Conversation: The conversation between human and AI assistant.
[|Human|] hi there doctor I had a head trauma years ago but for years thr back of my head really hurts and I have been massaging it for years. there was a small lump now it is a dent I am also crippled with my neck, stiffness and muscle cramps I my head. I have a laceration which starts from my forehead arching round to my ear from the accident. I recently found out there is high intensity to a focal area in the white matter t2. I am in a lot of discomfort and pain. no further tests have been done. whats going on please
[|AI|]  Hello! Thank you for asking on Chat Doctor! I carefully read your question and would recommend performing a brain MRI with gadolinium, in order to have more information on the blood vessels of this region. You should know that hyperintense T2 white matter lesions can be related to the head trauma. Other blood lab tests (complete blood count, PCR, sedimentation rate) would help exclude possible inflammation. If all these tests result normal, I would recommend starting an antidepressant (like amitriptyline or sertraline), which can help against post-traumatic chronic headache. Hope to have been helpful! Kind regards,