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November 14, 1977

Old Picture Needed

JAMA. 1977;238(20):2144. doi:10.1001/jama.1977.03280210036010

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To the Editor.—  An ancestor of mine, named Confucius, said many years ago that one picture is worth 10,000 words.General Patton, my commanding general in World War II when I was a P-38 reconnaissance pilot, said that one look is worth a hundred reports.This all came to mind recently when my wife's Uncle Rufus had a suspicious shadow on his chest x-ray film. Not disregarding the clinical data that Uncle Rufus had smoked for 50 years and had a severe cough, the diagnosis of this chest mass was still in doubt.The chest roentgenogram was taken by our local radiologist, who sent a report that it was normal. When I saw the film before I received the report, I thought the patient had a lung tumor.I showed the film to another radiologist, and he said that the patient had a mass in the lung. Another radiologist said