. Archives of physical medicine and rehabilitation . .-a—Case VI.—Pathol. Mnltlple infections ossifying-periostitis of fsninr and tibia. X-raytnkeu fonr n^unths after that shownin Figrnrc XI. region in the middle of the hilus of theleft lung. There is no evidence of an infectionof the nose and throat, nor of theteeth. The patient remembers a bumpon this thigh a month before the painbegan. Result. March, 1922, four Kiesel sent me a second is practically identical ^vith thefirst (Fig. 9). There is no evidenceof any new periosteal bone formationor bone destruction
. Archives of physical medicine and rehabilitation . .-a—Case VI.—Pathol. Mnltlple infections ossifying-periostitis of fsninr and tibia. X-raytnkeu fonr n^unths after that shownin Figrnrc XI. region in the middle of the hilus of theleft lung. There is no evidence of an infectionof the nose and throat, nor of theteeth. The patient remembers a bumpon this thigh a month before the painbegan. Result. March, 1922, four Kiesel sent me a second is practically identical ^vith thefirst (Fig. 9). There is no evidenceof any new periosteal bone formationor bone destruction. The patient is justrecovering from an attack of broncho-pneumonia. Remarks. This may be an exampleof traumatic ossifying periostitis, but Iam suspicious of a focus of infectionsomewhere, perhaps in the lungs, on ac-count of the x-ray picture, the low leu-kocyte count, the slight anemia, and therecent bronchopneumonia. It resembles,in the x-rays, closely the cases reportedby Garre and Jones. It is not unlikethe x-ray studies of Pagets Pig-ure XII.—Case VI.—Pathol. Multiple infectious ossifyinerperiostitis. Focus of infection incolon (?). See Pigrure XI. except there is no bowing, and theamount of bone formation is moderate. Dr. Kiesel reports later that the areasho\sn in the x-ray is palpable. He isinclined to the opinion that it is notsarcoma. Case 5 —(Pathol. No. 11295). The history andx-rays in this case were sent to me inDecember, 1 92 1, by Dr. H. H. Sherkof Pasadena, California. The lesioninvolves the shaft of the femur andsuggests the healed stage of infectiousossifying periostitis. Dr. Sherk and hiscolleagues were of the opinion that itwas not sarcoma. The x-ray (Fig. 10)was taken November 23, 1921, anddoes not differ from previous x-rays. Clinical History. White female,aged forty-eight, unmarried. There isa long history of ill health, of an at-tack of bronchopneumonia, of gastricsymptoms, ol scarlet fever, of a chronic Piffur
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