M. T. was the victim of misdiagnosed lung cancer. After presenting to her family doctor and urologist for kidney stones in April, 2000, she was sent for a routine chest x-ray to clear her for a lithotripsy procedure. The radiologist saw a small questionable area of increased density in her left mid lung field and recommended further study via shallow oblique film, or chest CT scan. The report was received by her internist and urologist, but was not read for 16 months. At that time, M.T.’s condition had advanced, requiring that a portion of her lung be removed, and that she undergo chemotherapy and radiation for metastatic lung cancer.