“…This issue came to light only when a patient told her story to the media, rather than from any health care professional having the knowledge, confidence, or courage to investigate concerns that it is possible to surmise that at least some personnel may have had. This issue of misdiagnosis in ultrasound imaging is of international concern (Al-Memar, Kirk, & Bourne, 2015;Shavell et al, 2012;Solomon & Saldana, 2014;Tan, Waugh, Kumar, & Evans, 2013). Reported improvements in communication with colleagues in the current study have the potential to improve clinical practice due to increased interest in sharing evidence-based knowledge, protocols, and practices with colleagues.…”