. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 6. LEFT DIAPHRAGMATIC PLEURISY IN PULMONARY TUBERCULOSIS Diffuse shadows, scattered mottling in the right lung. More important ob-scurity of the upper two-thirds of the left lung with intervening clear zones (cav-ities). At the left base: very opaque limited shadow situated above the diaphragm,the outline of which, as well as that of the heart, is effaced. Suppression of re-spiratory movements. Clinical signs: cavity indications in the upper two-thirds of the left lung; at thebase flatness with absence of fremitus and obscured respir
. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 6. LEFT DIAPHRAGMATIC PLEURISY IN PULMONARY TUBERCULOSIS Diffuse shadows, scattered mottling in the right lung. More important ob-scurity of the upper two-thirds of the left lung with intervening clear zones (cav-ities). At the left base: very opaque limited shadow situated above the diaphragm,the outline of which, as well as that of the heart, is effaced. Suppression of re-spiratory movements. Clinical signs: cavity indications in the upper two-thirds of the left lung; at thebase flatness with absence of fremitus and obscured Radiograph 7. DIAPHRAGMATIC DRY PLEURISYBASE ^yITH ADHESIONS AT THE RIGHT Elevation and deformation of the diaphragmatic dome at the right. Doubleoutline of the diaphragm. Complete effacement of the costodiaphragmatic of the diaphragm. Autopsy.—Complete diaphragmatic adhesions of the right base. Between thelung and the diaphragm the presence of a considerable depth of organized exudatecorresponding to the grayish tone which surmounts the diaphragm. This explainsthe double contour seen on the print. CIRCUMSCRIBED AND ENCYSTED PLEURISY 47 of the heart as in aneurysm of the descending portion. Suchat least is the theoretical description. In reality, things arenot always as clear as that, and to detect mediastinalpleurisy it is necessary to compare the clinical symptomswith the radiological indications. Mollard and Rebattu reported a case with a purulentcollection which involved the mediastinum anteriorly andposteriorly on the left side. Diagnosis was based on thefo
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