What would you do when a significant abnormality was omitted from a previous report?

Instruction: Explain the immediate clinical action, the record correction, and what you would say about the earlier omission without claiming an outcome you cannot establish.

Context: A renal-protocol CT shows a suspicious enhancing solid renal mass measuring 3 cm. On direct comparison, it measured 1.8 cm on an adequately enhanced CT 18 months earlier, but the prior report did not mention it. A second radiologist agrees with your observations. The patient has no known renal cancer, and the treating clinician is available.

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I would contact the treating clinician today: “There is an enhancing renal mass that needs prompt urological assessment. It is larger than on the previous CT, where it was visible but not reported.”...

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