I have chosen the title for my blog entries, "The Quandary". A quandary is defined as a state of uncertainty or indecision as to what to do in a difficult situation. I believe this is a great description of where radiology and radiologists find ourselves in these changing times as we try to determine the right path individually and professionally. Hopefully what we discuss here will help us move from a quandary to answers we can put into action. And so without further delay, the inaugural blog.