@skipper79
What type of doctor ordered your brain MRI? Are you seeing a neurologist? Do you have high blood pressure, diabetes or smoke/vape? Do you have high cholesterol or triglycerides? Did you get the Covid mRNA shots and did you have the Covid infection?

You are too young to have these changes in my opinion. If I were you or you were my son, I would make sure to get a 2nd or 3rd opinion by a neurologist to review the MRI and get further testing of circulation/blood flow to and within brain. You may also want to see a cardiologist, vein/vascular specialist and nutritionist/dietitian. You may have small vessel disease and should investigate further. If you are dealing with anxiety and/or depression, you may also want to get a psychologist and psychiatrist for medication.

1. https://www.mayoclinicproceedings.org/article/S0025-6196(19)30075-8/fulltext
2. https://my.clevelandclinic.org/health/diseases/23018-white-matter-disease
3. https://www.nature.com/articles/nrneurol.2015.10
4. https://psychscenehub.com/psychinsights/white-matter-hyperintensities-mri/