ALT Imaging decisions are part of the daily work of Emergency Medicine—but when to image, when to wait, and what to do when the ideal test isn’t available are often more nuanced than they appear. How should cumulative radiation risk influence another CT? Can suspected appendicitis wait until morning for ultrasound? Can TBI biomarkers GFAP and UCH-L1 help safely avoid CT, particularly in rural and remote settings? And in suspected cauda equina syndrome, can CT lumbar spine help risk-stratify patients when MRI isn’t available? In this episode, Anton is joined by Dr. Amit Shah, academic, community and rural Emergency Physician and Associate Professor at Western University, to examine the evidence behind these everyday imaging dilemmas and help us choose the right test, for the right patient, at the right time.