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Unix Executible File icons switched to dicom icons

After my medical services provider gave me a disk containing diagnostic imaging from a CAT Scan all of the UNIX Executable icons on my MacBook Pro changed to dicom icons, and the imaging dicom files have become listed as UNIX Executable files and will not load into the HOROS Dicom Viewer application.


How can I fix this issue.


Thanks in advance for any assistance.


Vincent

MacBook Pro (2017 – 2020)

Posted on Jun 10, 2023 8:08 PM

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Posted on Jun 11, 2023 12:37 PM

BinsuJiro wrote:

Well this morning after several restarts because of unrelated software updates, all of the icons displayed correctly.


A reboot into Safe Mode and then normally usually resolves icon caches gone wonky. Which happens occasionally.


The usual suspects here can include add-on cleaner apps, and add-on security apps. Not usually add-on VPN apps for this case, though those are good for contributing to other sorts of wonky.


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Jun 11, 2023 12:37 PM in response to BinsuJiro

BinsuJiro wrote:

Well this morning after several restarts because of unrelated software updates, all of the icons displayed correctly.


A reboot into Safe Mode and then normally usually resolves icon caches gone wonky. Which happens occasionally.


The usual suspects here can include add-on cleaner apps, and add-on security apps. Not usually add-on VPN apps for this case, though those are good for contributing to other sorts of wonky.


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Jun 11, 2023 12:06 AM in response to BinsuJiro

In my workflow DICOM files do not have a suffix although AFAIR I have seen a suffix like .dcm. A respectable viewer should not care about the file suffix anyway.


On the Mac, I have used NIH Image, Dr Razz (does not work in newer macOS anymore), Photoshop, GraphicConverter, OsiriX. Or some (vendor GE, etc) Windows app via VMware Fusion VM.


Nowadays many vendors are switching from optical disks or USB flash drives to cloud where the user or a consulting doctor can view and download the images (.jpg or original quality 12-bits per pixel DICOM that can be windowed with 4096 levels of gray).


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Jun 11, 2023 11:32 AM in response to MrHoffman

MrHoffman,


Thanks for your reply and suggestion. Have you ever brought your car into a dealership with a problem that you know exists, or gone to your doctor with an issue and after the visit or when the mechanic looks at your car, they cannot find anything?


Well this morning after several restarts because of unrelated software updates, all of the icons displayed correctly. This kind of thing drives me crazy.


Thanks again,

Vincent

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Jun 11, 2023 12:38 PM in response to Matti Haveri

Hi Matti,


Please see my reply to MrHoffman.


Thanks for your reply. I have been using Horos for a number of years without issue, until one of my providers, Crystal Run Health Care, started sending disks that had the dicom files displaying as UNIX executable files. I tried everything to get them to display without success. My physicians at another healthcare provider also cannot access the imaging.


I see a broader problem that relates to the need to have all medical data available to all of the providers that a patient might use, and I see certain providers going out of their way to thwart the sharing of patient information even if that position harms their patients.


Yes, I can open the dicom files in Photoshop, but Photoshop is not a diagnostic imaging viewer and individual images that are only identified by a file number are not helpful. Perhaps if QuickView would display the images, one could scroll through them to mimic a sequential animation, but QuickView does not display the images.


Since Photoshop could open the files and display an image, I just tried to view them in Adobe Bridge, but Bridge will not display the images. If Bridge could read the files and display images, presumably one could scroll through them and view a progressive sequence, but no luck with that.


I regularly contribute to the Horos Project and do not want to explore any other viewer, especially if I cannot achieve the same level of functionality that I get with Horos. So far, the only provider that gives me a problem is CRHC; the same provider gives every other provider I use a very difficult time sharing patient data.


Frankly, I believe the issue relates to the provider, CRHC.


Thank you for all the information you provided.


Best, Vincent

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Jun 11, 2023 6:19 PM in response to MrHoffman

MrHoffaman,


That is very interesting, because as part of the updates, I decided to reboot into Safe Mode to look around, and voilà this morning everything was fine!


Your reply put that into perspective, and now I have a new diagnostic/repair tool to use.


Thank you,

Vincent


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Jun 11, 2023 9:41 PM in response to BinsuJiro

> Photoshop is not a diagnostic imaging viewer and individual images that are only identified by a file number are not helpful


Yes. On the other hand, OsiriX has a nice interface and should be able to display exams, series and images in a scrollable form while also allowing windowing 12-bit DICOM.


https://www.osirix-viewer.com/

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Unix Executible File icons switched to dicom icons

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