. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . Fk;. 131. Thomas R. March 12, 1897. Pleurisy with effusion. First X-ray examination withscreen. Whole of left chest dark; first and second ribs seen faintly; heart displaced to right. (Curone-third life size.) with diminished breathing and voice sounds; tactile fremitus muchdiminished ; in the left back the same signs, most marked from belowangle of scapula to base; at base, flatness by percussion; respiratorymurmur absent. PLEURISY WITH EFFUSION.
. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . Fk;. 131. Thomas R. March 12, 1897. Pleurisy with effusion. First X-ray examination withscreen. Whole of left chest dark; first and second ribs seen faintly; heart displaced to right. (Curone-third life size.) with diminished breathing and voice sounds; tactile fremitus muchdiminished ; in the left back the same signs, most marked from belowangle of scapula to base; at base, flatness by percussion; respiratorymurmur absent. PLEURISY WITH EFFUSION. EMPYEMA 211 June 5. X-Ray Examination with Screen. — On the left side the ribscould be seen from the first to the fourth rib, though less clearly than on Name y^^^uiA^a^ ^\ AddressDiagnosis AgeOccupaltan Date ,^Y^A>C^ Z6 Vol. Page. \ Fig. 132. Thomas R. April 26. Third X-ray examination with screen. Right side perfectly I clear; first, second, and third ribs seen on left side; no outline of left border of heart visible; heartI still displaced to right. (Cut one-third life size.) I ! the right side. A portion of the left border of the heart could be made; out. No diaphragm lines were seen on the left side, even in full inspi-I ration. The upper portion of the fluid, though of course not well defined, 212 THE ROENTGEN RAYS IN MEDICINE AND SURGERY was rather more so while the patient was sitting up than while lyingdown. (See Fig. 133.) June 8. The physical signs were the same as on May 31. Name .Address Diagnosis ^/^^f-l^^^dLJ /\. Age Dateyf^^^^^ ^ Occupation ^ Vol. Page -^
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