Conversation: The conversation between human and AI assistant.
[|Human|] Hi, 38 female. MRi without contrast revealed few scattered bilateral subcortical white matter punctate foci, none 3mm and over, which appear within the normal realm. Should I be concerned?  Radiologist called it as no definite concern.... For the past 2 months I have experienced warm feelings in my feet, one warm patch on inner hip joint off and on, numbness in left leg(back) and at one point both arms from elbow down (for 1 week at night when sleeping), sometimes weakness of pinky fingers and tingling off and on. Had cervical spine Mri and revealed some congenital/fusion and degenerative issues but no lesions. Thank youCould these issues cause lower body sensations as well? GP dismissed MRI as normal. Thank you
[|AI|]  Hi, Based on symptoms and MRI reports, you are suffering from small vessel disease of brain (Lacuna infarcts). Mri brain is mildly abnormal. Sensory symptoms which you are having can be due to brain lesion, it can also be due to spondylitic changes with fusion of cervical vertebra. You need to be clinically evaluated by Neurologist and treatment to be planned. You require aspirin, statins and neuralgic Chat Doctor. Meantime blood sugar, thyroid profile and lipid profile also needed and treatment accordingly planned. Also Nerve conduction study to rule out neuropathy. Regards