I also posted this on your thread in AM, but I will post it here as well:
My step 1 was 214, step 2 229. I applied to radiology. I was reluctant (considered Pathology) to apply until I brought up my credentials a year ago to my home program's PD. He still encouraged me to apply. I did some things to improve my application: Published 1st author on Case in point with my home PD, published 2nd author on a internal medicine case report, joined an IR research project, got fantastic letters from internal medicine attendings and rads letters from my home PD and research mentor. I did an externship at a program I was particularly interested in. I also did an MBA (as part of a joint degree) and also joined the admissions committee at my medical school. I painstakenly worked on my personal statement with the help of my PD. Overall my PD told me I had a good application.
I had 11 interviews, all of which were from the south east. All of them went well, with very positive feedback (sometimes even flattering and recruiting) from those who provided me feedback. To my surprise, I ended up not matching. That week was the most grueling week I have gone through in my career life. It is embarrassing, disappointing, and frustrating to go through 11 fantastic interviews at programs, including my own home program, and end up empty handed. Waste of time, money, and energy. The southeast was incredibly competitive this year, and my PD told me it was the highest that he has gone down through his rank list. He told me I had a solid application and to go ahead and apply to the unfilled spots. So, I did not give up... I went through the SOAP, got calls from 5 programs, and ended up getting an offer from an academic radiology program in Georgia. I am still disappointed but gracious that I earned a spot in Radiology.
Bottom line: If you are truly interested in Radiology, do your due diligence and never give up. Apply broadly and smartly; remember there is a severe geographical bias in this specialty. Just be ready in the case you do not match. Hope for the best, prepare for the worst.
Just thought I should write this post as encouragement.