Cryptic crossword clue
Patient examination of butt, thus reflected by mirror 9

The most common and most likely answer to this crossword clue is the 9 letter word ENDOSCOPY

I've seen this crossword clue in Independent
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Buddy explains!

The straight part
We know that "Patient examination" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case patient examination = endoscopy.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does ENDOSCOPY mean?

ENDOSCOPY noun
  1. The examination of a bodily orifice, canal or organ using an endoscope.

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