Radiography Cases >> Mammography >> Case 1

Case 1

A woman in her mid-forties came for a mammogram and was waiting in a private area separate from the rest of the department. Prior to the exam, the radiographer asked her questions about her LMP, age and clinical history. After completing the mammography exam, she was asked to wait again in the waiting area. As a radio-opaque mass was detected on the mammogram, the patient was asked to undertake a spot view of the mass and an ultrasound scan of the breast was conducted. During the spot view, the patient complained of pain because of compression of the breast and her skin became reddened. A 2cm mass was detected on the ultrasound image and a core-biopsy was suggested. The radiologist explained the risks and benefits of the biopsy and the patient agreed to come back at a later date for the procedure to be done. However, when the patient returned, she refused to undergo the biopsy after the radiologist told her that she would have bruising and a small scar on her skin.

Consider any ethical or legal issues relating to this case, with respect to contributory negligence, the patient's right to refuse, reasonable practice etc.