Ortho is gonna make $5k in fees on the surgery. An entirely unnecessary surgery would be a six-figure malpractice claim and a possible license forfeiture. An ortho is not doing an unnecessary surgery especially on a kid.
Ortho did the clinical examination and is fully capable of reading MRIs for the knees and does that on a daily basis. Clinical exam confirms what he sees on the MRI.
Radiologist was sitting at the computer desk waiting for imaging to pop up on the screen. Takes a few minutes to look at it. Write a report. Hits submit and is now looking at a mammogram on the computer.