Deepfake X-rays are now convincing enough that radiologists in tests couldn’t reliably tell them apart from real ones — especially when they didn’t know fakes were in the mix.

The obvious nightmare scenarios write themselves: insurance fraud, evidence fabrication, diagnostic errors from compromised image databases.

The less obvious one: this probably forces a rethink of how medical images are authenticated and stored. Digital signatures for scans, chain-of-custody verification. It’s all possible, just not standard yet.