Medical imaging plays a critical role in modern healthcare, enabling clinicians to accurately diagnose diseases and develop effective treatment plans. However, noise, often introduced by imaging devices, can degrade image quality, leading to misinterpretation and compromised clinical outcomes. Existing denoising approaches typically rely either on noise characteristics or on contextual information from the image. Moreover, they are commonly developed and evaluated for a single imaging modality and noise type. Motivated by Geng et.al CNCL, which integrates both noise and context, this study introduces a Dual-Pathway Learning (DPL) model architecture that effectively denoises medical images by leveraging both sources of information and fusing them to generate the final output. DPL is evaluated across multiple imaging modalities and various types of noise, demonstrating its robustness and generalizability. DPL improves PSNR by 3.35% compared to the baseline UNet when evaluated on Gaussian noise and trained across all modalities. The code is available at 10.5281/zenodo.15836053.