@MNEK18 Firstly, I will say that my Neuro has said to me that there is a certain pattern, “look”, and location to lesions associated with MS. Also, there needs to be clinical correlation with imaging. Although it seems like almost anything is possible with migraine, migraine Neuro symptoms tend to “add” vs causing a deficit like with MS. Example- scintillating scotomata in migraine is appearance of bright scintillating flashes vs a loss of vision. Tingling in migraine vs loss of motor function (except the rare hemiplegic migraine). Also I’ve been told by both opthamologist and Neuro that MS symptoms are much longer lasting than those due to migraine. Example- years ago I came down with blurred vision in one eye. I used drops- still wouldn’t clear. Finally I went to bed, and the next morning it was normal again. Saw opthamologist and she said that blurred vision from MS would not go away overnight- that it usually would require steroids to normalize.
As far as asking your Dr and not offending, you could just ask, What are the differences between WMLs seen in migraine and those seen with MS? And perhaps then say, Can you show me on my MRI? I would hope all Dr’s wouldn’t have a problem with being asked this? I obviously know there are some jerks out there, but most Dr’s seem to enjoy explaining things as it shows off their knowledge😉