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Liability of Interpreting Too Many Radiographs

Leonard Berlin1

1 Department of Radiology, Rush Medical College, Chicago, IL60612, and Department of Radiology, Rush North Shore Medical Center, 9600 Gross Point Rd., Skokie, IL 60076.



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  		Fig. 1A. —54-year-old woman who underwent routine screening mammography. Mediolateral (A) and craniocaudal (B) mammograms of left breast show 1.5-cm spiculated mass suggestive of carcinoma in inferior inner portion near chest wall (arrows). Radiologist suggested biopsy, which confirmed diagnosis of cancer.

 


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  		Fig. 1B. —54-year-old woman who underwent routine screening mammography. Mediolateral (A) and craniocaudal (B) mammograms of left breast show 1.5-cm spiculated mass suggestive of carcinoma in inferior inner portion near chest wall (arrows). Radiologist suggested biopsy, which confirmed diagnosis of cancer.

 


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  		Fig. 1C. —54-year-old woman who underwent routine screening mammography. Mediolateral (C) and craniocaudal (D) mammograms obtained 1 year before A and B that were interpreted as showing normal findings by radiologist show, in retrospect, anterior portion of lesion (arrow) on C near chest wall. Lesion cannot be seen on D because posterior-most portion of breast and chest wall are not seen.

 


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  		Fig. 1D. —54-year-old woman who underwent routine screening mammography. Mediolateral (C) and craniocaudal (D) mammograms obtained 1 year before A and B that were interpreted as showing normal findings by radiologist show, in retrospect, anterior portion of lesion (arrow) on C near chest wall. Lesion cannot be seen on D because posterior-most portion of breast and chest wall are not seen.

 

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