. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 34. CHRONIC SIMPLE BILATERAL TUBERCULOSIS-DISINTEGRATION AND CAVITY LESIONSThe two pulmonary fields are studded with diffuse shadows—a mottled appear-ance. A somewhat clear zone at the right apex—the supra and sub-clavicularregion (cavity). Autopsy.—Diffuse pulmonary tuberculosis of the suppurativebroncho-pneumonic form. The right lung shows a large cavity which occupies theentire upper lobe. Disintegrating and cavities in the middle lobe; infiltration ofthe lower lobe. Diffuse sclerosis. The left lung shows disintegration and manysm


. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 34. CHRONIC SIMPLE BILATERAL TUBERCULOSIS-DISINTEGRATION AND CAVITY LESIONSThe two pulmonary fields are studded with diffuse shadows—a mottled appear-ance. A somewhat clear zone at the right apex—the supra and sub-clavicularregion (cavity). Autopsy.—Diffuse pulmonary tuberculosis of the suppurativebroncho-pneumonic form. The right lung shows a large cavity which occupies theentire upper lobe. Disintegrating and cavities in the middle lobe; infiltration ofthe lower lobe. Diffuse sclerosis. The left lung shows disintegration and manysmall cavities in the upper lobe; infiltration of the lower Radiograph 35. PULMONARY MYCOSIS SIMULATING TUBERCULOSISA somewhat extensive obscurity of the right apex with a clear zone (cavity).Less extensive obscurity of the left apex. Clinical development—fistula in thethoracic wall of the pulmonary cavity. Metastasis in the calf of the leg. Labora-tory examination shows that it is a mycosis and not tuberculosis. PULMONARY TUBERCULOSIS 131 without any definite lower outline. The opposite apex al-most always shows some anomaly. In early cancer theshadow is more clearly defined by the interlobe; the line ofdemarcation is clear; below, the lung remains clear, theopposite apex is normal. Such are the radioscopic findings that are to be relied on found them in precise form in two cases, but perhapsthey will not always be as clear. Another patient with the diagnosis of pleurisy and con-gestive attacks of the apex with hemoptysis showed on radio-scopic examination the existence of an hydatid cyst of thethorax with its characteristic pictu


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