. 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. 109. G, R. Third X-ray examination with screen. Still further improvement. Excursionof diaphragm on right side, 2 centimetres ; on left side, centimetres. (One-third life size.) on the right side, and a shortened excursion of the diaphragm could bebarely made out. On the left side, from the second to the fourth ribs^inclusive, the chest was darker than normal. Below the fourth rib onthis side was the lightest part of the thorax. Excursion
. 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. 109. G, R. Third X-ray examination with screen. Still further improvement. Excursionof diaphragm on right side, 2 centimetres ; on left side, centimetres. (One-third life size.) on the right side, and a shortened excursion of the diaphragm could bebarely made out. On the left side, from the second to the fourth ribs^inclusive, the chest was darker than normal. Below the fourth rib onthis side was the lightest part of the thorax. Excursion of the dia-phragm centimetres. (See Fig. io8.) PNEUMONIA 179 On March 19, X-ray examination with screen (of which no tracingis reproduced) showed the whole of the right side darker than the diaphragm on this side was the width of a rib higher than on theleft side and had an excursion of centimetres. On the left side theexcursion of the diaphragm was 3 centimetres. Name Address Diagnosis 4,K. Age Occupation te yifl/U^ 8 ^^ Vol. //•. Fig. no. G. R. Fourth X-ray examination witii screen. Signs by X-rays; shaded lungs andexcursion of diaphragm restricted on both sides. No physical signs at this time. (One-third life size.) March 24. Physical Examination. — Slight increase in dulness onthe right side ; respiratory murmur shorter than on the left side. March 24. X-Ray Examination with Screen. — Dark area on the upperportion of the right side, as far down as the third rib. Dark area about l8o THE ROENTGEN RAYS IN MEDICINE AND SURGERY over the third rib on the left side. Excursion of the diaphragm on theright side, from about the upper border of the fourth to the upper borderof the fifth rib, 2 centimetres ; on the left side, from the middle ofthe fourth intercostal space to the lower portion of the fifth intercostalspace, centimetres. The diaphragm was higher on the right sidethan on the left. Heart enlarged on the right side. (See Fig. 109.) April I. No
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