Licence: Public Domain Mark
Credit: Hydatid disease of the lungs / by J. Davies Thomas. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
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![88 discharge from the sinus subsequently being very slight. She left the Hospital on June 25th. I examined her again on September 24tli, when she stated, that she was in excellent health, and still gaining flesh, the cough being scarcely at all troublesome and the expectoration scanty. The sinus had healed some time. There was now very fair expansion of the left front, but below the 2nd rib the resonance on percussion was somewhat shorter, and the respiratory sounds harsher than on the opposite side, and the same signs were noted over the back, but there were no distinct signs of a cavity. v CASE Y. [See Plates 2 and 3.] Huge Hydatid of the Right Lung; Radical Operation; Death on the twenty-first day a fter removal of the Parasite. Peter S., aged 43, wheelwright, consulted me in March, 1882, and gave the following history of his illness :— About six years ago he began to suffer from severe pain in the lower part of the right side of his chest. For a couple of years or so the pain came on at intervals, but at times it would be absent for months together. But about four years ago the pain became so severe as to compel him to give up work for about a month. After this, he spat up bright blood occasionally. The blood-spitting was more frequently induced by mental excitement than by physical exertion. The Ha3moptysis was frequently repeated, but never copious, its amount never exceeded a tablespoonful at any one time. For some time past he has had cough of no great severity, accompanied by glairy expectoration. Upon examination, the following physical signs were observed :— Over the lower part of the right chest in front there is an area of tympanitic resonance, which extends from about the fourth rib above, down to the usual upper line of liver dulness. It lies inside the right mammary line, and extends to about mid-sternum. Over this space normal respira- tion sounds are wanting, but there is friction of respiratory rhythm. There is a systolic murmur at the apex of the heart. The patient was recommended to submit to an exploratory puncture, but he declined to follow the advice, and for a long time I heard nothing more about him. Two years elapsed, and the patient again consulted me, and he stated that during the interval his cough had increased in severity ; that he had become weaker, although he had not lost much flesh, and that the right side of his chest had been gradually enlarging. April 29th, 1884.—He is a spare man, whose height is 5 feet 9 inches, and his weight 132|lbs. There is visible cardiac impulse in the fourth, fifth, and sixth left inter-](https://iiif.wellcomecollection.org/image/b21509530_0095.jp2/full/800%2C/0/default.jpg)
