. 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 . <Jo/inJLP/ear//)c n//l a^jon. 7oberca/o ^erca/o^js Fig. 142. John J. L. May 29, 1899. Cut of X-ray tracing (one-third life size). Pleurisy with effusionon the right side. Heart displaced to left. Shaded left apex shows a tuberculous area. May 12. — Forty-three ounces of clear fluid aspirated from rightchest. May 18. Physical Examination. — Heart: right border 2 centi-metres to right; left border and apex centimetres to left of medianline; a
. 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 . <Jo/inJLP/ear//)c n//l a^jon. 7oberca/o ^erca/o^js Fig. 142. John J. L. May 29, 1899. Cut of X-ray tracing (one-third life size). Pleurisy with effusionon the right side. Heart displaced to left. Shaded left apex shows a tuberculous area. May 12. — Forty-three ounces of clear fluid aspirated from rightchest. May 18. Physical Examination. — Heart: right border 2 centi-metres to right; left border and apex centimetres to left of medianline; action regular ; no murmurs. Lungs: flatness with absent breath-ing and tactile fremitus below mid-scapula in right back; resonancegood above and in front; respiration slightly harsh, with expirationprolonged. Left side : nothing abnormal found on this side; respira-tion oood. PLEURISY WITH EFFUSION. EMPYEMA 227 May 29. X-ray examination zvith screen showed the right sidedark throughout; no diaphragm lines or ribs seen ; the left apexshaded and the excursion of the diaphragm shortened (Fig. 142). Tubercle bacilli were found in the sputum. ^^^^ ^;(h.^< /. /\, ^g
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