Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor i m soni 29 yr old female, i have pain in my left side of whole body from head to toe from last 9 yrs, always my left eye is swelled , n temp. difference , cold on left side, most of the time i feel itchy on my left side of body, i ve done neck x ray a week ago, there is a cervical rib present on my both side, i had birth trauma on my left side of head. last year i done a brain mri also , impression is bilateral fronto-parietal subcortical n left parietal deep white matter / centrum semivale-T2W/ flair hyperintensities. n last week i ve done blood test ESR =44. i m fed up from this terrible pain all the time. please help me.
[|AI|]  Hello, I have noted your symptoms and MRI brain findings. Based on that, we need to exclude multiple sclerosis. Please get the following additional tests done: 1. MRI spine, 2. Visual evoked potential 3. Lumbar puncture to exclude oligoclonal bands. We also need to exclude collagen vascular disease and vasculitis.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.