What the VA told me was that blast injury is like CTE in a football player's brain. They aren't detectable before death because the damage is widespread at the microscopic levels. Basically trillions of brain cells connections that didn't heal right each time you get a concussion. It's not one big thing that shows up on imaging. They have to put slices of brain on a microscope to see the damage.
And no that did not make me feel good about getting older...