2nd Request, The First Person Did Not Answer My Question

[erempa]

If there remains a strong clinical concern for mass in the chest, then follow up will be obtained or alternatively a CT scan of the chest will be performed.

DOES ANOTHER COMMA GO BEFORE OR, AFTER OR, OR TWO COMMAS AROUND ALTERNATIVELY?

I'm confused on this particular sentence.

Thanks,


Erin

[David L.]

Having worked in hospitals for nearly 40 years, I can tell you there is a style of writing that transcends normal rules of punctuation.
If there remains a strong clinical concern for mass in the chest, then follow up will be obtained or alternatively a CT scan of the chest will be performed.
In a medical setting, not using a comma after the "or" would be quite routine particularly as "alternatively" sets the next section apart. Otherwise, use a comma - it will be ignored anyway since doctors have to read quickly!!

[erempa]

So a comma would go after or?

Erin