. 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 . arch 17. The patient died on April 6. An autopsy was made by Dr. F. B. Mallory, who found on the outerside of the left chest, corresponding to the dark area seen by X-rayexamination, an old encysted pleurisy with walls centimetres thick. The autopsy record was as follows: The pleura over the lateraland posterior aspect of the left lung, and over the whole lower-lobe, andthe lower half of the upper lobe, was enormously thickened and couldbe fr
. 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 . arch 17. The patient died on April 6. An autopsy was made by Dr. F. B. Mallory, who found on the outerside of the left chest, corresponding to the dark area seen by X-rayexamination, an old encysted pleurisy with walls centimetres thick. The autopsy record was as follows: The pleura over the lateraland posterior aspect of the left lung, and over the whole lower-lobe, andthe lower half of the upper lobe, was enormously thickened and couldbe freed Vv^ith difficulty from the costal pleura by the use of the costal layers of pleura vary in thickness from 2 to 3 centi-metres; the parietal pleura from i to centimetres in thick-ness. Between the two was a mass of broken-down yellowish whitesoftened material. The thickened pleura consisted of an external and PLEURISY WITH EFFUSION. EMPYEMA 217 extremely dense layer of fibrinous tissue. The inner layer was soft andmore or less gelatinous. This was a mass of old organized pleurisy.* Name Address Diagnosis Occupation Vol. Pc^g^. Fig. 136. William T. March 17, 1897. X-ray examination with screen. Encysted area from third to ninth rib. Diaphragm lines not shown. Excursion centimetres onright side; on left side. (Cut one-third life size.) This case is of interest, as showing how much more definite informa-tion was obtained by the X-ray examination than had been yielded byauscultation and percussion. : HE ROENTGEN RAYS IN MEDICINE AND SURGERY rlobar Empyema or Pleurisy. —Fluid may not only be encystedi - ciic pleura against the thoracic wall, but may also be enclosed in thepleural membrane between the lobes of a lung, and such a collection offluid would cast a shadow if the lung surrounding it were at all signs would not give as direct information as the X-rayexamination. Diaphragmatic Pleurisy. —• I have never examined
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