RadiologyMissed findingsPlaintiff-side

Built for the missed-finding + comm-failure case.
AI deposition trainer with ACR Practice Parameter depth.

Radiology medmal cases concentrate on two scenarios: a finding visible in retrospect that was reported as normal, or a critical finding that was reported but never communicated directly to the ordering clinician. The ACR Practice Parameter for Communication of Diagnostic Imaging Findings makes the second scenario a documented standard breach. Cross-exam locks the witness into the ACR floor and walks through the chart.

Try the 2-min Radiology demo → All specialties
8
Radiology failure modes
3
cited guidelines
1
signature impeachment trap

Why a radiology-specific trainer matters

The ACR Practice Parameter for Communication of Diagnostic Imaging Findings requires direct verbal communication for critical results within an actionable timeframe. The chart either documents the call or it doesn't. For missed-finding cases, satisfaction-of-search bias and the ACR comprehensive-read requirement become the impeachment material.

The 8 failure modes

Sev 10

Missed cancer on imaging

Tumor visible in retrospect on prior imaging reported as normal; satisfaction-of-search bias.

"Looking at it now, I can see the nodule, but the conspicuity was low."
Sev 10

Critical finding — no direct communication

PE/dissection/ICH reported in dictation but no documented direct verbal communication per ACR.

"It went into the report and the ordering doc would have seen it."
Sev 10

Missed aortic dissection

Intimal flap visible in retrospect on chest/abdomen CT; report didn't mention dissection.

"I focused on the lung findings."
Sev 9

Missed PE on CT-PA

Subsegmental or proximal PE visible in retrospect; report says "no PE."

"The contrast bolus wasn't perfect."
Sev 8

BI-RADS inconsistent with finding

Spiculated mass reported as BI-RADS 3 when descriptor warrants 4; biopsy recommendation absent.

"I felt clinically it was probably benign so I went with category 3."
Sev 8

Missed occult fracture

Scaphoid / basilar skull / occult hip fracture visible in retrospect; report says "no acute findings."

"Scaphoid fractures are notoriously hard to see initially."
Sev 8

Priors not reviewed/cited

Available prior imaging not cited in report; growth/stability assessment impossible.

"I didn't have the priors in front of me."
Sev 7

After-hours subspecialty read by generalist

Subspecialty study (neuro/peds/mammo) read after-hours by generalist; over-read timing not documented.

"We had a generalist on overnight."

The signature impeachment trap

"I focused on the clinical question" vs ACR comprehensive-read standard

Lock the witness into "I was focused on the specific clinical question," then juxtapose against the ACR Practice Parameter requirement that every imaging study be read comprehensively for all abnormalities.

"You were focused on the chest-pain question?" → "Yes."
"You'd agree the ACR requires a comprehensive read for all abnormalities, not just the clinical question?" → "Yes."
"The intimal flap visible on the aorta is documented in the retrospective review."

Why this lands: witness has just framed satisfaction-of-search bias as a defensible reading approach.

The 3 cited guidelines

ACR Practice Parameter for Communication of Diagnostic Imaging FindingsDirect verbal communication standard for critical results; chart documentation requirement.
ACR Practice Parameter for [Specific Study]Procedure-specific quality standards (mammography, CT-PA, MRI brain, etc.).
ACR BI-RADS / Lung-RADS / TI-RADS / LI-RADS / PI-RADSStandardized reporting lexicons; category-to-recommendation alignment.

FAQ

Why does radiology need its own deposition trainer?

Radiology cases turn on either a missed finding (satisfaction-of-search bias) or a critical finding with no direct communication. Both have ACR Practice Parameter standards. Generic depo-prep AI doesn't engage the ACR canon.

What guidelines does the AI cite?

ACR Practice Parameter for Communication of Diagnostic Imaging Findings, ACR Practice Parameter for [Specific Imaging Study], ACR BI-RADS/Lung-RADS/TI-RADS/LI-RADS/PI-RADS standardized reporting.

Does it work for defense expert prep?

Yes. Expert-prep mode runs the AI as hostile plaintiff counsel against your defense radiologist.

Pricing?

Bundled in MedLegal AI Pro ($49/mo), Professional ($249/mo), or Firm ($499/mo). Free 14-day trial, no credit card.

Start with the 2-minute radiology demo

No signup, no mic. The cross-exam architecture transfers to radiology — lock witness into the ACR Practice Parameter, walk the report.

Run the 2-min demo → Start free 14-day trial

Deposing a radiology expert on the other side? See questions to ask a radiology expert witness at deposition.