Conversation: The conversation between human and AI assistant.
[|Human|] I have thought for a few years that I may have MS but was diagnosed with Fibromyalgia. I have been having horrible throbbing pain over both temples worse on the left. I had a brain MRI and it came back tiny nodular high signal intensities in the deep white matters of the bilateral frontal lobes. Is this the reason for my headaches? Can this be MS or what else could it be? Also, I just turned 40. No other significant medical problems.
[|AI|]  Hi, Thank you for posting your query. The diagnosis of multiple sclerosis (MS) is based on certain criteria-both clinical and MRI features. So, we need to see your MRI in detail, before concluding whether you have MS. With the information you have provided, it could be migraine also. In migraine, one can get repeated headaches including over temples and MRI can show high signal lesions. If possible, upload your MRI report for us to give a better answer. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/