My ct scan results came back deep white matter ischemic should i be concerned?

Possibly: At your age, deep white matter ischemic changes are not common. There are a few possibilities: either you have engaged in activities that have harmed your brain (ie- excessive alcohol intake or other toxins), or you are predisposed to small vessel disease (common in diabetics) or it is possible that a demyelinating condition like ms can cause this appearance. I would recommend seeing a neurologist.