I have noted all your complaints, imaging data.
The imaging findings that you have can be seen in patients with high blood pressure
. The infarcts that you have described is also seen in patients with these problems. The most important thing to note is that whether you had any stroke in the past or not. People with high BP and diabetes can have this MRI changes without much problem also. So it is unwise to interpret this data without any clinical correlation. Regarding the cognitive problems as well as anxiety
etc, this may represent a type of executive dysfunction which may/may not have relation with the current MRI findings. Interestingly some people can have both depression/anxiety as well as cognitive problem due to organic disease.
Please undergo a joint evaluation by a neuro-psychiatrist
, clinical neurologist
as well as by a psychiatrist. Their clinical evaluation will tell us if you have any organic cognitive problem or not so that we can plan our treatment accordingly.
Hope this helps