white matter change not equal to MS

1. Why he had a brain brain MRI? vison loss, numbness or weakness in arm or leg, urine or bowel incontinence or retention, sexual dysfunction?

2. MS needs: at least symptoms involved in two diffirent locations or same location in 2 different  times

3. It is very common to have brain MRI abnormalities (white matter change) if patient has: HTN, DM, Hyperlipidemia, migraines, or old age

4. The  white matter change with enhancement is worrisome

5. Low back pain is not the symptoms of MS. Againlow back pain is very common in general population.