Hi. Welcome to the forum. Sorry that you did not get a response last time you posted your question. This forum gets busy and some questions get buried quickly. :-(
My answer would be "Yes" go see a neurologist. The reason you had an MRI was because of your symptoms. The MRI report states that you have very small "hyperintensities" aka lesions which are not screaming MS, but they are there. "Dawson" finger lesions are seen in MS (not seen on your MRI) and frequently in the periventricular area of the brain.
The contrast DOES NOT indicate there is no abnormality, rather it reads that there is no enhancement. A lesion that "enhances" is a new lesion (60-days or less). A lesion that does not enhance is an older one. Basically, your MRI reads the same before and after contrast.
If you do see a neurologist they may make you wait 6 months for another MRI - that seems to be the trend. Personally I would not wait. What is important is that the neurologist, PA or whomever talks with you at length about your history, i.e: How long have you had these symptoms? Does it come and go? Any other symptoms?
A thorough neurological exam at this time is essential which will test: reflexes, gait, a look at the optic nerve, strength, coordination, etc.
Your PA should be ordering various tests to find other causes of your symptoms. Take a look at the Health Pages to get an idea of what is typical testing for a person with symptoms such as yours. These pages will also help you understand more fully about hyperintensities that enhance or not and the basics of MRI language.
Hope that helps. Is your PA following up on your symptoms? Testing thyroid, sed rate, those sort of things?
Keep us posted.