I'm not a doctor of any kind, but I have had a lot of MRIs.

To me, this doesn't look like an MS MRI.
Just my opinion.
BUT, that doesn't mean you don't (or do) have MS.

The really tiny lesions, sometimes referred to as pinpoint lesions, aren't classic MS lesions.
Maybe they will change over time?

FYI, other things besides MS cause MRI lesions, even migraines can.

The only thing I see on that report that is helpful/meaningful (at least to me) is that it appears you have some discs bulging and touching your spinal cord.
That is something that could cause some symptoms that are similar to some MS symptoms.
I don't know what your symptoms are, but some of the thing this could cause are headaches and problems with legs and arms, including movement issues, pain, tingling, numbness, weakness.
I only know this because somebody I am close to has this condition, it could be different in different people, I do not know.

MS is complicated to diagnose in many cases.
It is a diagnosis of exclusion, which means they have to rule out everything else.
Lots of other conditions can cause the same symptoms as MS.

If I were you, I would be investigating those bulging discs. (but don't rush into surgery) Learn everything you can about it, and how it relates to your symptoms.
Then see the best specialist you can find and get their opinion and a second opinion.

Please know that I am not minimizing what you are going through.
I know it's very, very hard to be sick and not know why.
I have been there.

I wish you the best.