instruction: hello doctor my major complaint is headache and dizziness this has been ongoing for years despite being to several doctors I am currently on levothyearoxine for hypothyearoidism along with bisoprolol for ist I have had an mri and it scan done on my head both of which came back abnormal my doctor has sent in a referral to a neurologist but he has yet to look at any of my information I just want an opinion to begin with
output: hello regarding your concern I would explain that these it scan and mri findings are not related to the headache and dizziness I would like to know more about headaches is it throbbing or like pressure do you feel nausea during the headaches how long do they last do you tolerate the light during the headaches in my opinion considering the location of the headache in half of the head it could indicate migraine I would recommend starting therapy with sertraline coupled with verapamil regarding the mri findings in my opinion they could indicate a normal variation of the brain structures anyway a brain mri after a year would be necessary I hope this helps