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Reasons from CTDIvol/SSDE, HU accuracy, ACR/MQSA QA, TG-126 PET/CT, TG-18/TG-270 displays, and NCRP 147 shielding across CT, MRI, mammography, NM/PET, and therapy QA while treating phantom-mismatch dose claims, SUV normalization drift, display washout, and post-upgrade MEE gaps as first-class failure modes.