In any radiology department worldwide, around 60-70% of investigations deal with surgical cases: trauma, tumors, pre- and postsurgical assessment, surgical follow-ups, and more. In spite of that, radiology has a lot to offer in the ? eld of internal medicine in terms of establishing, con? rming, or rejecting diagnoses, or favoring differential diagnoses. Before I joined radiology, I worked as an internal physician for almost a year and almost another year and half as a general surgeon. This clinical experience leads me to look at radiological images with the eye of a radiologist and the mind of a clinician when I examine patient radiological images. I even take a history and do a clinical examination if I have the chance when the patient is in the ultrasound, CT, or MRI room. I have always believed that the radiologist's role is not con? ned to writing reports, but it can be broadened to establish the diagnosis in the ? rst hand in the same way as the clinician do. In the medical library, there are books dedicated to the clinical signs of internal medicine diseases; interestingly, there are no such books in the radiology library.