Conversation: The conversation between human and AI assistant.
[|Human|] I had a bad spell of vertigo along with pain and tightness in right arm. I went to emergency and all blood tests were good and EKG was good. However the vertigo has gone with medication. I had a CT of head and report says that a questionable small focal hypo density is noted. The arm pain still exists if I start doing things. Once I rest it subsides. I do have a mechanical heart valve. Had this since 2003. I am now 64. My question is ....... What is this and is it serious. What can I do to ease the arm pain when I get it?
[|AI|]  Hi, I had gone through your question and understand your concerns. I think the hypo density found in CT scan can be cerebral infarction probably from heart thrombotic embolic due to your mechanical valve. I suggest you to consult a local Cardiologist and to discuss the possibility of transesophageal ethnography. If there is evidence of thrombus in your heart, you need treatment with anti arrogant Chat Doctor.  If the infarction on CT scan is located in the corresponding arm area on brain, that is the cause of your arm problems, if not then you have to check other causes like cervical disc herniation etc. So I suggest you to consult a Neurologist as well. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.