Hey we've all got anecdotes. I have lots of anecdotes where I've picked up plenty that the radiologist didn't or knew enough about the patient not to lose my shiz about the findings and didn't use any of the radiology suggestions. I'm not hating on radiology. I don't think I am a radiologist. Good lord am I glad I'm not a radiologist and I'm glad someone is. But let's not oversell things too much here. You probably find extra stuff all the time but is it relevant in the clinical context for which the clinician ordered the imaging in the first place?? Probably not. For most of my chest imaging I give about this many ****s (zero) what the radiologist says. I care about what I think. Granted I don't read a whole CT chest, am glad you do, and think you should get paid as much money as you can possibly get to do so. Those of us with a niche can and do look at imaging in our niche just fine