How do you handle situations where a radiology report conflicts with clinical findings?

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Sample interview questions: How do you handle situations where a radiology report conflicts with clinical findings?

Sample answer:

  • Communicate with the referring physician:

    • Discuss the findings and any discrepancies between the radiology report and clinical findings.
    • Clarify the clinical question and gather additional information, such as the patient’s history, symptoms, and physical examination findings, to help interpret the images.
    • If necessary, arrange for further imaging or diagnostic tests to resolve the discrepancy.
  • Review the images:

    • Re-evaluate the images independently to ensure that the initial interpretation is accurate.
    • Consult with a senior radiologist or subspecialist for a second opinion, particularly if the findings are complex or uncertain.
    • Use additional imaging modalities or techniques, such as different views, contrast enhancement, or cross-sectional imaging, to obtain more information.
  • Consider alternative diagnoses:

    • Research and consider alternative diagnoses that could explain the clinical findings and imaging results.
    • Perform differential diagnoses to rule out other possible causes of the patient’s symptoms.
    • Utilize clinical judgment and knowledge of the patient’s medical history to guide the diagnostic process.
  • Document the findings and recommendations:

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