An invisible injury with a visible paper trail
Concussion is a clinical diagnosis: it is made from symptoms, mechanism, and examination — not from a picture. Emergency-room CT scans exist to rule out bleeding, and they are normal in the overwhelming majority of concussions. Insurers routinely treat that normal scan as evidence of no injury. Medically, it is nothing of the sort, and the claim record should say so plainly: diagnosis of concussion/mild TBI, documented mechanism, and symptom inventories at each visit.
The paper trail that prices a concussion claim is behavioral: standardized symptom checklists, work notes, therapy referrals, and — in persistent cases — neuropsychological testing, which measures memory, processing speed, and attention against norms. That testing is the closest thing an invisible injury has to an X-ray, and it is the anchor exhibit in serious concussion claims.