. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 10. ARTIFIC^IAL PNEUMOTHORAX FOR TUBERCULOSISOF THE RIGHT LUNG Complete detachment of the lung except in the extreme apex. Lung retractedtowards the hilus in complete collapse. Displacement of the heart and mediastinumto the left. Elongation of the right hemithorax, enlargement of intercostal spaces,lowering and flattening of the diaphragm. Movement of balance. Inspiratorydisplacement of the mediastinum. Auscultation—Pneumothorax signs. Amphoric breathing, metallic tinkling,brassy Radiograph 11. ARTIFICIAL PNEUMOTHORAX WITH
. Radio-diagnosis of pleuro-pulmonary affection . Radiograph 10. ARTIFIC^IAL PNEUMOTHORAX FOR TUBERCULOSISOF THE RIGHT LUNG Complete detachment of the lung except in the extreme apex. Lung retractedtowards the hilus in complete collapse. Displacement of the heart and mediastinumto the left. Elongation of the right hemithorax, enlargement of intercostal spaces,lowering and flattening of the diaphragm. Movement of balance. Inspiratorydisplacement of the mediastinum. Auscultation—Pneumothorax signs. Amphoric breathing, metallic tinkling,brassy Radiograph 11. ARTIFICIAL PNEUMOTHORAX WITH INCOMPLETEDETACHMENT OF THE LEFT LUNG The left lung has remained adherent to the apex and in the axillary region; atthe base a pulmonary tongue has remained adherent to the diaphragm at theleft of the heart. The pneumothorax is made up of two parts,—a large lateral air chamber occupy-ing all the side from the axilla to the diaphragm, and a small chamber situatedabove and inward against the vertebral column below the clavicle. Displacementof the heart and mediastinum. 4 PNEUMOTHORAX 59 During this time, the lung also has undergone markedmodifications. Compressed by the double effusion—fluidand gaseous—it retracts towards the hilus, if adhesions donot prevent this movement. Its volume therefore becomesgreatly reduced; it appears as a stump, the contours of whichare obscured by the fluid effusion but appear clearly in thegaseous zone. In fact, the compressed lung, having re-tracted, is emptied in large part, if not totally, of the air tha
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