This case takes place in Massachusetts and involves a male patient who was involved in an automobile accident and sustained severe abdominal injuries. CT scans were performed when the patient first presented to the ER, which were reported to be normal. The patient continued to experience abdominal pain for several days after this initial examination, at which point another CT scan was ordered. It was revealed that there was an internal bleed which required emergency surgery to correct. It is alleged that based on the patient’s injury and the circumstances of the accident the ER physician should have received surgical consult on the day the patient presented, regardless of the negative radiology reports.