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Failure to Diagnose Lung Cancer: Anatomy of a Malpractice Trial

Leonard Berlin1

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



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  		Fig. 1A. —66-year-old woman admitted to hospital with appendiceal abscess. CT scan shows lung base on which defendant radiologist A reported a lesion "containing a central calcification, most likely a granuloma."

 


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  		Fig. 1B. —66-year-old woman admitted to hospital with appendiceal abscess. Chest radiograph obtained 3 days after A shows left pleural effusion, which defendant radiologist B correctly reported.

 


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  		Fig. 2. —Styrofoam model representing CT appearance of lung nodule. Model was designed to show central calcification within a round granuloma engulfed by an irregularly shaped carcinoma, and was successfully used by plaintiff's attorney during malpractice trial.

 

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