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Your symptoms go pretty much hand in hand with the MRI picture. But I am not quite convinced that you are having these symptoms from a long time.
"..and I have also expericed all my life where I cant feel myself sitting in a chair or laying down I cant decide if theres anything under me."
This is most probably not related to the MRI findings, but all the other symptoms including the cognitive disturbances are.
The area just in front of the tip of the Temporal lobe is an important area. The main center for speech output is located there. It is also called as the Broca's area. The MRI shows a possible atrophy of the area near the Broca's. That is why the output of speech is not proper. But this is not so simple. There may be subtle changes in other areas associated with speech and cognition as well. The routine MRI does not pick those changes. A PET (Positron Emission Tomography) scan might help more.
The brain is enclosed in the coverings called meninges, and is bathed in the cerebrospinal fluid. If some area of the brain undergoes atrophy (shrinking), the space is filled in by the fluid. The Mega-cisterna may be due to atrophy. But it can be seen in normal individuals also.
I would do a thorough neurological examination to pick up clues regarding the deficits in the nervous system.
What did the Neurologist say?