In my opinion the problem in radiology is often not the uncertainty itself but the failure to clearly lay out the solution in the impression. If there is an evidence-based pathway to greater certainty through time or another imaging modality or ultimately tissue diagnosis that pathway should be clearly stated using a sensible scientific approach. The problem is the sloppy impression that simply says “likely this but cannot exclude that” and stops there. Uncertainty is unavoidable. The key is providing a rational path to resolve it.