Articles Posted in Radiology Errors

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On Jan. 8, 2008, Nicole Yerkovich, who was 35 at the time, was taken by ambulance to the emergency department at LaGrange Memorial Hospital because of severe abdominal pain and nausea. The ER doctor at the hospital ordered a contrast CT scan of her abdomen and pelvis to see if she was suffering from an appendicitis attack. The CT scan was initially read by a teleradiologist who reported she could not visualize the appendix and therefore could not rule out appendicitis. The teleradiologist recommended the hospital’s doctors obtain the delayed images to get better visualizations of the appendix and noted a moderate amount of free fluid in the pelvis, which could have been due to a ruptured cyst.

The following morning, the in-house radiologist, Dr. Vladislav Gorengaut, reviewed the same CT scan and reported there were no definite findings to suggest appendicitis. He noted there were ascites, which may be caused by peritonitis, and there could be a gynecological issue such as a ruptured hemorrhagic ovarian cyst. Ascites refer to the accumulation of fluid in the peritoneal cavity in the abdominal area.

Based upon the first report of Dr. Gorengaut, the emergency department doctor canceled the delayed CT scan and instead admitted Yerkovich to gynecology and ordered a pelvic ultrasound. Dr. Gorengaut read the ultrasound and reported there was echogenic fluid most likely representing blood from a ruptured ovarian cyst.

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Butch Borden, 51, underwent lower back surgery by neurosurgeon Dr. Tom Staner. While Borden was recuperating, he developed weakness and sensory deficits in his legs. Dr. Staner instructed Borden to go to Brookwood Medical Center, where testing there revealed a small hematoma in the lower back. A hematoma is where a pool of blood gathers in an area of the body for different reasons. Borden was then admitted to the hospital.

While overnight in that hospital, Borden developed urinary incontinence and lost the use of both legs. This development was not communicated to any of Borden’s treating physicians, including Dr. Staner.

The next morning, however, Dr. Staner examined Borden and ordered an urgent CT scan and myelogram, which showed a large hematoma, another pool of collecting blood, compressing Borden’s cauda equina. The cauda equina, which is Latin for horse’s tail, is a bundle of spinal nerves and spinal nerve roots that run through the second to fifth lumbar nerves in the back. The compression of the cauda equina is a serious neurological condition and can cause loss of function. The cauda equina syndrome is caused by the compression of nerves at the end of the spinal cord.

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Linda Lawson, 55, underwent a CT scan of her thoracic spine after she was experiencing leg and lower back pain. The scan was reported as being benign. Lawson’s symptoms continued and she had a lumbar CT scan 2 months later. The results of the CT were again reported by a second radiologist as being benign.

After her condition worsened, Lawson underwent an MRI, which showed a pelvic mass. She subsequently was diagnosed as having Stage IV non-Hodgkin’s lymphoma, which had spread to several lymph nodes and bones. She underwent aggressive inpatient treatment and is now in remission.

Lawson was a teacher earning about $40,000 annually and was unable to work for one year. She filed a lawsuit against Southwest Radiology, whose radiologist interpreted the first scan and the radiologist who read the second scan claiming that the radiologist chose not to timely diagnose her condition. Had she received an earlier diagnosis, Lawson argued she would have undergone less aggressive treatment on an outpatient basis.

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The plaintiff in this case, Lee Ann Sharbono, filed a lawsuit claiming medical negligence against the defendant Dr. Mark Hilborn, a board-certified radiologist. In the lawsuit it was alleged that Dr. Hilborn had chosen not to timely diagnose Sharbono’s breast cancer.  After the trial, the jury found for Dr. Hilborn and against Sharbono.  She filed post-trial motions for judgment notwithstanding the verdict, for new trial and for rehearing, all of which the trial court denied. This appeal was taken.

In August 2006, Sharbono was diagnosed with breast cancer in her left breast.  It had spread to her nearby lymph nodes under her left arm. She underwent extensive treatment including a modified radical mastectomy of her left breast.

The lawsuit in this case arose out of a diagnosis that was made by Dr. Hilborn in November 2004.  Sharbono, who was then 39 years old, went to see her primary care physician because she was experiencing fatigue, weight gain, aches and pain.  The doctor ordered a screening mammogram. That mammogram and an ultrasound were claimed to have been misinterpreted.

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In September 2007, 55-year-old Barbara Ann Drebek-Doyle underwent a CT scan of the sinuses due to her recurrent sinusitis condition. The test was performed at Advocate Condell Gurnee Outpatient Radiology Center. The scan was interpreted by the defendant Dr. David E. Foosaner, a radiologist.  In a lawsuit that was filed by Ms. Drebek-Doyle, she contended that Dr. Foosaner chose not to detect and report a brain mass or tumor that was seen on the CT scan. As a result, the tumor remained undiscovered and untreated for 3.5 years. 

