File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14754342361).jpg

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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in, it wasnot until early in 1920 that any successfulefforts were made to outline roentgenograph-ically lung cavities after the injection ofopaque substances through the bronschscope.In May, 1920, Dr. Lynah, of New York,presented a short preliminary report on thesubject before the American LaryngologicalAssociation; he reported two cases of lungabscess which had been successfully mappedout roentgenographically after the injection,bronchoscopically, of aqueous and oily mix-tures of bismuth subcarbonate directly intothe area of diseased lung; both these patientshave since been repeatedly examined by theauthors and are included in the five cases re-ported in this communication. Case L A man of twenty-six years whadeveloped a lung abscess in July, 1919, afterhaving aspirated sea-water while in swim-ming. He went out too far, became ex-hausted and went under; was hauled out andby first aid measures soon revived. One week later he suffered from what wassupposed to be bronchopneumonia; there
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Fig. I. Case i. Lung Abscess One Month afterFirst Injection. A. Abscess cavity faintly outlined.B. Remains of bismuth which infiltrated the lungstructure at the time of the first injection. was a great deal of foul expectoration atthat time. Within one month the acute symptoms hadsubsided, but he continued to expectoratelarge quantities of pus. He was sent to NewPlatz, N. Y., with a diagnosis of pulmonarytuberculosis even though no tubercle bacilliwere found in the sputum. There he hadseveral hemorrhages; the sputum showednumerous streptococci, he had fever andcomplained of having a bubbling sensationin his right chest. There were several nightsweats. Li February, 1920, the patient con-sulted Dr. F. W. Corwin of Newark, N. J.,who referred him to Dr. Lynah for broncho-scopic examination. Roentgenographic Studies of Bronchiectasis and Lung Abscess 51 Roentgenographic studies made by Dr.Corwin showed a definite shadow over theright lower lobe surrounded by a pussoaked area of infiltrated

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