As a physician sometimes you have to order xrays, ultrasounds, MRIs and CT scans. Most of the time they are no big deal. Occasionally there is a fracture, a slight blockage, a baby, etc. There might be something wrong, but it is minor and not anything that they need to contact you for. There report is enough. Or you can look at the xrays, and while some action needs to be done, it is not a big deal. It can wait
However, sometimes the radiologist does call. When they do, there is always something major wrong. There is always something that needs urgent if not emergent action. They never call to say hello, or ask if you are having a good day. I don’t get calls when the mammogram is abnormal and more views a needed.
No the radiologist only calls when there is something bad. There is a mass that might be a cancer in a kid, there is a blockage in the stomach that is causing the bowel to die, there is a large head bleed that requires neurosurgery and immediate transfer.
This is not to say I want them calling on every normal xray. Actually that would be quite annoying and inefficient. I just don’t like it when they do call.