The case involved a sonographer’s failure to identify a major limb abnormality during a patient’s 20-week ultrasound. Not only did the sonographer fail to identify the abnormality, but the reviewing physician, a maternal fetal medicine specialist, also failed to do so.
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Why This Case Matters
Through our well-qualified radiology expert, we were able to establish that this abnormality was missed because the sonographer mislabeled the ultrasound images as showing the left limb, when in fact, they showed only the right limb. As a result, the left limb abnormality went undetected and unreported to the patient.