You generally don’t get, or expect to get, every last file in a medical record. That said, a discharge summary is just that - a summary. For a cancer to be foun

You generally don’t get, or expect to get, every last file in a medical record. That said, a discharge summary is just that - a summary. For a cancer to be found inoperable, the record would usually include multiple imaging studies, pathology studies, reports analyzing the above, a specialist consult note, a primary internist note addressing the specialist consult note, etc. A lot would have to be missing for there to be no hint of this. Normal medical records tend to have a lot of redundance around cancer diagnosis and prognosis.