. Journal of radiology . o. 1—j. D. (m) ; aged 55;occupation, laborer and car re-pairer; referred by Dr. B. , Page 7>o PRIMARY LLXG CARCIXOMATA—BRYAN* Roentgen examination shows adense shadow involving practi-cally the entire left ches:. Atthe central portion of the left lungare small rounded discrete the centra! and lower portionsof the right lung, there is rathermarked fibrous thickening, withinterlacing of the process extend-ing out toward the periphery giv-ing a network pattern. At thebase, the process is more denseand seems confined about thecourse of the bronchi. Th
. Journal of radiology . o. 1—j. D. (m) ; aged 55;occupation, laborer and car re-pairer; referred by Dr. B. , Page 7>o PRIMARY LLXG CARCIXOMATA—BRYAN* Roentgen examination shows adense shadow involving practi-cally the entire left ches:. Atthe central portion of the left lungare small rounded discrete the centra! and lower portionsof the right lung, there is rathermarked fibrous thickening, withinterlacing of the process extend-ing out toward the periphery giv-ing a network pattern. At thebase, the process is more denseand seems confined about thecourse of the bronchi. The heart C. Moffits Service University of California Hospital. Roentgen examination shows ir-regular coarse mottling through-out both lung fields except at theapices, the left one of which isclear and the right one somewhatgrey. Overlying the mottled areasis a somewhat uniform shadow ofincreased density. The heart andmediastinal contents are not dis-placed. Pathological examination shows a gelatinous and caseous pneu-. D. H. shadow is obscured, but neitherthe heart nor the mediastinal con-tents are examination showedcarcinoma of the bronchus on theleft side, metastatic carcinoma ofboth lungs, of the lymph glandsof the neck, axilla, muscles of thechest wall to the liver and to theright kidney. and syphiliticchanges in the Xo. 2—D. H. i :N : aged :Occupation, seamstress. Dr. H. Case 2 monic process which is diffuse inboth lung fields. Microscopic sec-tion of these areas proved themto be primary carcinoma of thelunsr. Case No. 3—E. L. W., (f) : aged43 : occupation, housewife. Re-ferred by Dr. E. W. examination showsa dense, rather homogeneousshadow involving the entire leftlung except at the peripheral por-tion of the central region where Page Three, PRIMARY LUNG CARCINOMATA—BRYAN there is an area which is some-what more radiable than the restof the lung. Within this area canbe seen small radiating areas ofincreased densi
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