. Journal of radiology . eneral physical ex-amination revealed nothing of im-portance. The roentgenologic find-ings were marked increased dens-ity of the bone of the pelvis andupper part of left femur, withwidening of the shaft; probablymetastasis. The patient was senthome by the consultant after hav-ing been given a negative diag-nosis. January 22, 1910, the patientreturned to the Clinic complain-ing that the left hip and knee hadbecome stiffer and the fingers morepainful. A roentgen diagnosis ofprobable metastasis was againmade. The orthopedist consid-ered the condition chronic osteitis,sugg
. Journal of radiology . eneral physical ex-amination revealed nothing of im-portance. The roentgenologic find-ings were marked increased dens-ity of the bone of the pelvis andupper part of left femur, withwidening of the shaft; probablymetastasis. The patient was senthome by the consultant after hav-ing been given a negative diag-nosis. January 22, 1910, the patientreturned to the Clinic complain-ing that the left hip and knee hadbecome stiffer and the fingers morepainful. A roentgen diagnosis ofprobable metastasis was againmade. The orthopedist consid-ered the condition chronic osteitis,suggestive of an oncoming Pagets PAGETS DIS HAS K—(A R M A X AXI) CARRICK disease and advised re-exaniina-tion in one year. April 5, 1920, the patient againcame to the Clinic with the samecomplaint. She was called homebefore her examination was com-pleted, but the roentgenogramsshow the typical changes of ostei-tis deformans throughout the leftfemur and hip and involving thepelvis. No plates of the skullwere made (Fig. 4).. Fig. IV.—Case 212968—Left appearance, due to in-creased density and thickening. Case 5 (213032)Mrs. M. H. S., aged 45, cameto the Clinic November 7, 1917,complaining of dizziness, pain inthe head, and failing sight andhearing, first noticed about began to suffer from head-aches in the occipital and frontalregions and noticed that her headwas enlarging. She had spells ofdizziness and falling to the rightside, which lasted about one min-ute; she was always sleepy andfell asleep in her chair while talk-ing. Clinical Findings. 1 ne patient was five feet, oneinch in height, and weighed 130pounds. Her head was large andsquare looking and the temporalvessels were large and roentgenographic examina-tion of the skull showed the skullbones increased in thickness anda rarefying process in the bonystructure of the vault. There wasa systolic murmur at the apex, nottransmitted. Vision and pupilswere normal, light reflexes weresluggis
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