Design a real-time radiology copilot that flags regions and drafts a report in under 2 seconds at 10 studies/sec, recall first.
Ten X-ray studies a second, a 2-second budget, and a missed cancer is unacceptable. The hard parts are recall-first thresholding, a monitor that watches the radiologist, and surviving a new scanner.
Updated Aug 2026 · Grounded in real Forward Deployed Engineer interview loops and written to a senior-engineer editorial bar.
Ten X-ray studies a second, a 2-second budget, and a missed cancer is unacceptable. The hard parts are recall-first thresholding, a monitor that watches the radiologist, and surviving a new scanner.
Lead with where the obvious approach breaks, because that is the judgment they are screening for — most candidates jump straight to the happy path and lose the room.
Then walk the failure back through the pipeline in order, naming the one metric the customer's exec sponsor actually cares about before you propose the fix.
