Most of us wish to deliver the highest-quality medicine to our patients while keeping unnecessary testing to a minimum. The advantages of chest radiographs (CXRs) in the ICU include another layer of safety: increased confidence levels of trainees that unsuspected complications are not missed, and so-called medicolegal documentation. The disadvantages of ordering excessive CXRs involve the strain on infrastructure, costs, and radiation. False-positive CXR results may lead to more testing with CT scanning involving transportation of unstable patients. In one study1 from 1998, with the cost of one CXR at $114, there was an average cost saving of $725 per patient from not conducting daily routine CXRs.