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Alliterative Errors

Leonard Berlin1

1 Department of Radiology, Rush Medical College, Chicago, IL 60612, and Department of Radiology, Rush North Shore Medical Center, 9600 Gross Point Rd., Skokie, IL 60076



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Fig. 1A. —58-year-old man who underwent routine chest radiography before arthroscopic knee surgery was scheduled. Magnified posteroanterior chest radiograph that was interpreted by defendant radiologist as showing irregular infiltrate in right upper lobe that was consistent with scarring.

 


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Fig. 1B. —58-year-old man who underwent routine chest radiography before arthroscopic knee surgery was scheduled. CT scan obtained 1 day after A that was reported by defendant radiologist as disclosing irregular, stellate-appearing density with overall appearance of scarring.

 


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Fig. 1C. —58-year-old man who underwent routine chest radiography before arthroscopic knee surgery was scheduled. Posteroanterior radiograph obtained 15 months after A and B that was interpreted by another radiologist in same group as defendant radiologist as showing no change in appearance of scar.

 


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Fig. 1D. —58-year-old man who underwent routine chest radiography before arthroscopic knee surgery was scheduled. Radiograph obtained 3 months after C that was interpreted by defendant radiologist as disclosing no change in appearance of right upper lobe scar.

 


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Fig. 1E. —58-year-old man who underwent routine chest radiography before arthroscopic knee surgery was scheduled. Radiograph (E) and CT scan (F) obtained 9 months after D now shows large spiculated mass. Biopsy revealed adenocarcinoma.

 


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Fig. 1F. —58-year-old man who underwent routine chest radiography before arthroscopic knee surgery was scheduled. Radiograph (E) and CT scan (F) obtained 9 months after D now shows large spiculated mass. Biopsy revealed adenocarcinoma.

 


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Fig. 2A. —55-year-old man who underwent chest radiography after automobile accident. Magnified posteroanterior (A) and lateral (B) chest radiographs that were interpreted by second defendant radiologist as disclosing irregular left upper lobe infiltration containing radiolucencies that had not been seen on previous studies (not shown).

 


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Fig. 2B. —55-year-old man who underwent chest radiography after automobile accident. Magnified posteroanterior (A) and lateral (B) chest radiographs that were interpreted by second defendant radiologist as disclosing irregular left upper lobe infiltration containing radiolucencies that had not been seen on previous studies (not shown).

 


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Fig. 2C. —55-year-old man who underwent chest radiography after automobile accident. CT scan obtained same day as A and B that was reported by defendant radiologist as disclosing lobular infiltration containing radiolucencies resembling inflammatory lesion.

 


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Fig. 2D. —55-year-old man who underwent chest radiography after automobile accident. Radiograph obtained 3 months after A—C that was reported by another radiologist in same group as defendant radiologist as showing slight decrease in left upper lobe infiltration, consistent with resolving of inflammatory process.

 


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Fig. 2E. —55-year-old man who underwent chest radiography after automobile accident. Radiograph obtained 5 months after D that was interpreted by defendant radiologist as showing stable appearance of left upper lobe opacity, again consistent with inflammatory process.

 


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Fig. 2F. —55-year-old man who underwent chest radiography after automobile accident. Posteroanterior (F) and lateral (G) radiographs and CT scan (H) obtained 7 months after E that were reported by defendant radiologist as showing increased infiltration in left upper lobe. Appearance is suggestive of tumor. Biopsy revealed adenocarcinoma.

 


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Fig. 2G. —55-year-old man who underwent chest radiography after automobile accident. Posteroanterior (F) and lateral (G) radiographs and CT scan (H) obtained 7 months after E that were reported by defendant radiologist as showing increased infiltration in left upper lobe. Appearance is suggestive of tumor. Biopsy revealed adenocarcinoma.

 


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Fig. 2H. —55-year-old man who underwent chest radiography after automobile accident. Posteroanterior (F) and lateral (G) radiographs and CT scan (H) obtained 7 months after E that were reported by defendant radiologist as showing increased infiltration in left upper lobe. Appearance is suggestive of tumor. Biopsy revealed adenocarcinoma.

 

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