. Roentgen interpretation; a manual for students and practitioners . Fig. 125.—Actinomycosis of the hmgs. In this case the changes are most markedaround the right descending bronchus and resemble bronchiectasis. THE HEART AND GREAT VESSELS 149 nected with the mediastinum. If rupture of the cyst has occurred,the picture will simulate that of lung abscess. Actinomycosis.—^Actinomycosis usually occurs in the form of alung abscess and diagnosis is made bacteriologically. Pneumonoconiosis (Anthracosis, Chalicosis).—Pneumonoconiosismay occur as a diffuse, fine mottling s^Tnmetrically distributedthro


. Roentgen interpretation; a manual for students and practitioners . Fig. 125.—Actinomycosis of the hmgs. In this case the changes are most markedaround the right descending bronchus and resemble bronchiectasis. THE HEART AND GREAT VESSELS 149 nected with the mediastinum. If rupture of the cyst has occurred,the picture will simulate that of lung abscess. Actinomycosis.—^Actinomycosis usually occurs in the form of alung abscess and diagnosis is made bacteriologically. Pneumonoconiosis (Anthracosis, Chalicosis).—Pneumonoconiosismay occur as a diffuse, fine mottling s^Tnmetrically distributedthroughout both lungs. The apices may be involved although suchis not usually the case. The picture is very suggestive of miliary. Fig. 126.—Potterj- workers lungs. Pneumonoconiosis. tuberculosis. However, there will usually be a long history ofoccupational exposure to dust and there is little or no clinical evi-dence of a process as extensive as the roentgenogram would indicate,the mottling is more dense and the areas are smaller, more .sharplydefined, and more uniform in size than of tuberculosis. Another form of this disease is seen frequently in gold mine andpottery workers, and appears as a diffuse process involving bothjungs,particularly the upper lobes, and from the plates alone cannot bedistinguished from fibroid phthisis. 150 THE CHEST BIBLIOGRAPHY. Adler, Isaac: Primary malignant growths of the kings and bronlphi, Longmans,1912. Howell, W. W.: Studies in bronchial glands, Am. Jour. Dis. Children, 1915, x, p. 90. Morse, J. L.: Case of congenital heart disease. Am. Jour. Dis. Children, 1915, x,p. 27. Jackson, H.: Multiple metastatic sarcomas of the lungs, Jour. Am. Med. Assn.,1916, Ixvi, p. 833.


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