I had a patient with a humerus exam. I did the 2 view xrays and the images were near perfect. We get our images read outside and it is hard to speak with the rads or I would ask them. The report says the "humerus is unremarkable but there is limited evaluation of the shoulder and elbow (both included entirely in both views) If there is concern recommend dedicated films". Our equipment is wonderful and takes great images, you could see everything. I am confused on why dedicated shoulder films would be needed. We only do internal and external rotation on shoulders so I do not see how this is any different than the views seen in the humerus. I understand some image quality would be slightly better with the central ray on the shoulder, but is there really any reason for this? Seems odd to me that they even mentioned the shoulder and elbow like this. I fail to see how a external/internal shoulder is any different than an AP lateral humerus.