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recurance

Matthew Goldsmith

9 Oct 2025 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. missed vascular abnormalities

    “Abnormal findings in the abdominal vascular system were apparent on 3 CT scans from January 2020 to October 2024 but not reported by the reviewing radiologists.”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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