I have to say that I am more interested in the field for the intellectual stimulation. The new breed of clinicians, IMO, have had less of a reliance on the physical exam and history and more dependence upon imaging. I find that a good majority of scans (CT's and MR's :Body and Neuro) have had an alternative diagnosis to the initial clinician's suspicions. That makes our job, as radiologists, even more important than ever. I feel a personal satisfaction that I can recognize truly was is happening in a good number of cases. However, there are limitations to our technology which have made results of studies equivocal, also. The gratifying thing is the role as a consultant. The craft of knowing anatomy, pathology and respective imaging characteristics from various modalities is valuable. I realize when I speak, that some clinicians do not understand certain terminology or understand the differential diagnosis of certain findings but it makes me feel good that at least the patient, overall, benefits from the collaboration.
A case in point was a patient who was going to be discharged by the E.R. who had by plain film signs of intussusception that the E.R. staff thought was normal. The enema reduced it and the patient obviously improved.
We are in a good number of cases the first to see what is actually going on before the clinician realizes it. I can tell you that I will diagnose a fracture before the patient is even seen by the clinician (ie diagnosis of a tibial plateau fracture in a patient who wasn't seen by staff when I reported the findings).....
Oh, well, enough rambling, I'm on call and I need to check the 'list'....