. The American journal of roentgenology, radium therapy and nuclear medicine . %i. Fig. I. was moderate impairment; feeble breathsounds and absent vocal resonance werenoted below the level of the eighth cervicalvertebra to the base. A routine .r-ray examination of the chest(Fig. i) disclosed it as normal for a manof his age, with the exception of the shadowin the lower left thorax. This shadow at first was thought to bea pneumothorax, or possibly a diaphragmatichernia. To make the differential diagnosisthe patient was given a barium meal; thetwo-meal method was employed. FLUOROSCOPIC EXAMINATI


. The American journal of roentgenology, radium therapy and nuclear medicine . %i. Fig. I. was moderate impairment; feeble breathsounds and absent vocal resonance werenoted below the level of the eighth cervicalvertebra to the base. A routine .r-ray examination of the chest(Fig. i) disclosed it as normal for a manof his age, with the exception of the shadowin the lower left thorax. This shadow at first was thought to bea pneumothorax, or possibly a diaphragmatichernia. To make the differential diagnosisthe patient was given a barium meal; thetwo-meal method was employed. FLUOROSCOPIC EXAMINATION. The patient is tall and slender; the inter-costal angle is somewhat less than a rightangle; he approaches the asthenic type. Standing Position.—The upper thorax isnegative; the lower right thorax is also neg-ative. Occupying the lower left thorax thereis an area of high light which extends upinto the thorax from below as high as thethird interspace in front and ninth rib be-hind. This area is bounded by a definitethin line extending from the spine almostto the lateral wal


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