. 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 . \ Fig. 132. Thomas R. April 26. Third X-ray examination with screen. Right side perfectly I clear; first, second, and third ribs seen on left side; no outline of left border of heart visible; heartI still displaced to right. (Cut one-third life size.) I ! the right side. A portion of the left border of the heart could be made; out. No diaphragm lines were seen on the left side, even in full inspi-I ration. The upper portion of the fluid, though of
. 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 . \ Fig. 132. Thomas R. April 26. Third X-ray examination with screen. Right side perfectly I clear; first, second, and third ribs seen on left side; no outline of left border of heart visible; heartI still displaced to right. (Cut one-third life size.) I ! the right side. A portion of the left border of the heart could be made; out. No diaphragm lines were seen on the left side, even in full inspi-I ration. The upper portion of the fluid, though of course not well defined, 212 THE ROENTGEN RAYS IN MEDICINE AND SURGERY was rather more so while the patient was sitting up than while lyingdown. (See Fig. 133.) June 8. The physical signs were the same as on May 31. Name .Address Diagnosis ^/^^f-l^^^dLJ /\. Age Dateyf^^^^^ ^ Occupation ^ Vol. Page -^. Fig. 133. Thomas R. June 5. Fifth X-ray examination with screen. Left side, ribs seen fromfirst to fourth rib, though less clearly than on right side. Portion of left border of heart visible; nodiaphragm lines seen on left side, even in full inspiration. Excursion of diaphragm on right centimetres (3 inches). (Cut one-third life size.) Five X-ray examinations of this patient were made, as follows:March 12, April 7, April 26, May 10, June 5. The records of those made on March 12, April 26, and June 5, only,are given in the accompanying cuts. PLEURISY WITH EFFUSION. EMPYEMA 213 These three cases, Patrick McM., Mary E. H., and Thomas R. showthat the level of the fluid in pleurisy is not horizontal, as we shall see laterthat it is in pneumohydrothorax ; that the heart is displaced, and thatone border may be easily seen. The last case also indicates the way inwhich the appearances seen in the chest change as the fluid is absorbed. The X-ray examination may be of assistance in maki
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