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Accountable Billing — Why Radiologists Should Care How Their Billing Is Handled
By Michelle J. Romero, MD

History
A 32-year-old woman presented to a breast surgeon with daily, spontaneous, unilateral right breast clear nipple discharge. On physical exam, the right nipple was slightly inverted, and a clear/cloudy discharge was induced from a single duct with gentle pressure. There was no palpable right breast mass. The left breast was unremarkable on physical exam: no palpable abnormality, no pain, no nipple discharge. A bilateral breast diagnostic mammogram was normal. Right breast-targeted retroareolar ultrasound did not reveal a focal abnormality or ductal ectasia to explain the nipple discharge. An MRI of both breasts with IV contrast was ordered. Continue reading »
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