My anecdote (not data): I took a friend to the emergency room on Sunday,after a back crackup on a bicycle. Big bruise and swelling above the left eye socket and on the chin. Both hands sore and tender and stabbing pain when any pressure was put on them.

The radiologist said No Fracture! So treat for concussion and release. Two days later, back with unendurable head pain. Reexamine: oh, sorry, yes, fractures. Morphine.

Wtf? Are the radiologists so overworked they can only glance at a test? Or was an AI at fault? I'll never know.

At busy times it’s often someone junior and under pressure reading the imaging.

Was it CT or X-rays?

X-rays are garbage compared to ct for facial fractures in my (radiography) experience.

Having taken a lot of both: if it’s abnormal on X-rays you do a CT. If the pain or swelling is huge but the X-ray normal, you do a CT. So why bother with X-rays?

Could have just been one that sucks at their job. Half of people who have one are below average at doing it.