File:Journal of roentgenology (1918) (14571440289).jpg

Identifier: journalofroentge1191west (find matches)
Title: Journal of roentgenology
Year: 1918 (1910s)
Authors: Western Roentgen Society
Subjects: Radiology
Publisher: Iowa City, Iowa : Western Roentgen Society, 1918-1919
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Report from stereo-roentgenogram shows practically negative left lung.Right lung shows a very dense discrete well defined calcific lesion beneath thefirst interspace mid-clavicular line and deep in the parenchyma below the pleura.Another lesion is noted near the mediastinum in the apical region. It simulatesa cone lesion of Dunham. However, very little of the diffuse density can beobserved but the outline can be followed by the broncho-parenchymal or linearmarkings. The conclusions indicate the calcific lesion is probably a healed orinactive lesion. Such calcific masses may indicate the site of the initial lesionof tuberculosis as described by Ghon. The cone lesion is probably quiescent orhealed also. On the left side at the costo-chondral junction of the first rib there is noteda dense irregular deposit of calcium. The stereoscopic view prevents the possi-bility of confusion between calcium deposits in the cartilage of the ribs and inlung parenchyma. 212 THE JOURNAL OF ROENTGENOLOGY
Text Appearing After Image:
No. 8830 Report from stereo-roentgenogram shows lesions in upper lobe of both lungs.The left lung shows a cone lesion of Dunham behind the first rib and first inter-space mid-clavicular line. Another larger and more distinctly defined conelesion is noted below the second and third interspace axillary region. The apexof this lesion reaches the hilum. There is marked broncho-parenchymal in-volvement extending upward from the hilum. The conclusions indicate lesionsof different ages in the left lung and with the clinical evidence of recent devel-opment of severe symptoms, such as night sweats, afternoon fevers and positivesputum along with homogenous diffuse infiltration of a large portion of theupper right lobe, the activity of the process is certain. The prognosis deducedfrom the findings in this case was decidedly unfavorable. ORNDOFF — TUBERCULAR LUNG PARENCHYMA 213

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