MRI STATES MODERATE TO SEVERE MASTOID AIR CELLS

I have had 13 ear surgeries since I was a child now Im 27 had a MRI done because I have very bad headaches neck pain and collar bone pain...sometimes my neck is very stich and head. I also get sharp shooting pain behind my ear. I need some help understanding something that was on my MRI about moderate to severe mastoid air cells ...my neurlogist said a sinus infection but said i may need to see a ENT so I need some advise...since I do have a history of ear problems and have had a reoccuring ear infection in the right ear with a foul smell....

any help would be apperiated  Here is a copy of it and The Mastoid part is at number 4  also there is a metion of some lymp nodes not sure where they are located and if they have anything to do with that....Thanks and GOD BLESS
1. Nonspecific hemispheric white matter on each side. Differential includes a demyelinating condition such as multiple sclerosis,vasculitis, and less likely migraines or early manifestation of chronic small vessel disease. Given the presence of confluence signal in the temporal subcortical white matter, CADASIL (cerebral autosomal domnant arteriopathy with subcortical infarcts and leukoencephalopathy) is aslo in the differental.
3. Stable bright T1 signal in the globus pallidus with early changes in the dentate nuclei and accompanying increased susceptiblilty on greadient images, also involving the lateral margins of the caudent nuclei. Differential includes liver disease, parenteral nutrution (TPN), early manifestation of age related mineralization ( normally occurs in patients greater than 30 years of age) or endocrine disorser such as hypothyroidsim and hyperpaarthyoidism
4. Moderate to severe nonspecific right mastiod air cell opacification with mild to moderate changes in the left mastoid air cells. Boderline sized right retropharyngeal lymph nodes measuring 6 mm in short axis dimension.The findings in the right side mastiod air cells has worsen since the prior exam