotherapy oct2015. She had her liver ultrasound less than 3months ago and it shows fatty liver, her sgpt that time is slightly elevated. And now, she just did her Alkaline phosphatase test 2 days ago and it is slightly elevated, her result is 320 u/l and the laboratories normal value for ALP is 64-306 u/l, should we get worried about it? Thanks​





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I ‘ve have difficulty breathing, blocked nose,runny nose, teary eyes for long time, now chest pains ?

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I am 32 year old male, i have had these symptoms for a long time sneezing (can last for thirty minutes after a shower and morning as well),difficulty breathing, blocked nose,runny nose, teary eyes, i feel itchiness around the chest area on the inside when i cough and every time i visit the doctor am prescribed antihistamines,nasal sprays and these seem not to work.lately the difficulty in breathing is too frequent even when am resting,am also having pains on my right side near the chest just at the diaphragm.i have experienced this pain for two years now.its on n off..additionally every time i sneeze i produce unusual sputum which is clear/colorless but looks like ice crystals.This is making me very unproductive please help





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Idid a transvaginal examination with unusual results? I’ m afraid of not getting pregnant in the future.

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Hello doctor!
I am worried because before 8 months i did a transvaginal examination that results like: the size of uterus 63mmx 32mm x 40 mm. Normal stucture. Normal cavity. Right ovary with a bilateral microcystic structure 35mm x 23 mm. Left ovary with a ilateral microcystic 38mm x 23mm. Douglas free.
After the examination i took during 6 months jasmin, and i did a transabdominal examination that resulted : the right ovary with a microcystic structure 41mmx 25 mm, left ovary with a micro cystic structure 39mmx25mm. Why the microcystics are not disapear? Will i have any difficulty in my fertility in the future? I am 22 years old, since i was 14, I had problems with acne in my face and too much pain during periods. Now i continue taking jasmin, and the acne and the pain during periods are disappeared but i still have the microcysts. Please what can i do? I’ m afraid of not getting pregnant in the future i would appreciate your answer! Thank you





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My right foot CT scan shows distortion, My leg is swollen?

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Hello
I am 23 old. I would like to ask you about my right feet. Seven weeks ago i have a distortion of my inch I. MPT on right foot . My rentgens was ok. One week ago my doctor sent me on CT scan. I sent to you a picture. It is piece of bone near join(I. MPT.) and i want to ask if it is normally and what it is? For me it looks like the part of bone just seperated. My leg is still swelled and blushed.

Thankyou doc.

ct-scan-foot





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I have been experiencing constant chills, reflux laryngitis is it STDs or flu shot side effects?

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I am a 20 year old female. I have the same and first sexual partner for almost 4 years now. We performed oral and he ejaculated in my mouth when I had burning in one tooth gum. Now I have been experiencing constant chills & sometimes night sweats for almost 2 weeks. I have reflux laryngitis that I am currently dealing with as well. But I also took an influenza seasonal vaccine a week before. Could this be HIV or side affect of the flu shot or laryngitis?





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I have lump on breast, hospital refused to do the mammogram?

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I am a 26yrs old, female. I found a marble size lump in my left breast. I told my doctor and she checked. She also felt the lump. She sent me for an ultrasound and a mammogram. But when i went to the hospital, i got through the ultrasound and they said all i have is a large amount of dense breast tissue and they refused to do the mammogram on me. It’s still in a lot of pain and I’m seeking a second opinion. Can someone please explain to me what my next step should be and how to ease my breast pain i have on a regular basis?





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I had a CAT Scan (CT) will radiation increase my cancer risk?

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Hi I asked a question a month ago about some auxillary swollen lymph nodes. I ended up getting a ct of my chest and it came back clear. I’m a little worried now over the radiation. At the time, I thought the benefits outweighed the bad but after learning more, I feel like we should have just done a needle biopsy which my doctor didn’t offer to do. I’m 28/f 5’1 100 pounds. I’ve never had any medical imaging tests until this year. In November I had a car accident and the ER doctor talked me into having a brain ct scan which I had asked him if it was a lot of radiation and he said no and was very persistent on getting it. I feel that it was unnecessary because I only had some bruises and my head was fine. I also had some x rays done. Then my chiropractor did his own set of x rays. This month for the swollen lymph nodes, I had another chest x ray done and the chest ct scan with and without contrast (so I have no idea how many pictures that is.) I really regret doing these cts especially since they are all in a short time frame– 9 months apart… If I never have another x ray or ct again… will the damage I have done increase my cancer risk?





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I have a reaction from the flu shot I received?

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I caught a cold from my toddler as both colds and hand foot and mouth are circulating at her school. I was sneezing, fever, runny nose, raw throat and a sore on my lip. Towards the end of my cold I got a flu shot given at the hospital I work at. THat evening when I went to bed I noted the backs of my knees were sore. When I woke up the next day and for 4 days now since I have had a sunburn like in appearance and burning feel rash behind my knees and to a milder extent the bends of my arms. I have never had any symptoms other than maybe generalized malaise after flu vaccination. Last year I got the flu shot while being treated for bronchitis and was fine. Could this be dermatitis from a reaction to the flu vaccine? How long do these rashes take to resolve?





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