. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 2. Old Left Empyema. Remaining PLEURAL thickening WITH PERICARDIAL ADHESIONS. * Read before the Nineteenth Annual Meeting of the American Roentgen Ray Society, Chattanooga, Tenn., September, Pennission to publish granted by Board of Publication, Surgeon Generals Office, Washington, D. C. 57 58 Streptococcus Emp^ema pneumonia. It may or may not follow oneof the acute infectious diseases, such asmeasles or mumps. There is a great ten-dency toward the formation of sub-pleuralabscesses; many authorit
. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 2. Old Left Empyema. Remaining PLEURAL thickening WITH PERICARDIAL ADHESIONS. * Read before the Nineteenth Annual Meeting of the American Roentgen Ray Society, Chattanooga, Tenn., September, Pennission to publish granted by Board of Publication, Surgeon Generals Office, Washington, D. C. 57 58 Streptococcus Emp^ema pneumonia. It may or may not follow oneof the acute infectious diseases, such asmeasles or mumps. There is a great ten-dency toward the formation of sub-pleuralabscesses; many authorities claiming that. Fig. 3. Old Dr-\ining Right Empvemic Cavity ixTHE Midst of Extensive Pleuritic Thickening. the involvement of the pleura is secondaryto the pulmonary lesion, and is probablycaused by a rupture of one of these ab-scesses into the pleural cavity. The pleuraleffusion occurs very early, and is consider-able in quantity: at first it is serous, butvery soon becomes serofibrinous and, final-ly, frankly purulent. It appears during thecourse of the lung involvement and is notpostpneumonic, as we are accustoined tosee in the pneimiococcus infection. Thesymptomatology, physical diagnosis, roent-gen ray examination, and diagnostic as-pirations, all come into play in making thediagnosis, and it is only by a completecorrelation of the findings of these differentdiagnostic methods that we can hope toarrive at a correct conclusion. The difficulties in many cases are thatthe subjective symptoms present much thesame clinical picture \\-ith or without fluid,and the physical signs are equally decep-tive.
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