Failure to Diagnose Lung Cancer: When a Persistent Cough and Abnormal Imaging Are Warning Signs
A 58-year-old Florida man visits his primary care physician because a cough that started several weeks earlier will not go away. He has smoked in the past, although he quit years ago. He also complains of unusual fatigue and occasionally notices a dull ache in his upper back. The physician suspects bronchitis. He receives antibiotics and an inhaler. The cough improves slightly but never disappears. Three months later, he develops another respiratory infection and goes to an urgent care clinic. A chest X-ray is obtained. The radiology report describes a small opacity in the upper portion of his right lung...