Radiology for Residents

Error in Radiology

Complacency "

… let every student of nature take this as a rule: that whatever his mind seizes and dwells upon with particular satisfaction is to be held in suspicion…"
- Francis Bacon

  • Patient Satisfaction
  • Unjustified inference that abnormality is cause of patient’s symptoms.
  • Normal physiology or anatomy misinterpreted as disease
  • Hobby riding
  • Mythical maladies
  • Prejudice
  • Recency
  • Disregard of obvious
  • Clinical myopia

Faulty Reasoning"

Things are seldom what they seem, Skim milk masquerades as cream."
- W.S. Gilbert

  • False Analogy
  • Misleading Information
  • Neglected Aspect
  • Cause and Effect Reasoning
  • Diagnosis by Dictum
  • Non Sequitur

Lack of Knowledge"

I call all gods to witness that I have often, on further examination, seen things that I had completely missed before."
- Galen

  • Obscure Abnormality
  • Memory Loss

Under Reading

  • Time of year
  • Location of Abnormality
  • Lack of Clinical Data
  • Failure to compare with previous image and/or report
  • Emotional States
  • Distraction

Poor Communication"

Reporting, no less than observing and inferring, is part of roentgen diagnosis."
- Steven Ross.