My father having brain stroke- Ischemic stroke in last month and now taking medicines from burdwan medical college, but not seeing positive responses, now condition is can't walk, no balance in whole body, no sense, can't talk also. Attach d is the CT scan report kindly suggest.

Hello Nandwani Ji,

Your TSH level is low at 0.04, while your T3 and T4 levels are normal. This could indicate that the thyroxine dose you're taking (100 mcg) might be too high. However, adjustments to thyroid medication should only be made after consulting your doctor or endocrinologist. They will consider your symptoms, lab results, and medical history to determine if a dosage change is needed. Self-adjusting your dose could lead to complications.

Hello Ramachandran ji,

Black spots on the legs can be caused by various factors, such as hyperpigmentation, skin infections, or poor circulation. It's important to monitor for any accompanying symptoms, such as pain, swelling, or redness.

For general care:

• Keep the area clean and moisturized.
• Apply sunscreen to prevent further pigmentation.
• If the spots persist or worsen, consult a dermatologist for an accurate diagnosis and specific treatment.

Hello Abhishek ji,

The HRCT report suggests the presence of a loculated left pleural effusion, which is fluid accumulation in the pleural space around the lungs, associated with thickened parietal and visceral pleura on the left side. This is indicative of empyema, a condition where the pleural fluid becomes infected, often following pneumonia or other lung infections. Additionally, fibro-parenchymal strands in the left lower lung suggest previous scarring or fibrosis, possibly from a past infection or inflammation.

Treatment usually involves draining the pleural fluid (via thoracentesis or chest tube) and antibiotic therapy to treat the infection. In some cases, surgical intervention may be needed. It's important to follow up with a pulmonologist or a chest specialist for further evaluation and management, including the potential need for drainage or further imaging.