I have been having problems with double vision, headaches and vertigo. mri showed vascular tortuosity. tortuosity of the vertevrovasilar junction of the atheromatous. along with mild asymmetry of the ventricular system with right predominance?

None of those findings have any direct correspondence to your symptoms. An MR Angiogram may help to determine if there are any significant vascular stenosis. The rest of those findings are nonspecific and usually not important.

Hopefully am interpreting correctly your confusing post. You can discuss the MRI with the radiologist. Not clear whether the diplopia, headaches, and vertigo are constant or intermittent. See a neurologist, as there might be concern with cerebral blood flow and risk of stroke. Ruling out giant cell arteritis is important. At age 57, several potential areas that need to be addressed.

Presumably you didn't just wander into an MRI facility and make an impulse purchase. Someone had to order the MRI. That person is ethically obligated to interpret the results to you, or if they can't, to send you to someone who can. Sounds like the MRI results MAY account for your symptoms, but this part of HealthTap is not for diagnosis. See your doctor.