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 AC 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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Copyright © 2000 by the American Roentgen Ray Society.