A 32-year-old female, with previous history for ectopic pregnancy, presents to the ER with a positive pregnancy test, and right side pelvic pain. An ultrasound of the pelvis was ordered by the ER physician.

Three cases: A 98-year-old male with multiple co-morbidities presented with abdominal pain, fever and distension; Elderly female patient with right upper quadrant pain; A 50-year-old female with acute abdominal pain, r/o obstruction.

A 51-year-old diabetic male presented with leg pain after walking for about 200 to 300 meters; Referred for CT angiography, runoff for the lower limbs after he was investigated with lower limbs Doppler. Doppler found no stenosis in both lower limbs.

Newborn with one eye relatively smaller than the other one. On examination the right eye was minimally smaller than left. B mode ultrasound images and MRI images shown below.

An 11-year-old boy with frequent partial seizures and lip twisting for four years. Initial CT of brain was done without contrast as patient presented to ER. The patient needs further evaluation by MRI to rule out focal mass.

A 7-year-old girl with day and night urge incontinence. Voiding cystourethrogram performed. Low capacity of bladder and patient started voiding after 80ml of contrast injection in urinary bladder through catheter. Unusual dilatation of urethra, giving “spinning top” appearance.

A 23-year-old male with alcohol consumption with elevated liver enzymes. Ultrasound shows intrahepatic ductal dilatation involving Seg 6 RLL with muliple echogenicity with posterior shadowing represent calculi.

A 40-year-old female diagnostic mammogram for suspicious left breast calcifications. Two years after TRAM flap reconstruction, a screening mammagram demonstrated a tight cluster of pleomorphic microcalcifications in the left breast.

A 12-year-old girl with bilateral wrist deformity, characterized by growth disturbance in the volar ulnar distal radial physis resulting in volar and ulnar tilted distal radial articular surface, volar translation of the hand and wrist and dorsally prominent distal ulna.

The drive for improved system integration and decreased turnaround time has led to a continuous analysis of procedures and a never-ending cycle of trying to get the work flow to work.

From med-mal to reimbursement, radiologists have quite a few metaphorical guns to our collective heads.

A radiologist alone in a dark room with his computer.

Radiologists generally seek to have an impact on things. We want to know we are making a difference — in patient care and department protocol.

Here are a few pointers for renegotiating your contracts.