Identifier: americanjournroen08ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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is rare. In the puerile type casea-tion predominates. I have seen solid cheesymasses at the apex and base which measured5 cm. in thickness. The extent to which theparietal pleura is involved is most extra-ordinary. The end is invariably fatal andrapid, but the patient neither feels nor looks 440 A^-Ray Examination of the Chest sick. Usually, if the chest is tapped, a littlefluid is removed, but when aspirated a sec-ond time little is found. The greatest helps I receive from thisclassification are prognosis and the differ-entiation of tuberculosis from other diseases—whence, intelligent treatment. X-ray classi-fications have been given by Cole,^, Brown,®Waters, and Heise.^° They each have value, THE DIFFERENTIAL DIAGNOSIS OF A FEWDISEASES WHICH, OWING TO THEIRCOMMON OCCURRENCE, MUST RECEIVESPECIAL CONSIDERATION The first of these is syphilis of the lung.That such lesions are not uncommon is thebelief of every clinician. Every large .r-rayclinic can show cases with massive increased
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Fig. 15. No. 1313.—Bronchiectasis in right base. but they do not help me with prognosis norwith pathological differentiation. They alldeal with the extent of the lesions. This ismost important after we have definitely de-termined the pathological character of thelesions. An old well walled-off fibroid lesionwill always be a handicap, but such patientsoften live long, to die of other diseases,whereas a small pneumonic fan of activetuberculosis which is only seen upon theplates with difficulty usually causes an earlydeath unless brought to immediate arrest bythe utmost care. Again, one entire upper lobe may be socontracted by scar tissue as to lie above thesecond rib in front and the third dorsal spinebehind, and although a whole upper lobe isdestroyed it would be classed as only mod-erately advanced. I know that this classifica-tion is neither perfect nor complete, but evenin its present form it has been of great hel()and has enabled us to clear up many diffi-cult problems. Fig. 16.

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