Thank you so much for your response.
Hi!
A MRI showing scattered foci of increased T2/Flair signal or what you can call white spots in a patient who has daily headaches or intermittent headaches can be suggestive of migraine. However, a similar MRI picture can also be suggestive of multiple sclerosis, Alzheimer's or Wilson's Disease, diabetes, high blood pressure and high cholesterol. So yes, a doctor can clinically correlate such a MRI finding with the symptoms and diagnose migraine.
Take care!