Do I have any chance?

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Yes, you'll be fine. Your step 1 is not all that low.

Thank you very much for your feedback. Would you also be able to share your thoughts on which radiology programs (e.g. tiers) I should be applying to? That would be a tremendous help.
 
Thank you very much for your feedback. Would you also be able to share your thoughts on which radiology programs (e.g. tiers) I should be applying to? That would be a tremendous help.
Being at Harvard/Penn/UCSF/JHU/Stanford/Columbia/Duke/whatever with a 236.5 average Step score will give you a chance just about anywhere. You seem to have competitive letters and ECs otherwise.

Apply broadly (i.e., to all 'tiers') and you'll be just fine. You'll get plenty of interviews.
 
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