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

### input:
40-year old male, 5 feet 11 inches, 135 pounds May I submit a link with selected slices of an MRI to answer specific questions about them? Medical history: A slew of recurrent worsening symptoms that come and go (from mild to severe): -back numbness T6-T7-T8 -burning sensation lasting for days and weeks -painful tightness inside when under stress -very sharp stabbing pain (recently) Symptoms can be triggered by: -bending / twisting torso -stress -exercise -meals Usually, symptoms can be somewhat alleviated by: -avoiding all movements -sleep -drinking a whole lot of water -relaxing as much as possible -sometimes lifting my left arm for a few minutes Other symptoms that might be related: -bilateral lumps each side of the jaw the size of a plum kernel. Slow growth. Only noticed them since a month or so while shaving. Not painful. Lymph nodes? Submandibular salivary glands? -spoon-shaped nails since at least a year or so. They used to be bent the right way. -fatigue -insmonia, needs pillows to sleep -horse voice, always some mucus in trachea, have to cough it up to get ride of wheezing sound, swallowing not as easy at it used to be but not painful. No blood in mucus. -have to pee several times per night. I used to sleep without having to pee. -pinching skin lightly for a few seconds create a bruise, as far as I remember it took much more pressure. -Self-diagnosed glucose intolerance Compared to older brother, blood sugar takes hours to go back to normal but fasting is still under 7 mmol/l so doctor dismisses this.

### output:

Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have as you tell multiple problems, and my approach usually with this type of patients is to take one complain at a time, the most serious first, see its relation to other complains and order investigations based on these. In your case there seems to be neural complains infection, and to some extent Hyperion Chat Doctor.  See a physician first to rule out any life-threatening or disabling condition, then your neural symptoms can be taken care of. I hope that answers your query. If you want any more clarification, contact me back.