. The American journal of roentgenology, radium therapy and nuclear medicine . tion-hand on the railroad,height 5 ft., 9 in., weighing 138 lbs. on May15, 1920. His family history is has a marked cachectic appearanceand sallow complexion with a historyof progressive increasing weakness and lossof weight (lost 6 lbs. during the previousmonth). He is very nervous from constant Paper submitted with application for membership in Tin-; .American Roentgen Ray Society, 1922. 802 Treatment of a Case of Primary Mediastinal Tumor of the Lung 803 coughing, shortness of breath and pressureeffec
. The American journal of roentgenology, radium therapy and nuclear medicine . tion-hand on the railroad,height 5 ft., 9 in., weighing 138 lbs. on May15, 1920. His family history is has a marked cachectic appearanceand sallow complexion with a historyof progressive increasing weakness and lossof weight (lost 6 lbs. during the previousmonth). He is very nervous from constant Paper submitted with application for membership in Tin-; .American Roentgen Ray Society, 1922. 802 Treatment of a Case of Primary Mediastinal Tumor of the Lung 803 coughing, shortness of breath and pressureeffects. This cough, he states, started twelveyears ago in the springtime. At first thisirritation would subside in the summerseason and then return m the fall andwinter. He has had the persistent, irri-tating cough all the time for the last fouror five years. The sputum is negative as totuberculosis, and there has been no dis-colored sputum at any time, nor could Isolicit the record of his havmg had atemperature at any time, nor any palpableglands in the neck or other Fig. 3. Made ScptL-mbtT 21, iy2u. Tujnur shadow haspractically disappeared. The patient was thoroughly examined,with the following report: With the patient on the left side onecan hear, in the third interspace in thethird mid-clavicular region, when he hasblown out his breath and held it, a loudsystolic murmur in this area. The questionwas raised at once of the possibility ofthere being an aneurysm, based on a lueticaortic infection. He had been treated for lues severaljears ago with a course of 606. Atpresent he has a negative Wassermanntest. Mercury was gl\en without impro\e-ment. The patient said he had typhoid feverin the fall of 1919. On making a fluoroscopic and plateexamination at this time I found thefollowing: A rounded mass extending
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