On August 24, 2018, Michelle Papacek, aged 42, attended her annual mammogram screening. Dr. Thomas Hagman, a radiologist in Indianapolis and an employee of Northwest Radiology Network, interpreted the results and found no signs of malignancy. He made no recommendations for further testing. Almost a year later, on July 26, 2019, Papacek returned for another mammogram. This time, Dr. Caryn Anderson, another radiologist employed by Northwest Radiology Network, reviewed the results and also found no abnormalities or evidence of malignancy, making no recommendations for additional evaluation.
However, on October 15, 2019, Papacek visited her gynecologist, reporting a lump in her left breast. The staff confirmed the lump's presence and referred her to a hematologist/oncologist. Two weeks later, on October 30, 2019, the oncologist diagnosed her with invasive ductal carcinoma in her left breast, which had spread to her lymph nodes. As a result, Papacek began chemotherapy on November 13, 2019.
The chemotherapy caused severe side effects, and five months later, on April 21, 2020, she underwent a double mastectomy, followed by radiation treatments.
Papacek filed a complaint with a medical review panel, criticizing Dr. Hagman and Dr. Anderson for their failure to diagnose her breast cancer. The panel included Dr. Janushi Dalal, Dr. Carlos Vieira, and Dr. Melissa Bosma. The panel's opinion was mixed. Dr. Dalal found no breach of care by Dr. Hagman but agreed with the breach by Dr. Anderson. Drs. Vieira and Bosma believed both doctors had breached the
standard of care. However, all three-panel members concluded they could not determine if the breaches had contributed to Papacek's damages.