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

### input:
i had a mri last sept of the brain with n without contrast  it showed a 2.5 enhancing mas with a dark ring T1 intensity consistent with hemosiderin staining. there is a loal mass effect on the hippoccampus. there is midline shift. Radiographic findings are consisistant with a cavernous malformation. i am still trying to get approved for medicaid. my questions that the three doctors i have seen prescribed looratabs the highest code  10.5 4x daily but the instructions for this rx say people with brain tumors, brin growths or brain injury should not the this rx . by the way if i do get approved and surgery is the only option this will be my third brain surgery i had 2 transsphenoidal in 1990  after it was confirmed ihad cushiness disease my question is what pain med. is best fir my condition/

### output:

Hi, Thank you for posting your query. I have read your symptoms and MRI brain findings in details. Based on the MRI findings, there is a mass lesion in the brain, and most likely it is a vascular (related to blood vessels in the brain) mass lesion. It has already bled earlier (as evidenced by hemosiderin deposits) and there is a risk of bleeding in the future too. Common symptoms could be headaches, seizures (fits) and weakness of arm or leg if there is re bleeding in the mass lesion. So, I would think surgery is the best option for you. For headache relief, you can use tramadol or ibuprofen tablets. I hope it helps. Please get back if you have any more queries. Best wishes, Chat Doctor. 