. The American journal of roentgenology, radium therapy and nuclear medicine . felt well. Physical examinationof the chest showed slight dulness, dimin-ished breathing and voice sounds with oc-casional crackling rales at the end of deep in-spiration at the right base in the axilla andbehind. Elsewhere the lungs were not re-markable. The sputum during his stay in theHospital was small in amount and showedno tubercle bacilli or elastic fibrils. Tuber-culin skin test was positive. His temperaturewas usually normal. Its highest point degrees. There was no daily variation. 5o8 Syphilis of
. The American journal of roentgenology, radium therapy and nuclear medicine . felt well. Physical examinationof the chest showed slight dulness, dimin-ished breathing and voice sounds with oc-casional crackling rales at the end of deep in-spiration at the right base in the axilla andbehind. Elsewhere the lungs were not re-markable. The sputum during his stay in theHospital was small in amount and showedno tubercle bacilli or elastic fibrils. Tuber-culin skin test was positive. His temperaturewas usually normal. Its highest point degrees. There was no daily variation. 5o8 Syphilis of the Lungs His weight was 138 pounds. The diagnosison discharge was: ( ?) SyphiHs of the hmg,(?) Tuberculosis. The .I-ray report on theOut-Patient record is: Generally something in both apices. Fusi-form swelling of the left clavicle. This re-port was apparently written into the recordfrom memory by the clinician after a con-sultation over the plate with the roentgenolo-gist, and is not a copy of the words dictatedby the latter. During the succeeding year. Fig. 3. Case II (igig). Dulness over entire rightchest, most dense at base, obliterating the outlinesof the diaphragm and the right border of theheart. In the upper part of the dull area is acoarse mottled appearance. Heart is somewhatdrawn toward the affected side. On the left thehilus shadow is increased in density and there is adiffuse peribronchial fibrosis. On the right, gum-mata with perilironchitis at a later stage. after discharge the patient continued to takemercury and KI by mouth until a slightstomatitis developed. On one occasion, in1909, his temperature was degrees, hisweight was 149 pounds and his Wasser-mann test was positive. He continued tocough and raise some sputum but felt quitewell. In the early part of 1910, his weightwas 156 pounds, a gain of 15 pounds overthe weight in 1908. He was not seen in theOut-Patient Department again until themiddle of 1914, when he came in with thestory
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