A 28-year-old man with a heart disorder and severe chest pain was sent home and died two days later after a doctor viewed a previous digital CT scan image by mistake, reports the BBC

Mrs Blake was told that since Mr Allard’s death, a referring doctor will receive a phone call from radiology to discuss any abnormal scan, instead of an “admin” call to say a report was available.

“If radiology had phoned [Dr Isham] themselves, the situation could never have occurred – they could have told him what the abnormality was,” said consultant radiologist Dr David Smith.

Read more at the BBC.