question: My neurologist told me that my brain MRI indicated I have significatly more white matter than someone my age. I had the imaging done to try to find out why I was having chronic sharp pains in my head. I had an ANA panel done along with an MRA and an MRI for my neck. Nothing was discovered concerning the head pain. However, I am now wondering about the excess white matter. He was not concerned about it. The answers I can not find are....Does too much WM mean there is damage? Does it mean there is disease? I plan to schedule a follow up to ask these questions, but in the meantime, I would like to know.