I'm not defending this neurologist, but why do you think it's fair enough that an oncologist not be skilled in reading MRIs, but not that a neurologist be unskilled at it?

I've had some doctors look at imaging directly, some not, and some call in colleagues for a look/interpretation. It depends on the doctor and his practice, but some specialists only need/see imaging for a small fraction of their patients, while interpreting imaging is pretty much what a radiologist does.

I actually had one specialist disregard a radiologist's report and make a (wrong) diagnosis because of it. In this case, I think I can squarely put the responsibility on the specialist (whom I fired) but I'll still go to other doctors of that specialty when warranted.

Doc