[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR37.53]



[Page 130]

 

                         TITLE 42--PUBLIC HEALTH

 

    CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN 

                                SERVICES

 

PART 37_SPECIFICATIONS FOR MEDICAL EXAMINATIONS OF UNDERGROUND COAL 

MINERS--Table of Contents

 

               Subpart_Chest Roentgenographic Examinations

 

Sec. 37.53  Notification of abnormal roentgenographic findings.



    (a) Findings of, or findings suggesting, enlarged heart, 

tuberculosis, lung cancer, or any other significant abnormal findings 

other than pneumoconiosis shall be communicated by the first physician 

to interpret and classify the roentgenogram to the designated physician 

of the miner indicated on the miner's identifcation document. A copy of 

the communication shall be submitted to ALOSH. ALOSH will notify the 

miner to contact his or her physician when any physician who interprets 

and classifies the miner's roentgenogram reports significant abnormal 

findings other than pneumoconiosis.

    (b) In addition, when ALOSH has more than one roentgenogram of a 

miner in its files and the most recent examination was interpreted to 

show enlarged heart, tuberculosis, cancer, complicated pneumoconiosis, 

and any other significant abnormal findings, ALOSH will submit all of 

the miner's roentgenograms in its files with their respective 

interprtations to a ``B'' reader. The ``B'' reader will report any 

significant changes or progression of disease or other comments to ALOSH 

and ALOSH shall submit a copy of the report to the miner's designated 

physician.

    (c) All final findings regarding pneumoconiosis will be sent to the 

miner by MSHA in accordance with section 203 of the act (see 30 CFR part 

90). Positive findings with regard to pneumoconiosis will be reported to 

the miner's designated physician by ALOSH.

    (d) ALOSH will make every reasonable effort to process the findings 

described in paragraph (c) of this section within 60 days of receipt of 

the information described in Sec. 37.60 in a complete and acceptable 

form. The information forwarded to MSHA will be in a form intended to 

facilitate prompt dispatch of the findings to the miner. The results of 

an examination made of a miner will not be processed by ALOSH if the 

examination was made within 6 months of the date of a previous 

acceptable examination.