. Radio-diagnosis of pleuro-pulmonary affection . leurisy. No intervention could be made at this stage; it was only twoand a half to three months afterwards that an abundant evacuationwas produced and that from the effect of rupture of adhesions ina third phase, the large pleural cavity was invaded. A first intervention drained the large pleura; later a secondintervention was necessary on the encysted interlobar focus whichhad not been sufficiently emptied. The patient had a perfectrecovery. The development, extension and repeated intervention confirmedthe diagnosis. CIRCUMSCRIBED AND ENCYSTED
. Radio-diagnosis of pleuro-pulmonary affection . leurisy. No intervention could be made at this stage; it was only twoand a half to three months afterwards that an abundant evacuationwas produced and that from the effect of rupture of adhesions ina third phase, the large pleural cavity was invaded. A first intervention drained the large pleura; later a secondintervention was necessary on the encysted interlobar focus whichhad not been sufficiently emptied. The patient had a perfectrecovery. The development, extension and repeated intervention confirmedthe diagnosis. CIRCUMSCRIBED AND ENCYSTED PLEURISY 53 In connection with these two cases of Barjons the case ofCade and Goyets is here included. Case III (Cade and Goyet).—Wound of the oesophagus by abony foreign body. Poor general condition, fever, chills, , purulent expectoration, then true vomica. It is aquestion of an encysted pleurisy. Radioscopic examination made after the evacuation shows alight obscurity in the middle part of the left lung above the Fig. 12. HILUS PHASE Fig. 13. INTERLOBAR PHASE. Two phases of an interlobar pleurisy fifteen days apart. The posterior space, on obUque examination, appears opaque inits middle portion. Barjon thinks this case could be interpreted as an encystedpleurisy of the posterior region of the left hilus, affecting perhapssecondarily the posterior space of the mediastinal pleura. In fact, according to radioscopic examination, neither the largepleura nor the interlobe seem to have been involved. As theevacuation was sufficiently abundant, it might be asked whetherthere has not been secondary involvement of the posterior medias-tinal space. The image of this localization easily passes unnoticed,covered as it is by the shadow of the heart. On the other hand,the oesophageal origin of the infection would easily explain thisextension. The posterior localization of the empyema seems confirmedclinically by stethoscopic signs, friction, rales and expirat
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