A 58-year-old woman with a 15-year history of hypertension and type 2 diabetes mellitus presents with progressive gait disturbance and mild cognitive decline. MRI brain T2-weighted imaging reveals multiple hyperintense lesions in the white matter marked **A** (centrum semiovale), with periventricular caps and halos extending into the subcortical regions. CSF analysis is normal, and oligoclonal bands are absent. Which of the following is the most likely diagnosis?
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