instruction: hello doctor I am looking for advice and maybe a consultation from a neurologist I have a benign cluster of cysts at the back of my brain that was about 2 am in size when diagnosed after an mri I received this info from my family doctor who read the radiologist report that indicated no further action was needed I was not given a cause and prognosis was all good given the small size and benign appearance after some unusual headaches I had a follow up mri that showed no change and was told nothing further was needed before few months I started having almost daily headaches tingling in my head dizzy spells memory issues and brain fog occasional nausea and pressure sensations in my head an mri was ordered and my appointment for that takes months in my place the symptoms seemed to come and go so I and were not interfering with life so I just waited for the appointment which was last week I had a third mri and was told the cysts have grown to over am and the report shows that rather than a cluster of cysts as diagnosed before it could actually be a slow growing tumor in addition there is now and second unusual spot on the front of my brain since it is unclear what is going on my family doctor has requested to have another mri as well my doctor is requesting an ma because my father had a massive brain aneurysm at age 48 so she has suggested looking at the vessels as well then my doctor will refer me to a neurologist however this process takes time in canada so I have a long wait time based on the fact that I am stable and the initial tumor is slow growing I likely would not have the repeat mri or ma tests for four to eight weeks with neurology consult in three to four months I am looking for advice on what to do next I am an otherwise healthy 49 year old woman however now I am feeling some anxiety over this which has resulted in sleeplessness I really want to get to the bottom of what is going on sooner than later I am currently taking lithium 600 my and lamictal 100 my for bipolar depression
output: hello I have reviewed your case it is very much a benign tumor which grew 2 am to am so it is not an emergency at all first thing I want to know which area of the brain having cystic lesion so can you send me the radiologist reports of mri and preferably photos of important mri images so I can see how many cysts or tumors in which part of the brain is located as treatment and prognosis of any brain tumor depend on size number and location second thing please describe your symptoms in detail so I can correlate that is it related to this or not waiting for your response