. 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. 153. C. P. \V. Pneumohydrothorax on left side. Appearances seen with patient sittingup. (When lying down, the whole of the left side was dark.) Tuberculosis at right apex. Heartdrawn to the right. The level of the fluid sharply defined, as indicated by the dark line over thefourth rib on the left side. When the patient was inclined to the right or to the left, the surface of thefluid remained level. When the patient was gently shaken,


. 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. 153. C. P. \V. Pneumohydrothorax on left side. Appearances seen with patient sittingup. (When lying down, the whole of the left side was dark.) Tuberculosis at right apex. Heartdrawn to the right. The level of the fluid sharply defined, as indicated by the dark line over thefourth rib on the left side. When the patient was inclined to the right or to the left, the surface of thefluid remained level. When the patient was gently shaken, the splashing of the fluid could befollowed. (One-third life size.) It is said that the fluid may rise slightly with each systole while thebreath is held, but I have not seen it. The expansion of the lung,consequent upon the subsidence of the fluid and the absorption of theair, may be watched upon the screen if the perforation closes. The tracing given above (Fig. 153) also illustrates the appearancesseen on the screen in pneumohydrothorax. The patient from whom it 244 THE ROENTGEN RAYS IN MEDICINE AND SURGERY was made was in the service of Dr. Buck


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