Why do many doctors ask to see the film, can’t you just bring the report?

A while ago my friend complained to me, saying how your doctor’s visit is so troublesome, the number itself is not good to hang, finally saw the doctor, but I had to go back to get the film, said only the report sheet can not, finally I had to re-appointment in the online clinic, although the first registration fee was refunded, but still wasted a lot of time and energy, whether this is deliberately difficult or really necessary? First of all, what is a report? It is a reference opinion issued by the imaging doctor and cannot be used as a complete basis for surgery; the doctor must also combine clinical experience to give the final result. For example, if I have a face-lifting surgery, the film report must be that the bone quality of the jaw bone is normal and the anatomical structure is not abnormal, which basically has no reference significance for me to do the surgery. What I need to look at is the specific bone morphology, the location of the nerve canal, whether there are any problems with the teeth, etc., which cannot be reflected in a separate report. For example, the fracture, the specific type of fracture, the specific level and state of the fracture, the doctor must see the film, especially now the three-dimensional image, more three-dimensional intuitive. Many patients who are not studying medicine can see the problem themselves. So does it mean that the report is useless? In fact, as a doctor in the clinical department, the ability to read films is a basic skill, and the ability to read films in their own field is much higher than that of imaging doctors. However, in terms of comprehensive ability, imaging physicians are significantly better than clinicians. For example, an orthopedic surgeon can see a disc lesion in an MRI, but cannot detect a problem with the thyroid gland. A urologist can detect cystitis on CT, but an imaging physician can also detect a tumor in the sacral canal, which is a cross-system advantage of imaging. The last sentence of the imaging report is often “please combine with clinical”, which means that the imaging physician’s report and the clinician’s judgment need to corroborate and corroborate each other to prevent missed diagnosis and misdiagnosis.