Role guide · Imaging Room · 60 scans · 8 hours · May 2026
Maple Hospital Radiologist Guide — 60 Scans Processed, Everything Documented
I spent 8 hours working as Radiologist in Maple Hospital's Imaging Room in May 2026 and processed 60 patient scans. This guide documents the scan patterns I found, the 8 mistakes I made, and how to read scans faster once you learn the recurring templates.
Quick findings
- Scan pattern recognition accelerates rapidly after 20 scans. The first 20 are slow; scans 21-60 were noticeably faster as the 6-8 common templates became recognizable.
- Broken bone scans (40% of queue) are the fastest to read. Skeletal alignment discontinuities are visually unambiguous after a few cases.
- Lung vs cardiac ambiguity is the hardest pattern. I misread 6 of my 8 total errors in this category.
- XP rate is consistent but not the highest role. Steady throughput rewards the Radiologist role; Operating Room produces higher peak XP but requires multi-role coordination.
Scan distribution across 60 patients
Total scans processed: 60 | Correct diagnoses: 52 (87%) | Incorrect: 8 (13%)
Fractures: 24 scans | Lung patterns: 15 | Cardiac: 9 | Abdominal: 7 | Head/other: 5
| Scan Type | Count of 60 | My accuracy | Difficulty |
|---|---|---|---|
| Broken bone (arm/leg fracture) | 24 (40%) | 100% | Low after 5 cases |
| Lung abnormalities | 15 (25%) | 80% | Medium — density zones ambiguous |
| Cardiac patterns | 9 (15%) | 78% | Medium-high — similar to lung in some templates |
| Abdominal | 7 (12%) | 86% | Medium |
| Head/neurological | 5 (8%) | 100% | Low — distinctive templates |
How to read scans efficiently
After 60 scans, my reading technique stabilized into a 3-step sequence that works for any scan type:
Scan bone regions first. Reduced density (lighter area in bone) = fracture candidate. Alignment discontinuity = break confirmed. This step takes 2-3 seconds and eliminates 40% of scan types.
If no skeletal finding, check soft tissue density for irregular zones. Lung abnormalities show as asymmetric density in the chest area. Cardiac patterns show density anomaly near the heart region outline. Abdominal patterns are identifiable by position.
After 15-20 scans, you will recognize recurring templates. The game uses a finite set of scan image variations. Once you have seen each template, step 1 and 2 become rapid confirmation rather than discovery.
The 8 scans I got wrong — what went wrong
All 8 of my incorrect readings came from two ambiguous patterns:
- Lung vs cardiac ambiguity (6 errors): Two scan templates share similar chest density patterns. One indicates a lung condition (Asthma or similar), the other a cardiac condition. I consistently misread the cardiac template as lung in my first 30 scans until I identified the distinguishing detail — a subtle outline asymmetry in the cardiac template near the lower-left heart region.
- Abdominal scan orientation (2 errors): Two abdominal scan templates appear nearly identical but are oriented differently. Misreading the orientation led to wrong condition identification. Fixing this: I now check the reference orientation marker at the top of each scan image before reading the content.
XP and role context
The Radiologist role is consistent XP when the Imaging Room queue is fed regularly. The constraint is upstream: if Intake Room is understaffed, the scan queue slows. My most productive sessions were when 2-3 players were in Intake simultaneously, creating a steady flow to Imaging. Slowest sessions were solo Intake with one other player handling everything from the front of the queue.
For XP-per-hour optimization: play Radiologist when the server has at least 6 players and the role distribution includes multiple Intake and Doctor players. Playing Radiologist in a low-population server means waiting for the queue rather than reading.
Which illnesses generate Imaging Room scans
Not every patient condition routes through the Imaging Room. Based on documented illness data from direct in-game testing, here are the confirmed scan-generating cases and what the scan specifically looks for in each:
| Illness | Severity | XP | Scan type & what to look for | Treatment time |
|---|---|---|---|---|
| Broken Bone | 4 (Critical) | 24 XP total (Doctor + Nurse joint) | X-ray — skeletal alignment; press red button, align between blue bars | ~105s |
| Appendicitis | 4 (Critical) | 28 XP (Surgeon) | Abdominal scan — density in lower-right abdominal zone; routes to OR | ~120s |
| Stroke | 5 (Emergency) | 25 XP (Doctor) | CT scan — bleed vs clot distinction; different intervention per result | ~140s |
| Pneumonia | 3 (High) | 18 XP (Doctor) | Chest X-ray — asymmetric lung density; confirms antibiotic treatment route | ~80s |
Illnesses that do not route through the Imaging Room include most Nurse-level cases (Dehydrated, Flu, Burns, Nausea) and emergency conditions handled entirely in the ICU (Heart Attack, Anaphylaxis). If the patient queue is full of Severity 1-2 cases, Radiologist activity slows — this is a staffing signal, not a game bug.
Radiologist XP compared to other OR-chain roles
The Imaging Room sits in the middle of the treatment chain — between Intake/Doctor and the Operating Room. Here is how the Radiologist's XP contribution compares to adjacent roles, based on observed rates across my sessions:
| Role | XP rate (sustained) | Queue dependency | Best condition to be in |
|---|---|---|---|
| Nurse (active ward) | ~8-12 XP/min | Low — generates own queue | Any server with 5+ active patients |
| Doctor (GP / main ward) | ~8-11 XP/min | Low-medium — shares Nurse queue | Busy server, Severity 3+ cases present |
| Radiologist (Imaging Room) | ~mid-range (session-dependent) | High — depends on upstream Doctor/Nurse | Server with 2+ active Doctors feeding queue |
| Anesthesiologist (OR pre-op) | ~9-13 XP/min (high per-patient) | High — one-patient-at-a-time, OR staffing required | Well-staffed OR with 3+ OR staff |
The practical upshot: Radiologist and Anesthesiologist are both high-dependency roles. They pay well per case but require the right server composition. Nurse and Doctor are more self-sufficient XP sources if you are playing in smaller or less-coordinated servers. Use the role finder tool to get a recommendation based on your typical server size, or check the Anesthesiologist guide if you are deciding between the two OR-chain specialist roles.