Coronial

129 results for chest imaging

VIChospital2015-11-25

Finding into death of Kerran Lyn Hills

56y · Female·aspiration pneumonia complicating seizure in a woman with trisomy 21 and Alzheim…

…nsferred by sling from bath to bed in her disability care facility. She was transferred to hospital where imaging confirmed chest infection. The treating team determined recovery unlikely and comfort care was initiated.…

emergency medicineneurology
VIChospital2026-02-11

Finding into death of Michael Robert Burns

58y · Male·Pulmonary thromboembolism complicating right calf deep venous thrombosis

Michael Burns, 58, presented to hospital with exertional chest pain and shortness of breath. He was diagnosed with stable angina and discharged home on cardiac medicatio…

cardiologyemergency medicinediagnosticcommunicationbisoprolol
VIChospital2018-09-27

Finding into death of Elizabeth Mary Gorman

35y · Female·Pulmonary thromboembolus and pulmonary infarction

…ld woman at 11 weeks gestation presented to Royal Women's Hospital Emergency Care on 3 September 2012 with chest and rib pain following severe vomiting. Dr M., a junior resident working alone overnight, assessed her as …

emergency medicineobstetricsdiagnosticcommunicationoxycodone
VIChospital2023-01-24

Finding into death of Andrew James McNeil

36y · Male·Metastatic non-seminomatous germ cell tumour

…tous germ cell testicular cancer with extensive lung metastases. He was initially presented with suspected chest infection on 8 July 2019, which was diagnosed as advanced metastatic cancer on imaging. Following symptom …

palliative careoncology
VICaged careNew2026-05-26

Finding into death of Patricia Anne Rickards

69y · Female·Aspiration pneumonia in the setting of cerebral palsy and PEG tube feeding

…a over several years. She was admitted to Sunshine Hospital on 14 March 2026 with recurrent aspiration and chest imaging showed left lower lobe consolidation. Despite treatment with intravenous antibiotics, her conditio…

SAhospital2011-04-07

Coroner's Finding: WATKINS Maureen

56y · Female·pulmonary thromboembolism due to left calf deep vein thrombosis

A 56-year-old woman with bipolar disorder died from pulmonary thromboembolism due to left calf deep vein thrombosis while detained under the Mental Health Act in hospital. She presented with seizures and underwent wrist …

general medicinepsychiatrydiagnosticcommunicationdiazepam
NSWhospital2026-01-13

Inquest into the death of Paul Harris

43y · Male·Bilateral pulmonary thrombo-emboli; contributory factors included obesity, coron…

…ven occupational risk. While earlier diagnosis might not have prevented death, appropriate escalation and imaging protocols were not followed. Critical failures included diagnostic anchoring on 'most likely' (pneumonia)…

general practiceemergency medicinediagnosticcommunicationceftriaxone
SAhospital2018-03-29

Coroner's Finding: BUTSON Graham Joseph

81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…

…astases. He presented with confusion, agitation and atrial fibrillation; a lung mass was suspected but CT imaging could not be completed due to his acute delirium. He was detained under mental health legislation for saf…

orthopaedic surgerygeneral medicinesystemwarfarin
VIChospital2021-07-26

Finding into death of G H

61y · Female·Pneumonia in a woman with multiple co-morbidities

…e, drowsiness, apnoeas, and stridor. On admission, she had type 2 respiratory failure and consolidation on chest imaging. Despite antibiotics and steroids, her condition did not improve. A palliative approach was agreed…

respiratory medicineemergency medicineolanzapine
VIChospital2010-06-01

Finding into death of Eileen Frances Wilson

52y · Female·Aspiration pneumonia complicating end-stage dementia

…spital in early July 2009 after DHS staff noted acute deterioration with inability to stand and confusion. Chest imaging confirmed aspiration pneumonia; however, she did not respond to antibiotic therapy (cefriaxone and…

geriatric medicineinfectious diseasescefriaxone
TAShome2019-06-26

Coroner's Finding: Lukendlay, Charlotte (OM) Findings

0y · Female·global hypoxic brain injury caused by prolonged cessation of breathing arising f…

An 11-week-old healthy infant died from global hypoxic brain injury following cardiac arrest at home. Multiple rib fractures and a clavicle fracture in various stages of healing indicated repeated non-accidental trauma i…

paediatricsintensive caresystem
VIChospital2014-09-30

Finding into death of Iman Kassis

46y · Female·hemopericardium secondary to dissection of the thoracic aorta

… explanation. Best practice requires clinicians to convincingly exclude aortic dissection in patients with chest pain, particularly those with predisposing connective tissue disorders. Poor documentation of her observat…

emergency medicinecardiologydiagnosticdocumentationflecainide
VICmental health2018-03-22

Finding into death of Gultekin Yuksel

78y · Male·Ruptured abdominal aortic aneurysm

…sented with late-onset psychosis and benzodiazepine dependence. During psychiatric admission, he developed chest pain and hypotension; his antihypertensive medications were withheld based on a medical registrar's assess…

psychiatrycardiologydiagnosticolanzapine
NSWhospital2015-10-19

Inquest into the death of Kelvin Gardoll

61y · Male·lung carcinoma

Kelvin Gardoll, a 61-year-old man, died in custody from lung carcinoma on 4 August 2014 at Long Bay Correctional Complex Hospital. He had presented with a skin lesion that was excised in 2010 (histologically confirmed as…

palliative careoncologygabapentin
WAhospital2019-07-09

Inquest into the Death of Troy Michael CONLEY

45y · Male·severe chronic obstructive pulmonary disease

…rtension. Despite specialist referral to a respiratory physician and investigation (PET scan, spirometry, imaging), the deceased's condition was atypical and difficult to diagnose. Management was hindered by his refusal…

respiratory medicinegeneral medicinedelaymethadone
QLDhospital2025-07-22

Inquest into the death of Hazel Mary Ritchie Brodie

79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…

…3%) on day 1 of admission. Two cardiologists had key roles: Dr K.'s initial assessment focused narrowly on chest pain, missing the opportunity to review the chest X-ray showing pleural effusions and to communicate the s…

cardiologyrespiratory medicinediagnosticcommunicationfurosemide
SAhospital2022-12-22

Coroner's Finding: Hammond, Peter Joseph

66y · Male·inanition and probable respiratory tract infection complicating Alzheimer's deme…

…l symptoms. In April 2020 he developed pneumonia; in June he suffered falls with suspected hip injury but imaging was not pursued due to resistance. By late June he was febrile, hypoxic and had reduced oral intake. A pa…

geriatric medicinepsychiatry
WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

…ospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, unsuccessful imaging attempts, and elevated lactate levels. He was sent home unaccompanied by a care worker to a group home wi…

emergency medicinegastroenterologydiagnosticcommunication
VIChospital2022-10-03

Finding into death of Travis Jack Blows

15y · Male·pneumonia in the setting of cerebral palsy and epilepsy

Travis Blows, a 15-year-old with cerebral palsy and difficult-to-control epilepsy, died from pneumonia after a prolonged PICU admission. He presented to ED multiple times in the months before death with seizures and feve…

neurologyintensive careclobazam
SAhospital2025-05-20

Coroner's Finding: Freeman, Keith Vivian

71y · Male·end-stage cardiac failure on a background of ischaemic heart disease with dilate…

…uring imprisonment, he developed progressive dyspnoea over several months. Despite multiple consultations, chest imaging showing worsening heart failure, and referral to cardiology, there was delay in specialist assessm…

cardiologyemergency medicinedelayfurosemide

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.