### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
sclerotic spinal lesions Hello. In 2008 i was going through testing and they noticed sclerotic lesions on my spine and pelvis. They did testing and sent me to a lupus doctor but nothing so it was let go. Just a few months ago i had a kidney infection and they did a ct scan and they saw the lesions so compared it to one from 2008 and they grew in size and number. All the blood work came back fine. They did a CBC-NO DIFF, PTH-INT, CMP-COMPREHENSIVE METABOLIC PANEL, VITAMIN D, AND VITAMIN D. Also did a bone scan whicChatDoctore back normal. She dont know what it is. I am constantly tired. I wake up unrested. I have very bad back pain mostly in my lower back but i have stabbing pains throughout my whole back at times. I get migranes all the time. Also i have memory problem pretty bad at times. I couldnt say how long this has been going on but it has been a very long time. What should i do? What could it be? What other tests should be done?

### output:

Hello, The sclerotic changes on your spinal vertebrae are a sign of degenerative disease like arthritis or inflammatory bone and joint disease. The pain on the Bach can be a consequence of the sclerotic changes, but also of the inflammatory involvement of the soft tissues (muscles, tendinitis etc.) around the spine.  I would suggest for you to take the chronic inflammation tests like fibrinogen and C-reactive protein and NSAID should be continued for some days to decrease the pain, like naproxen, or eidola or Fetoprotein or proximal. Regarding your migraine, you should consider a visit with a neurologist. I don't know your age, but if you suffered many years, and you really have memory problems, those may be connected and an MRI of the brain is necessary. Hope I have answered your query. Let me know if I can assist you further. 