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Case 4

A breast cancer patient with bone metastases came for an ultrasound exam to determine whether the cancer had also spread to her liver. During the examination, a physician, who was not her doctor, came into the examination room with another person. This person was not a doctor; however, the doctor started explaining the procedure after checking the ultrasound request form and the patient's history in the electronic patient record (EPR). Both visitors never introduced themselves but the patient assumed that they were doctors, because they were wearing white coats. As the radiographer knew the physician, he did not question this event.