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