I have a nine year old female whose MRI scan showed a 1inch flair and also demyelination. Radiologist reported that the flair could have been from a PVL. She originally had the MRI bc of vomiting episodes during the night and disorientation at times. She has recently been dx with Hashimotos and has had 2 episodes of Thyroidtoxicosis and has a positive ANA/speckled screen. Her TSH levels have ranged from 0.02 to 90 and are for the fist time normal this month. We are waiting to see if levels remain normal. However, she does have some processing issues, one weak eye muscle and bilateral ptosis. Her Ped. does not seem concerned about her MRI. Should I have her seen by a neurologist.