Mr. Doe suffered a fall at work and underwent a chest X-ray and a CT scan. He was diagnosed as having multiple rib fractures and a small pulmonary nodule in his right upper lung. Several weeks later, a PET scan revealed mild hypermetabolic activity in the right upper lobe of his lung, which prompted a CT-guided core biopsy.
The biopsy specimen was sent to pathology but was too small. Mr. Doe did not undergo a repeat biopsy.
Approximately eight years later, Mr. Doe suffered another fall and underwent a chest X-ray. This revealed 2.9-cm lung density. Mr. Doe was later diagnosed as having Stage III adenocarcinoma of the lung. Adenocarcinoma is a type of cancer that starts in the mucous glands inside of organs, including the lungs.