. Radio-diagnosis of pleuro-pulmonary affection . t-lines as clear. Obscurity predominates in the apex and thenextends later in a diffuse manner over the same or the lowerlobes as scattered mottled areas. It is rare, when the lesionsare fairly extensive, for the opposite side to be absolutelynormal, and most often there are found small, localizedshadows either in the apex or in the vicinity of the the contrary, in the case of cancer, aside from some smallglands of the hilus which may become affected secondarily, 144 RADIO-DIAGNOSIS: LUNGS the pulmonary clearness on the normal side fro
. Radio-diagnosis of pleuro-pulmonary affection . t-lines as clear. Obscurity predominates in the apex and thenextends later in a diffuse manner over the same or the lowerlobes as scattered mottled areas. It is rare, when the lesionsare fairly extensive, for the opposite side to be absolutelynormal, and most often there are found small, localizedshadows either in the apex or in the vicinity of the the contrary, in the case of cancer, aside from some smallglands of the hilus which may become affected secondarily, 144 RADIO-DIAGNOSIS: LUNGS the pulmonary clearness on the normal side from apex tobase is persistently unafifected. b. Cancer of the hilus.—Primary cancer of the lung mayin certain cases begin in the region of the hilus. In the onlycase which Barj on observed a congenital malformation ofthe lung existed. The left lung, in place of being dividedby a normal interlobar fissure into two lobes, upper andlower was divided by a longitudinal fissure into a short andlimited hilus lobe and a large longitudinal lobe occupying. Fig. 25Secondary cancer of the lung, nodular form, following cancer of the kidney. the entire length of the hemithorax. This last was absolutelynormal and the cancer remained limited to the hilus case, then, comes into the category of lobar cancer. Often cancer of the hilus region is secondary to tumors ofthe surrounding part—cancer of the mediastinum—and be-longs then in the following class: 2. Secondary cancer.—This may appear under two forms:a nodular form which is quite characteristic from a radio-logical point of view, and a diffuse form, the radiologicaldiagnosis of which is much more difficult. a. Nodular form.—Secondary nodular cancer of the lungon radioscopic examination has a quite characteristic ap-pearance. There is very plainly seen standing out against LUNG TUMORS 145 the clearness of the lungs one or more shadows, round inform, with regular, well defined outline. These shadows arenot very deep, but in s
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