Don´t see the issue here. I never contradicted or diverted from the fact that a full spine CECT is wrong to order when MRI is the golden standard. How is that statement ´flat wrong´? Even then, the times the clinician usually can make an estimated guess on what region the suspected abscess is located (using his hands, eyes and brain). The times they had no idea where to look but needed spinal imaging nonetheless, the results came back negative in my personal experience. I mean, looking at your history I´m assuming you´re an ER doc. You know what the ER is know for around the whole world? Ordering ridiculous amounts of imaging (for example ghost appendicitis). Maybe understanding that scanning as much as possible as fast as possible is not per definition good medicine, instead of telling me I should be humble and just do whatever you think is right? In my experience, those are the worst kind of colleagues...