. The American journal of roentgenology, radium therapy and nuclear medicine . largement extendedto the left common carotid, where it interior was filled with laminated clots,many of which were lying loose, whileothers were attached. The walls of this enlargement were com-posed wholly of the mediastinal tissues, withlarge quantities of fibrous tissue which haddeveloped in an effort to increase the strength of the enlargement. Enclosed in 90 Interesting Thoracic Aneurysms 91 its posterior walls were trachea; esophagusand numerous nerves. Posteriorly the wholewas firmly attached to the


. The American journal of roentgenology, radium therapy and nuclear medicine . largement extendedto the left common carotid, where it interior was filled with laminated clots,many of which were lying loose, whileothers were attached. The walls of this enlargement were com-posed wholly of the mediastinal tissues, withlarge quantities of fibrous tissue which haddeveloped in an effort to increase the strength of the enlargement. Enclosed in 90 Interesting Thoracic Aneurysms 91 its posterior walls were trachea; esophagusand numerous nerves. Posteriorly the wholewas firmly attached to the vertebral columnfrom the second to the sixth thoracic ver-tebra. All of these showed deep corrosion,especially the fourth, in which the body wasa mere shell and the finger could be passed My excuse for reporting these cases isthat they (especially the first and second)present this class of immense aneurysmswhich from better treatment are becomingrare. We all believe these cases to be syphil-itic, and on account of the great number ofNegroes they are much more common in the. Fig. I. Aneurysm of AscendingAorta. Fig. 2. Large Dissecting Aneu-rysm OF Thoracic Aorta. Fig. 3. Aneurysm of Pulmon- backward to the spinal canal. The descend-ing aorta was to all appearance perfectlynormal. The third case was referred for possibleaneurysm of the thoracic aorta. The symp-toms were chiefly dyspnea and murmur ofpulmonary area. The case as seen with ther-ray is one of aneurysm of the pulmonaryartery. No blood examination was condition is often associated with per-sistent ductus botalli. South than in other sections of the of a good many thousand ;r-ray exam-inations in two years work in the Navy Inever saw one thoracic aneurysm. This, Ibelieve, is due to the fact that there werecomparatively few Negroes. There werephysical examinations at short intervals,precluding the possibility of cases running tosuch extremes, and very few early syphiliticlesions got by without note


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