Sharon,
Yes, it is possible, as I fall into that category.
The MRI will only show the brain itself. A normal MRI indicates that there have been no strokes that have caused damage. A MRA only shows the blood vessels in the brain. Although the tests are typically run together at the same time, you do need to look at both. In my case, the MRI indicated that I did not have a stroke, but my MRA showed that the arteries were smaller and restricted, causing them to look further.
In terms of the Spect scan, mine showed abnormal on the left side, but normal on the right side. The combined results of the MRI/MRA and Spect is why the doctors requested more testing. (TCD, CT-Angiogram, both of which confirmed that my diesease was localized only to the left side).
Also, in my case, they were able to use the CT-Angiogram as the final diagnosis for MM. So far, to date, I have not had a cerebral angiogram.
As always, I am not a doctor, so please take my comments as my

.
Hope this helps,
Greg