I'm a 25 year old female. I've been getting treatment for 2 years for Chronic Migraine. My doctor recently ordered a brain MRI (w/o contrast) due to some symptoms I've been having, which include painful muscle spasms in my back, neck, arms, and hands, weakness in my arm/shoulder/hands, stabbing pains in my face, frequent twitching of my facial muscles (especially at night) - in my eye, upper lip, cheek, forehead, and even my ear, and fatigue.

I got my MRI report back & it showed some abnormalities (hyperintensities). My doctor says it's possible they are caused by migraine, but sent me to a neurologist to be sure. Unfortunately, my appointment isn't until June. The only other findings I've had are a borderline elevated ANA test(negative for lupus), and brisk reflexes noted on exam. Normal ESR and no bulging/herniated discs.

I'm wondering whether the locations of my brain lesions are common for migraine patients my age. I couldn't find much information on whether my lesion locations are in a typical pattern for someone my age with migraines or if they're more indicative of demyelinating disease like MS. I've heard that migraine lesions are often described as "punctate" on an MRI report. Is this always the case?

Would you be able to help me interpret my MRI results?
"Hyperintense long TR signal is seen within the bilateral periatrial white matter with the lesions having a perpendicular configuration relative to the lateral ventricles. Additional lesions are seen adjacent to the frontal horns as well as within the left frontal subcortical white matter and left centrum semiovale. These findings are nonspecific but greater than expected in a patient of this age and given the morphology and patient's age raise the possibility of demyelinating disease...Conclusion: Abnormal hyperintense signal predominantly within the periventricular white matter as well as within the left centrum semiovale. Some of lesions have a perpendicular configuration relative to the lateral ventricles. Findings may represent sequelae of demyelinating disease."

Thanks in advance for any help or guidance you can offer.