Daniel Scavetta, who had a history of intravenous drug abuse, began seeing internist Dr. James Agresti. Dr. Agresti prescribed Suboxone. After a colonoscopy revealed multiple polyps, including one that was too large to remove, Scavetta was referred to a colorectal surgeon, Dr. Joel Nizen.
A CT scan showed a 1.9 cm lesion in Scavetta’s liver and an enlarged spleen. This prompted the interpreting radiologist to recommend that Scavetta undergo an MRI of his abdomen. Although Dr. Nizen performed surgery approximately two weeks later, he did not investigate the lesion.
Approximately 13 months later, Scavetta saw blood in his urine. The CT scan and MRI revealed a 4.2 cm liver mass. Scavetta was subsequently diagnosed with having Stage IV hepatocellular carcinoma.