. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 2. Chest Roentgenogram at the Time of the Fig. 3. Chest in , 1917—16 Months AfterShoulber Amputation, May 9, 1916. Operation—Showing fluid and metastatic Malig- nancy. * Read before the P.\ciFic Coast Kay , ])ecember. 1917. 286 Secondary Hypertrophic Osteo-Arthropathy 287 wagon and had the middle third of the rio;ht There was no apparent honv involvement arm hadly cut and hruised. The wound (P^ig. i )• There was no evidence of glandu- healed readily, leaving considerahle scar lar inv

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. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 2. Chest Roentgenogram at the Time of the Fig. 3. Chest in , 1917—16 Months AfterShoulber Amputation, May 9, 1916. Operation—Showing fluid and metastatic Malig- nancy. * Read before the P.\ciFic Coast Kay , ])ecember. 1917. 286 Secondary Hypertrophic Osteo-Arthropathy 287 wagon and had the middle third of the rio;ht There was no apparent honv involvement arm hadly cut and hruised. The wound (P^ig. i )• There was no evidence of glandu- healed readily, leaving considerahle scar lar involvement and no clinical or roentgen tissue. Five years after the accident, a rap- evidence of pulmonary invohement ( Fig. 4. Fig. 5. Fig. 6. idly growing mass appeared in the scar tis- 2). On May 9, 1916. Dr. Emmett Rixfordsue and it was excised, hut recurred within a did a thoraco-scapular amputation, fromyear and was again removed. A )ear later, which the i)atient made an uneventful re-

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