MRI brain reveal subcortical white matter changes in R) frontal lobe.
This can be due to ischemia of brain (small vessel disease
changes), or demyelinating plaque ( significant in patient with Multiple sclerosis).
There are many other causes of white matter changes ( vitamin b12 deficiency
, hypothyroidism,mitochondrial disease
Age of the patient , associated disease ( MS, diabetes, hypertension ,) all helps to know the cause of this changes in MRIConsult neurologist
for further plan and management