Question: I've been under investigation for dysphagia, lasting approximately one year. I had an MRI done, which noted a 3mm lesion in the pons. Another MRI was ordered, with contrast, and I got the results from my general practitioner. I haven't heard from my neurologist yet. This one says: "There are a few scattered nonspecific foci of increased T2 FLAIR signal within the supratentorial periventricular white matter. These may reflect mild chronic microangiopathic ischemic white matter changes. The previously documented 4mm focus of increased T2 FLAIR signal within the left side of the pons is not dramatically changed. On post gadolinium imaging, there is no enhancement in this region. In fact there is no abnormal intra or extra axial enhancement. Impressions: There are a few nonspecific foci of increased T2 FLAIR signal within the supratentorial periventricular white matter, and solitary focus within the pons. While the findings could reflect mild chronic microangiopathic ischemic white matter changes, other causes for demyelination are not reliably distinguished on imaging." The report recommends Clinical follow up and repeat MRI in six months. Could you please help me understand these findings, and tell me if they are at all likely to have anything to do with my dysphagia. Thank you.

Nothing unusual with the tongue. No muscular weakness.
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?