After waiting for more than two years I finally received a referral for a brain MRI. The radiologist found "subtle punctate subcortical T2 hyperintensities within the right frontal lobe..." Naturally, his conclusion is that these abnormalities don't mean anything and the MRI is "normal". My impression is that "punctate subcortical T2 hyperintensities" means there are bright spots in my brain that aren't supposed to be there, and that they are frequently found in people with ME/CFS. My question is, what does "subtle" mean? Is it a quantity, a size, or gibberish? The report's history section claims "migraine with aura". This is hardly an accurate description of my illness, and I don't even have auras. I filled out several forms listing all my various symptoms, but apparently those forms went into the "circular file". The PCP sent me a form letter to report the MRI results, and "Normal" was checked off. I now have a number of reports (sleep study, psychological exam, MRI) noting anomalies that individually mean little, collectively they appear to support possible ME/CFS, but I still don't have a diagnosis. Is there some kind of specialist who will look at all the various reports and come to a useful diagnosis, or is this The Impossible Dream?