Conversation: The conversation between human and AI assistant.
[|Human|] first symptom was weak legs, fatigue, some chest pains. complete cbc shows high mch, low mpv. high cholesterol and trigylcerides. bun/creatin ratio was 22.5. ct scan on lungs shows granular nodules. What are the doctors missing? I am a very active working good healthy woman.
[|AI|]  Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that your complaints are non-specific ones. They cannot raise strong suspicions for a certain health disorder, so we could promptly correct the problem with some pills or other alternative therapy. Seems that there is necessary a comprehensive differential diagnosis work up, to arrive at the right way. I would recommend first to exclude any cardiac function implication by performing a resting ECG, a cardiac ultrasound, and a conclusive comment. If the above is OK, we can proceed wit ha differential diagnosis of those pulmonary granular nodules. It may be an inflammation, a systemic pulmonary involvement, etc. A pulmonologist and internist judgement would be required on the scene. Some additional tests, may be necessary (some inflammatory markers, pulmonary function test, arterial blood gases analysis, liver and function tests, etc.). You need to discuss with your attending doctors, as they have the clear view of all your already performed tests and examination, If you bring additional detailed medical data, I could give a concrete opinion. Hope to have been helpful to you. Greetings!