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X-RAY FOR LUNGS EXAMINATION
The stethoscope is still the constant companion of the internist, but we have other methods that undoubtedly go beyond it. I think that every medical man will agree that the chief of these is the X-ray. I trust that all of you know that it does not “take pictures” but throws shadows on a plate or film. Substances vary in the amount of shadow they cast. The rays go unimpeded through air. The heavy heart muscle throws a deep shadow, and a lead slug in the lungs would let no rays through. There are all gradations, and the skill of the roentgenologist now seems marvelous to us whose accomplishments are more highly developed along other lines. Not only are the shadows of the tissues studied by X-rays but “contrast media” are also used. These are substances which show heavy shadows when they are introduced into the body. They are probably more familiar to you when used to outline the stomach, intestines, gall bladder, kidneys, and even the blood vessels. They are introduced into the lungs by spraying them down the windpipe and they are then breathed into the deep recesses. If the bronchi are misshapen, plugged or end in large dilations, the outlines will be shown on the X-ray films. After giving all these commendations to X-rays, I feel it only fair to say that an X-ray friend today told me that the man with the stethoscope and the percussing finger can study certain things better than he and his X-ray machine.
*26/276/5*