. The American journal of roentgenology, radium therapy and nuclear medicine . nd immobile and therehas been gradual retraction of the heartand mediastinal structures toward theright. There appears to be distinct fibrosisin the right lung (Fig. 6). The patient was lost to observationuntil May 23, 1922, when she reportedagain with an extensive local recurrencein the same location where the tumor wasbefore. She states that this began to appearin February, 1922. There is now a largecauliflower mass with bad odor. Examina- nied by cough and dyspnea; that this waspresumably due to extension of the
. The American journal of roentgenology, radium therapy and nuclear medicine . nd immobile and therehas been gradual retraction of the heartand mediastinal structures toward theright. There appears to be distinct fibrosisin the right lung (Fig. 6). The patient was lost to observationuntil May 23, 1922, when she reportedagain with an extensive local recurrencein the same location where the tumor wasbefore. She states that this began to appearin February, 1922. There is now a largecauliflower mass with bad odor. Examina- nied by cough and dyspnea; that this waspresumably due to extension of the carci-noma of the breast, but that it subsequentlydisappeared; and that the patient is freetoday, after sixteen months, of any demon-strable intrathoracic disease. Not all of our cases have been so clear-cut as this one. In some of them we aresure that there has been extension of themalignant disease to the intrathoracicstructures. But e\en in these cases, theoccurrence and subsccjuent disappearanceof cough and dyspnea coincident with apartial clearing up of the evidence of. Fi<;. ■;. Case I. September 13, ii)2i. The evidence ofinliltnition lias largely disappeared. Tliere are marlcedlibrosis throughout the lung and adhesions at theright base. tion of the chest shows a much retractedlung field on the right side, but the lungaerates well and there is almost completedisappearance of the markings previouslyinterpreted as representing fibrosis. Thereis no evidence of the presence of intra-thoracic disease (Fig. 7). On May 31 the tumor was remo\cd byelectrocoagulation and the area of thetumor given radium and roentgentreatment. The points wc wish especially to empha-slz. in this case are that this patient had alesion in the right lung which appearedafter roentgen treatment and was accompa- FiG. 6. Case I. September 2g, iy2i. Retraction ofmediastinal structures toward the right. Rightdiaphragm higher than normal, and immobile. infdtratlon in the lung ha\e strengthenedour convict
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