Further to what the others have said, they can really just not even be there. Disease activity is what causes lesions so the disease activity comes first.
Kristen, your anxiety is apparent, as well as understandable! There's probably not a person on this board who hasn't gone through what you're feeling. Keep us posted on your testing and know that you are not alone, whatever the outcome is! We have people here who have been officially dxed, people who have not been dxed with anything yet and even some people who have found out what they have is not MS but just stick around because we're all so lovable.
I just want to add that when you go through testing and get a Lyme test, try to do it through IGeneX. Just understand that one of the dilemmas with Lyme is that there can not only be false negatives but also false positives.