. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 20. TUMOR OF THE ANTERIOR SUPERIOR MEDIAS-TINUM AFFECTING THE ADJACENT GLANDS Enormous shadows in the superior mediastinal region, extending beyond themedian shadow on both sides. Extension to the entire hilus of the right lung. Clinically.—Symptoms of pressure, difficulty in breathing, wheezing, dyspnoea,raucous Radiograph 21. A RIGHT, EXTENSIVE PULMONARY INFARCT IN A CARDIACVery large heart. Considerable enlargement of the median shadow. The aortaand the pulmonary artery are appreciably deflected to the left. In the right p
. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 20. TUMOR OF THE ANTERIOR SUPERIOR MEDIAS-TINUM AFFECTING THE ADJACENT GLANDS Enormous shadows in the superior mediastinal region, extending beyond themedian shadow on both sides. Extension to the entire hilus of the right lung. Clinically.—Symptoms of pressure, difficulty in breathing, wheezing, dyspnoea,raucous Radiograph 21. A RIGHT, EXTENSIVE PULMONARY INFARCT IN A CARDIACVery large heart. Considerable enlargement of the median shadow. The aortaand the pulmonary artery are appreciably deflected to the left. In the right pul-monarj field one sees an extended, elongated shadow occupying the lower two-thirds, from the median portion of the shoulder blade as far as the shadow ends in a point in the lower part. TRACHEOBRONCHIAL ADENOPATHY 91 development of pulmonary tuberculosis as Pi6ry andJacques have well shown, but may also precede pulmonarylesions. These glands alone do not cause any special symptoms,but their occurrence is none the less important on accountof the seriousness of the condition revealed. The glands,however, may be found also in the course of less seriousaffections, as ordinary bronchitis, chronic bronchitis orbronchiectasis which produce an inflammation and per-manent infection of the bronchial tract, causing secondarilyinflammation and hypertrophy of these in
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