. Archives of physical medicine and rehabilitation . erpreted as inflammation and notsarcoma. Result. March 22, 1922. fivemonths. Dr. Root writes that the patientlooks well and is able to attend to busi-ness. He walks on crutches, becausethe right hip is swollen and swelling has taken place since hepassed from my observation. Thewound on the left tibia, which hadhealed when he left St. Agnes Hospital,broke down, discharged for a shorttime and healed. This is evidence infavor of an inflammatory lesion andagainst sarcoma. The patient still ob-serves a little blood in the stool. Theu
. Archives of physical medicine and rehabilitation . erpreted as inflammation and notsarcoma. Result. March 22, 1922. fivemonths. Dr. Root writes that the patientlooks well and is able to attend to busi-ness. He walks on crutches, becausethe right hip is swollen and swelling has taken place since hepassed from my observation. Thewound on the left tibia, which hadhealed when he left St. Agnes Hospital,broke down, discharged for a shorttime and healed. This is evidence infavor of an inflammatory lesion andagainst sarcoma. The patient still ob-serves a little blood in the stool. Theurine, however, shows no evidence ofalbumin or casts. The red and whiteblood count was normal; the hemo-globin is a little low—sixty-eight percent; while under my observation it waseighty per cent. X-rays were taken January 23 andFebruary 13. On January 23 thelesion of the femur as compared withFig. 1 2 shows some smoothing down ofthe irregular periosteal bone formation,but slight increase in the cortical de-struction, while the later x-ray of the. Figure XVI.—Case Vll.—Pathol. Multiple infections ossifying-periostitis of both bones of both legsand pelvis, most marked on the righttibia. same area on February I 3, shows anincrease of the periosteal bone forma-tion and a beginning involvement of thetrochanter above with a new focus inthe tuberosity of the ischium. The changes in the tibia as com-pared with Fig. I 3 on January 23showed perhaps a slight increase in bonedestruction and bone formation, whileon February I 3th cortical bone de-struction had almost reached the mar-row cavity. The patient still com-plained of pain. Remarks. Apparently in this patientthere is no great improvement in thebone lesion, and a third focus has ap-peared, but it is to be noted that thefocus of infection has not yet beenfound. I ha>e just been sent the x-raystaken February 19, 1922. Fig. I 1-ashould be compared with Fig. I I. Thedifference in time is four months. Thelesion below
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