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The radiologist said of questionable significance I think robinkaye hit the nail on the head. The problem here is that radiologists have to phrase their reports in such a way that they can't later be acccused of malpractice for missing something.
In general, I think that radiology reports have two sections, the first one is on "Findings", and the second one is on "Interpretation". The Findings section is essentially scientific in nature and covers just the facts, such as the size, shape, density, location of spots, etc.
All of this depends mainly on the capabilities of the scanning machine and how well the machine was set up or programmed, and how well the patient's positioning and movements were handled with respect to the machine's requirements.
The Interpretation section of the report is something quite different, however. It is a work of art. It depends on the backlog if experience of the radiologist in seeing an array of facts and then making proper inferences on the basis of such facts. In the Interpretaton section you often find double-barrelled statements like, "It looks like X, but it could be Y" or "This is most likely an X, but we cannot rule out the possibility that it might be a Y".
This is the way radiologists generally phrase their interpretations so that they cannot later be accused of missing something. So, how do you deal with this kind of thing?
Well, you could look at the order in which the X and Y are mentioned in the sentence. For example, "It looks like a benign tumor, but it could be a malignant tumor" does not mean the same thing as, "It looks like a malignant turmor, but it could be just a benign tumor".
Order can make a difference. In the last analysis, however, I think the best thing to do is to take the doctor's interpretation of what the radiologist said. The doctor has presumably seen many, many reports written by this same radiologist, and he has come to understand the radiologist's double-speak and what the radiologist really thinks is going on.
So, if your doctor looks at the radiology report and then concludes "This is probably nothing to worry about", then it means that out of the hundreds of scan reports he has seen from this same radiologist in the past, this report is very similar to ones in the past where there turned out to be nothing to worry about.
You then have to trust your doctor that he is able to understand the radiologist's report the way that it is written and that your doctor is able to read between the lines.
But that's not all There have been some studies done on the reliability of radiology scan interpretations.
I cannot locate the reference right now, but there was a very interesting study done that showed that, not only do different radiologists often disagree on the interpretation of the facts for a given CD, but if you give radiologists a set of CDs that they have rated sometime in past and ask them rate these same CDs again, they do not always agree with what they said the first time around.
The difference is shocking.
Don't quote me on the figures, because I don't remember them exactly. But I think you get the idea The whole process is more of an art than a science, and sometimes it pays to send a CD out for a second opinion just to see what someone else might think about the same objective facts.
I have done this in the past myself and have fund the results very interesting.Okay, so who am I and why is it a good idea to listen to me? My name is Matt Furey and 15 years ago I came out with Combat Conditioning - an international best-selling book and set of videos that.
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