Based on the reports adenoidal tonsils are prominent, that can be accidental finding. It has to be intervened based on the clinical symptoms you have.
Similarly the subcortical white matter
changes which indicates minor ischemic changes.One can assess the cause based on clinical symptoms,and risk factors (diabetes
, Smoker, alcoholic and other )
I would suggest you to consult neurologist
for further plan and management
Dr Sandhya Manorenj