The answer appears, at least in my case, to be yes. I have had 4 Neuro's look at my MRI. Two that I believe never really looked at it, but read the report from a radiologist. One that looked quickly at the MRI and read the report. And the last, because of a postive on a certain eye test, went over the MRI with a fine tooth comb and found 5 leisons. No they were not huge but you didn't need a magnifiying glass either, yes the radiologist passed them by either by accident or tried to pass them off as "Age" related. But in my case, the symptoms were there (verified), optic neuritis was there (verified), and the eye test which in a nutshell, showed that I have shorts in my nerve fibers somewhere in my CNS. Therefore, it did not add up that there were no leisons. That's when this doctor, went back to the drawing board and found the leisons.
Keep in mind that IF a doctor or even a radiologist is looking at the film, he/she is looking for the obvious big
leisons. Often times, they just scan the film quickly with their eyes, and the bigger leisons will catch their attention. Others won't. OR, they just read the report. And I have learned that there is a real problem with radiologists and their idea of what is and isn't important.
Keep in mind that most doctors, specialists need to go past the report they get, they need to review the film
personally, slowly, methodically. Unfortuately, that is the exception not the norm. They also need to order both the Brain and Cervical (spine) at the same time. And order the right kind of MRI.
"Multiple Sclerosis (MS) is believed to be an autoimmune disease (a disease in which the body attacks its own tissue) affecting the Central Nervous System (CNS). The CNS includes the brain, spinal cord, and optic nerves. In MS, inflammation and scarring of myelin occurs (sclerosis). Myelin is the “coating” that covers and protects the nerve fibers in our CNS. When inflammation or scaring occurs, the nervous system, which is the “control center” for your body, is unable to send messages through your nervous system. It is similar to an electrical wire missing part of its plastic coating and short-circuiting as a result."