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

### input:
MY BRAIN MRI SHOWS MANY BLACK SPOTS. I ALREADY HAD A BREAST REDUCTION . THEY SAID IT WOULD REMOVE THE PAIN IN MY RIGHT ARM AND GIVE ME BACK THE USE OF MY RIGHT HAND . I HAD MY GALLBLADDER REMOVED BEING TOLD I HAD A 70% CHANCE OF THE PAIN GOING AWAY. I USE TO BE AS STRONG AS AN OX, I M HAVING ISSUES PICKING UP 40LB NOW. I USE TO BE ABLE TO LIFT 100LB WITHOUT ISSUES. NOW I HAVE HAND TREMORS, THEY CAME AND GO. THE TREMOR ARE GETTING WORST, INCLUDING BOTH HANDS AND NOW ARMS. THEY GAVE ME MY MRI BUT WOULD NOT GIVE ME THE REPORT. THEY SENT THAT TO MY DOC. MY PC SAYS NOTHING MATCHES SO IT HAS TO BE STRESS. THE ONLY STRESS I HAVE IS HOW I FEEL

### output:

Hello, Thanks for the query, I understand your problem You need a detailed neurological evaluation by a neurologist which will include clinical interview to clarify the symptoms that you have followed by neurological examination. This will guide us the necessary investigations required to diagnose the condition. Please note that there are many causes of such problems including problem in the spinal cord. It would be difficult to resolve your issue without a proper clinical evaluation. Black spots in the MRI may also be due to many causes, and it has to be interpreted along with the clinical data. I urge you to get a neurological evaluation at the Earliest Best wishes Chat Doctor. Chat Doctor .com/doctors/