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Douglas L. Brown, MD
Memphis, Tenn

JAMA. 1989;261(9):1276-1277.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply. —

I respect the comments of Drs Rokey, Rolak, and Vick. As they point out, the issue of whether a consultant, in this case a radiologist, should tell a patient the result of a diagnostic test is a controversial ethical issue and has been debated in the radiological literature.^1-5 In regards to this specific incident, they are mistaken on two accounts. First, I was not performing the ultrasound in a vacuum, but was aware of the relevant events leading to my contact with her as the resident who referred her had told me that she knew he had been unable to image the fetal skull and that she knew she was being referred to us for an ultrasound for further evaluation. Second, I knew that the referring physician would further discuss the problem with her immediately afterwards. I immediately discussed the ultrasound results with him by phone . . . [Full Text PDF of this Article]

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