. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent : designed for the use of practitioners and students . Fig. 139. Mary F. April lo, 1897. First X-ray examination with screen. Pleurisy with effusionon left side; heart displaced to right. Excursion of diaphragm centimetres, shortened on rightside. (Cut one-third life size.) After the X-ray examination was made, 17 ounces of slightly bloodyfluid were withdrawn from the left chest. May 12. Second X-Ray Examination zvith Screen. — A light areabetween the upper and lower portion of the lung showed tha
. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent : designed for the use of practitioners and students . Fig. 139. Mary F. April lo, 1897. First X-ray examination with screen. Pleurisy with effusionon left side; heart displaced to right. Excursion of diaphragm centimetres, shortened on rightside. (Cut one-third life size.) After the X-ray examination was made, 17 ounces of slightly bloodyfluid were withdrawn from the left chest. May 12. Second X-Ray Examination zvith Screen. — A light areabetween the upper and lower portion of the lung showed that the fluid 2 24 THE ROENTGEN RAYS IN MEDICINE AND SURGERY had subsided. The apex of the lung still remaining dark suggested thepresence of tuberculosis. (See Fig. 140.) The patient was given i milligramme of tubercuHn and there wasa well-marked reaction. .Address I Diagnosis Age/<f DaU^6U^/Z ^/. cuiadon Vol. Page Fig. 140. Mary F. May 12. Second X-ray examination with screen. Less effusion in leftchest. Darkened left apex from tuberculosis. Light area seen between the effusion and darkenedapex. Excursion of diaphragm on right side 7 centimetres greater than at first examination. (Cutone-third life size.) May 18. Thiid X-Ray Examination with Screen.—^The light areanoted on May 12 had become so broad that a part of the left border of theheart could t This increase in the Hght area showed a further subsidence of ■. The darkened apex still persisted (Fig. 141). PLEURISY WITH EFPUSION. EMPYEMA 225 The next case, John J. L., illustrates the appearances seen on thescreen when the patient is suffering from pleurisy with effusion onthe rio;ht side and tuberculosis at the left apex : —• Name IdtOAA^ f^ Age / f Date TlO^/o I Ocrdpation Vol. Pciz^ AddressDiagnosis
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