The Pennsylvania Supreme Court has let stand a lower court ruling that a group of plaintiffs failed to state a claim for medical monitoring based on allegations that a Pittsburgh hospital had used under-qualified technicians to review their Pap smears rather than board certified pathologists.

The justices affirmed the Superior Court’s decision — upholding the trial court — in a one-page order less than a month after the case was argued. According to the order, Chief Justice Ralph J. Cappy did not participate in the consideration or decision of the case. The high court heard oral arguments in Walter v. Magee-Womens Hospital in Pittsburgh Sept. 11.