MS or CADASIL confused

[Peg409]

My Husband was DX'd with MS in 1994 but in now being treated by the VA and they have not DX'd MS. They have two options that they are deciding between, MS or CADASIL.  His MRI findings are as follows:  
1T MRI report findings from march 2012:
Three nonspecific punctate T2/FLAIR hyperintense foci located medial to the right temporal horn, right centrum semiovale, and left occipital lobe respectively. Differential considerations include demyelinatind disease. Lyme disease, vasculitis, migraine, and chronic microangiopathy (atypical for a patient of this age).
3T MRI report findings from Sept 2012:
No abnormality is identified on diffusion imaging. A single flair hyperintense focus within the right corona radiata is noted. There is no significant enhancement following contrast. No pattern of flair signal abnormality along the calloseptal interface is present. The ventricles and sulci are otherwise normal in size and configuration. A single vessel arising from the cavernous segment right internal carotid artery courses along the inferior middle cranial fossa/underside of the temporal lobe. The vessel appears to contact the right transverse sinus. The basal cisterns are intact.
Addendum: The exam was compared to MRI brain of 3/30/12
Impression: Single flair hyperintense focus within the right corona radiata. No specific pattern of flair abnormality suggestive of MS. No Infarction.
Anomalous vessel arising off the right cavernous carotid artery appearing to join the right transverse venous sinus. This may represent a small AVM or AVF. This may be further visualized with CTA of the head.

That being said, he has no family history for cadasil, strokes. He does have the typical MS symptoms. Can you please tell us what you see in these MRI reports, I do understand what AVM and AVF's are. Thank you

[Peg409]

bump

[Peg409]

My husband is 43 and has been having problems since his early 20's