In March 2011, an MRI of the brain showed the brain mass at the top center of Ms. Drebek-Doyle’s head. Surgery was done to remove the benign mass, a meningioma that was in the membrane lining of the brain. Meningioma occur most frequently with women; they cause various types of symptoms.  Some symptoms include chronic headache, nausea, vomiting and balance issues. If the tumor is not removed fairly quickly, there is a risk that it may increase in size and cause much more serious effects, including death.

The plaintiff maintained that if the radiologist defendant had reported the mass in 2007, it could have been removed at that time. Instead, the delay caused Ms. Drebek-Doyle to suffer various problems over the next 3 ½ years, including increased headaches, loss of balance, memory deficits, bowel incontinence and fatigue. 

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A confidential settlement was reached wherein a 63-year-old woman’s misdiagnosed lung cancer led to her untimely death. The woman, identified only as Doe, underwent a CT scan while she was hospitalized. This showed a lung lesion that the interpreting radiologist reported as possible cancer. A hospitalist reported these findings to Doe’s primary care physician. 

The primary care physician referred Doe to a pulmonologist but did not tell her that cancer was suspected.  The hospital sent Doe’s CT scan to the pulmonologist, who reported to the primary care physician that part of the scan was missing. The primary care physician allegedly said that he would provide the missing film. However, there was no followup. The pulmonologist also chose not tell Doe that cancer was suspected when the two subsequently met.

Five years later, Doe developed shortness of breath and other ominous symptoms. Doe was diagnosed with having Stage IV lung cancer; she died two months later. Doe was survived by her husband and two adult children. Doe’s husband filed a lawsuit against the primary care physician and the pulmonologist claiming that these defendants chose not to follow up on the radiologist’s suspicion of lung cancer. The lawsuit did not claim any lost income.

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Continuity of care is paramount in patient healthcare. The goal is always to give the patient the best medical care while at the same time reduce medical errors. For the last 20 years hospitals and physicians have been using electronic health records (EHR).

Although the intent was noble, EHR has caused serious and even catastrophic injury and harm to patients because of poorly written software programs for healthcare providers. Sometimes the medical recording software does not allow for certain medical conditions, treatments and tests. In those cases, the medical providers simply use the drop down or other shortcut to comply with the entry requirements.

It used to be that narrative nursing notes would be important in providing details of patient care. But in most hospital settings, nurses simply use default screens on a computer to make their entries. Physicians often are not able to read the nurses’ remarks or notes. 

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Jennifer, a 25-year-old student, began experiencing severe headaches and visual disturbances. Several days later she went to a hospital emergency room. She told the ER staff  she was not prone to headaches and that she was currently taking oral contraception. Jennifer was diagnosed with a complex migraine headache.

Several hours later however, she developed slurred speech, tingling and paralysis in her arm along with low blood pressure. An attending physician ordered a CT scan of Jennifer’s head, which was interpreted by a radiologist showing no evidence of acute hemorrhage. Jennifer’s condition continued to deteriorate, and she began experiencing seizures. 

Finally, she was transferred to another hospital, where a second CT scan showed bilateral intracranial hemorrhages caused by thrombosis or a stroke. The doctors ordered brain surgery, which required a long and extensive rehabilitation program. She now has right-sided weakness and speech problems and requires lifetime medications.

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In a lawsuit resulting in a Cook County jury verdict, it was alleged by plaintiff Ryan Drummond that in August 2004, the defendant, Dr. Robert Brossard, a radiologist, chose not to correctly interpret x-rays of Drummond’s right hand. In addition, it was claimed that Dr. Brossard missed a fracture of the carpal bone of that same right hand. As a result of the doctor’s miss, Drummond was improperly treated with splinting for a sprain.

The fracture was later diagnosed on subsequent x-rays on Sept. 21, 2004. By that time, the window of opportunity for surgery to reduce the fracture had passed.

Drummond, 46, was a truck driver and sustained a nonunion of the trapezium, deformity to the base of the thumb, collapsed web space and development of severe arthritis. Drummond will need future arthroplasty surgery, which will mean a lengthy rehabilitation program.

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A recent Will County jury verdict found Provena St. Joseph Medical Center in Joliet, Ill., and an internal medical doctor responsible for the death of a 43-year-old man. The children of J.E., the deceased, will receive $3.35 million after a jury returned a verdict of $4.5 million to the 43-year-old man’s four children.

J.E.’s children will receive $3.35 million because the family’s attorneys and defense counsel entered into a high/low agreement before the jury’s verdict. The high/low agreement is a way lawyers and clients protect a very high verdict or a very low verdict by agreeing in advance that the ceiling will be one amount and the floor another.

The attorney for J.E.’s children was William Cirignani, a partner of Cirignani Heller and Harman, who represented the estate.

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