Conversation: The conversation between human and AI assistant.
[|Human|] I have been coughing up yellow/green mucus on a daily basis since last August. Been on several antibiotics none have worked. Hard time breathing when lying down. Had x-ray of sinuses and they are fine. In February had a chest ct showed left pericarnal lymph node swelling but no lympopathy. Node was 1.6 cm. It has since gotten larger and others are now appear to be swollen including right neck lymph node. Swelling in the crevice of neck right and left side, head swelling. Headaches daily and constantly not relieved by Advil. Pain level headaches no less than a five and on bad days 10+. Headaches worse when lying down or putting any kind of pressure/touching ie lying against a pillow or back of couch. when I do not sure if blacking out or having seizures. Just all of a sudden I was in one position and end up in another and not knowing what happened. When head acts up voice is strained speech is slurred, cannot complete sentences and at a loss for words for even common objects. Vision has changed 4 times in the past 3 months specially night vision and when I try to read for too long words move and become curved some missing. I have lisch nodules in right eye. Cafe Au Lait spots on body. Recently developed more cafe Au Lait spots under and on breast, neck, hands, legs and groin area. Constant back pain from T-9 to head. Right arm and leg swell. Have trouble swallowing at first then fine. Arms feel like I got a buster shot but have full mobility. I no longer feel surface pain in arms just muscle pain. I burn myself regulary and cant feel it.  Pre diagnosed with restrictive lung disorder. I am 42 yr old female weight 170 Cholestrol 277, blood pressure runs typically 102/60, not diabetic, no fever. I have a history of intra spinal arachnoid cyst from T-2 to T-7. Not sure about neurofibromatosis. I have a hiatel hernia. Epileptic when i was a child and have not had a seizure since 12 yrs old. I am not on any kind of medication at this time.  No history of previous headaches or trauma. Not sure who I should see or what to do.
[|AI|]  The clinical narration so far available present a confirmed profile of widespread manifestations of Neurofibromatosis type I and pericardial enlarging lymph node could be co morbid marker of chronic bronchiectasis associated with mediastinal NF causing compression at multiple levels with concomitant Lymph node involvement bilateral cervical areas.  Beside confirming the diagnosis with bronchoscopy and angiogram serially done and sensitivity considerations a choice antibiotic cover aided by vigorous chest physio and postural Chat Doctor.