Diseases of the chest and the principles of physical diagnosis . Fig. 301.—Fibrosis of the lung in wliicli the thickened pleura and the fibrosis within thelung are definitelj associated. (Phipps Institute, Fifth Report.)30 466 DISEASES OF THE BRONCHI, LUNGS, PLEURA, AND DIAPHRAGM An almost constant feature of these unilateral cases is the associatedpleural thickening. The pleural cavity becomes obliterated and thelung is bound down by dense adhesions, so that it is removed from thechest cavity only with the greatest difficulty. As a rule, fibroid changesin the pleura form a part of the general
Diseases of the chest and the principles of physical diagnosis . Fig. 301.—Fibrosis of the lung in wliicli the thickened pleura and the fibrosis within thelung are definitelj associated. (Phipps Institute, Fifth Report.)30 466 DISEASES OF THE BRONCHI, LUNGS, PLEURA, AND DIAPHRAGM An almost constant feature of these unilateral cases is the associatedpleural thickening. The pleural cavity becomes obliterated and thelung is bound down by dense adhesions, so that it is removed from thechest cavity only with the greatest difficulty. As a rule, fibroid changesin the pleura form a part of the general process and depend on the same. Fig. 302.—Chronic fibrosis of left lung. Marked retraction of left chest,great vessels displaced toward the affected side. Heart and exciting cause as the intrapulmonary change. Whether the fibroushyperplasia can begin in the pleura and by extension inward along theinterlobular septa secondarily involve the lung is not clear. As can beseen in Fig. 301, the greatly thickened pleura and the fibrosis at the root DISEASES OF THE LUNGS 467 of the lung are independent of each other, while in Fig. 302 the thickenedpleura and the fibrosis within the lung are definitely associated. It isquite probable that in some instances the two processes are dependenton the same exciting factor. Rarely the pleura may escape entirely. It is not often that a lung which has undergone fibroid change retainsits normal size. Such a lung is nearly always smaller than normal, thereduction in size being, in some instances, extraordinary. In the varietyknown as Corrigans cirrhosis the lung may not exceed the size
Size: 1446px × 1728px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1920
