Since the commercialization of the radiology business - radiologists have been increasingly asked to read more cases, work longer hours, and engage more with patients and referrers to remain profitable and relevant within the continuum of care. The unintended consequences of these new demands are adding cognitive stress to an already peaked-out cast. Despite the increased workload there has been little or no advancements in software, integration, and or tools to mitigate the additional risk for potential errors - leaving the radiologist with limited cognitive resources to perform diagnosis? Why has technology failed to play more of a role in supporting the new normal of higher throughput requirements whilst maintaining safety levels? Do they risk missing the gorilla?