Fig. 11

History-related (type 8) error. A 75-year-old female patient presented at the Chest Clinic with a progressive cough. Thorax CT was reported as "bilateral residual tumoral soft tissue (blue arrows, a) and parenchymal fibroatelectatic changes due to radiotherapy (orange arrows, b)." The referrer gave feedback to the radiologist about "the negative history of malignancy and radiotherapy," and intensive biomass exposure was mentioned. The CT was re-evaluated by the radiologist. Paramediastinal parenchymal changes (blue and orange arrows, a, b) were interpreted as a result of “bronchial anthracofibrosis” after combining the associated air trapping (green arrows, b, c) and bronchial narrowings (red arrows, b, c). Although the radiologist made an unwarranted assumption about prior malignancy and treatment, the main reason for this reporting error was insufficient clinical information about “biomass exposure.” This case is a good example of “error with no harm” thanks to the effective communication between the radiologist and the clinician via the clinician’s feedback