This case involves a female with a family history of cancer. During a self-examination, the patient noted a mass. She saw her OB/GYN, who also palpated the mass. The OB/GYN sent the patient for a diagnostic mammogram. The imaging results revealed a lesion that was highly suspicious for cancer. This report was sent to the OB/GYN, however it does not appear that the OB/GYN ever followed up with the patient regarding the imaging results. The patient was seen by another doctor with concerns about the mass in her breast who sent the patient to a different radiologist for biopsy. That radiologist re-imaged the patient and felt that the lesion was a cyst and that biopsy was not warranted. The patient returned 6 months later and was diagnosed with very advanced breast cancer.