[jmhmd]

Radiologist here. Sorry to hear about about your wife's complications. Most radiology departments do participate in a peer review process as part of internal quality assurance. Not every report is necessarily peer-reviewed, largely due to time constraints (radiologists can read hundreds of mammograms in a day), and not all modalities are required to participate (I believe mammography is optional).

[jcims]

Thank you. I think it would be an extremely difficult job, particularly with a high throughput demands. This series was abdominal and i guess i would expect to see some annotation indicating it was reviewed.

In this case we had a scan in Nov. that was marked clear. Scan in Feb that had an unsized spot noted as ‘possibly metastatic’ with a note that ‘in retrospect this focus was present in previous exam’. Oncologist explains lack of measurement as being too small to precisely ascertain. Then two weeks ago we have a scan report indicating (among other new disease) a 4cm mass that was ‘previously 2cm.’

People are guaranteed to make mistakes, and my issue is with the process...not the personnel.