Strange MRI scan (looks crooked)

[orchidfae]

This MRI was done in 2013 due to migraine. According to the Radiologist, it was "unremarkable" I have a Neuro appointment next week, and just received my 2013 scan to give to her. I was reviewing it, and noticed this weird looking brainstem. Does it look strange to anyone else? I am going to point this out to her due to increasing symptoms over the last 3 years. I've already been diagnosed with Hemiplegic Migraine, but symptoms are getting increasingly worse.

[orchidfae]

So, I had an online Neuro look at it a few days before my appointment today. He said to him it looked like vertebral artery compression of the Medulla, and to get an MRA. My Neuro today didn't look at it, but said maybe it was artifact from the braces I had at the time. She ordered these tests for next week:

MRA Carotids Neck WO Contrast
MRA Head Routine WO Contrast
MRI Cervical Spine WO W Contrast
MRI Head WO W Constrast
MRI Thoracic Spine WO W Contrast

She officially diagnosed me with Intractable Hemiplegic Migraine with aura without Status Migrainosus and Hemifacial Spasm. She made sure I understood that I wasn't to take Imitrex with the kind of migraine I have. Raised the dose of Amitriptyline and added Fioricet for my abortive.

Mentioned some symptoms I had sounded like MS Hug, but wants to rule things out, and first on list is lots of bloodwork and the scans, then we will go from there. Next appointment with her is in October.

[orchidfae]

Thanks for the opinions.