How do the x-ray and medical image processing customs work?

How are the customs like "x-ray insight’ analyzing x-rays? what sort of visual processing are they doing? Is Chat GPT 4V really capable of analyzing medical xrays?
Im a medical professional and researcher dabbling in GPT in analyzing medical xrays ,and my experience thus far has been that its not ready for critically analyzing details of xrays at the level a physician or surgeon would need