. Radio-diagnosis of pleuro-pulmonary affection . nd a pulmonary atelectasis. The convexitj- of the diaphragm is not seen, nor the costo-diaphragmatic sinus. The respiratory movement is completely abolished. Enlargement of the hilus shadow on the right (tuberculous glands of hilus). Discrete, disseminated shadows in the upper part of both lungs. Pulmonary lesions. CIRCUMSCRIBED AND ENCYSTED PLEURISY 35 of exploration. In 1899 Guinon insisted on the difficulty ofdiagnosis of this type of pleurisy. Radioscopic examinationis therefore indicated in these cases. Interlobar pleurisy, like that of th
. Radio-diagnosis of pleuro-pulmonary affection . nd a pulmonary atelectasis. The convexitj- of the diaphragm is not seen, nor the costo-diaphragmatic sinus. The respiratory movement is completely abolished. Enlargement of the hilus shadow on the right (tuberculous glands of hilus). Discrete, disseminated shadows in the upper part of both lungs. Pulmonary lesions. CIRCUMSCRIBED AND ENCYSTED PLEURISY 35 of exploration. In 1899 Guinon insisted on the difficulty ofdiagnosis of this type of pleurisy. Radioscopic examinationis therefore indicated in these cases. Interlobar pleurisy, like that of the large cavity, may bedry or accompanied by effusion. Interlobar pleurisy with effusion.—This is the most inter-esting form because it admits of surgical treatment and theradioscopic examination is almost indispensable in deter-mining the indications for it. The effusion is, in fact, almostalways purulent and must be evacuated. In exceptional cases this effusion may be serous. Gerhardtpublished a case in 1907, where absorption was Fig. 7. INTERLOBAR PLEURISY Diagnosis was made by radioscopic examination and theprogressive diminution of the effusion up to its completedisappearance could be followed on the screen. Similarfindings have been reported by Sabourin (Rev. de Aled.,1909) in tuberculous patients. Whatever the nature of the effusion, the radioscopic imageremains the same and it is especially important to recognizethis in order not to overlook the diagnosis. The radioscopic image is quite characteristic. It consistsof a transverse opaque band which entirely crosses the clearpulmonary field. The lung is therefore divided into three 36 RADIO-DIAGNOSIS: PLEURA zones: a dark zone between two clear zones—one above it,the other below it. This image is superimposed on what hasbeen clinically termed matite suspendue and considereda characteristic sign of this affection. The dmiensions of these three zones are variable accordingto the case, and especially variable
Size: 1597px × 1565px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublisheretcetc, bookyear191
