. 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 . II, 1898. Physical Examination. — Lungs normal, save thatthe breathing was somewhat jerky in places, and the fremitus slightlyincreased all over the right chest. Rest of physical examination nor-mal. Diagnosis : phthisis. May 13. At inner edge of left scapula a few rales ; no differencein fremitus or voice. May 14. An occasional indeterminate rale here and there overchest, not permanent in character; no abnormality in breathing orvoice ; resonance


. 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 . II, 1898. Physical Examination. — Lungs normal, save thatthe breathing was somewhat jerky in places, and the fremitus slightlyincreased all over the right chest. Rest of physical examination nor-mal. Diagnosis : phthisis. May 13. At inner edge of left scapula a few rales ; no differencein fremitus or voice. May 14. An occasional indeterminate rale here and there overchest, not permanent in character; no abnormality in breathing orvoice ; resonance good. May 15. Breathing very little qualitatively modified. As before,there are occasional rales, and in right axilla after cough they are morenumerous than elsewhere. Tubercle bacilli found i?i sputum. I examined this patient with the X-rays, with the following result: — 156 THE ROENTGEN RAYS IN MEDICINE AND SURGERY J/aj 16. X-Ray Examination with Screen. — Right side dark through-out; excursion of diaphragm centimetres; this muscle does notdescend to the lower portion of the chest; on left side, excursion 7centimetres (Fig. 98).. LBC


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