. 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 . xpect to find the heart more displaced to theleft than is the case. Further, in a pleurisy with large effusion on theright side, the left lung and pleura being normal, the diaphragm onthe left side would be seen lower in the chest than in health, because itwould have been pushed down by the organs of the right side that weredisplaced to the left by fluid; whereas in this respect the cut shows anormal diaphragm on the left side. If this cut is comp


. 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 . xpect to find the heart more displaced to theleft than is the case. Further, in a pleurisy with large effusion on theright side, the left lung and pleura being normal, the diaphragm onthe left side would be seen lower in the chest than in health, because itwould have been pushed down by the organs of the right side that weredisplaced to the left by fluid; whereas in this respect the cut shows anormal diaphragm on the left side. If this cut is compared with the 34 2 THE ROENTGEN RAYS IN MEDICINE AND SURGERY diagram of pleurisy with effusion (Fig. 128 in the chapter on Pleurisy),the points of difference in the two illustrations will be noted and thematter will be made clearer. In Fig. 128 we see the wz/c/^-displacedheart and the lowered diaphragm that are characteristic of pleurisywith large effusion; but these signs are wanting in the cut we areconsidering. Let us now take up the history and physical signs. Thoracentesisin March, 1899, had shown the presence of some bloody fluid in the.


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