In symptomatic radiology, monochrome presentations for clinical evaluation are normally suggested because of their higher luminance. Standard shaded displays can be used as another less expensive option, but they have a lower luminance. The purpose of the current review was to consider image quality for both types of presentations. Images of a contrast ghost from the CDRAD were examined by four radiologists using a 2 megapixel (143 discs/m2 of extreme luminance) shading showcase as well as 2 Mp (295 compact discs/m2) and 3 Mp monochrome presentations. Thirty lumbar spine x-rays were also examined by four radiologists using shading and 2-MP monochrome presentation as part of a visual examination. Tiny contrasts were found between the cases when reading the CDRAD images. The VGA scores were j0.29 for shading and j0.25 for the monochrome presentation (p=0.26; NS). It thus seems conceivable to use shading shows in symptomatic radiology, given that the change of grey scale is used.