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In 47 cases (24%), the discordant finding or diagnosis was known to the clinical team, and better history could have avoided the major change. Adverse outcome from the discordant imaging finding was low (0.5%). Major change in preliminary report could be reduced with better clinical history. Patient management change was more frequently seen with perceptual errors, placing greater emphasis on strategies to reduce them. Adverse outcome from the discordant imaging finding was low (0.5%). Major change in preliminary report could be reduced
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