How do I stay calm with hard cases and uncertain findings?

You can capture the standard views now, and the hard-to-image patients and the findings you're unsure of still rattle you. That rattle isn't a lack of skill. It's the real difficulty of the job showing up, the part where anatomy hides and results carry weight. Feeling it means you grasp how much your images matter to the people reading them. A hard-to-image patient is a problem of patience and technique, not a verdict on you. Adjust, reposition, change your approach, and accept that some scans just take longer. An uncertain finding isn't asking you to diagnose on the spot, that's not your call to finalize. It's asking you to document carefully, get the best images you can, and flag your uncertainty to the radiologist. Naming what you're unsure of is a strength, not a gap. Build your eye by following up, when you can, on the cases that rattled you. What did the read show, what would have made the image cleaner? That loop turns hard patients into familiar ones and steadies you on the uncertain findings. What shakes you now is simply the growing edge of a real skill. Keep scanning into it.