In the study by Hejblum et al2(see page 1107), 190 French ICU physicians were asked to respond to 29 clinical scenarios. Eighty-two physicians completed an Internet-based survey to rate whether ordering CXRs was appropriate. The results showed that many French intensivists felt comfortable with eliminating routine daily CXRs. Many physicians would agree.3–4 That said, there may be further opportunities to eliminate unnecessary CXRs. The “devil” is in the details. For example, question number one asks for a routine CXR within 1 h after intubation, which would be ordered by most French intensivists. Nevertheless, there are experienced physicians who safely eliminate immediate CXRs after intubation.5After percutaneous tracheostomy, most Paris-based intensivists preferred to have a CXR within 1 h. With a more precise question, including bronchoscopy-guided uncomplicated insertion, it may not be necessary to obtain a CXR.6One question referred to routine CXRs after internal jugular vein catheter insertion. A more exact question, referring to the uncomplicated insertion of a right-sided internal jugular vein triple-lumen catheter, may allow intensivists to omit the CXR and start potentially life-saving medications early.7Another question asked for a CXR within 1 h after pulmonary artery catheter insertion, whereas it is common practice of anesthesiologists to proceed without CXR after uncomplicated insertion. Not all intensivists may be comfortable that CXRs can be eliminated even after insertion of uncomplicated permanent pacing leads,8 and probably after uncomplicated placement of temporary transvenous pacing leads. Many intensivists would feel at ease in eliminating CXRs after uncomplicated insertions of rigid double-lumen nasogastric tubes for feeding, especially if the insertion length is > 40 cm.