See Case 8. The CXR shows a cavitary lesion at the right hilum (Fig. 95.2). Lateral X-ray (Fig. 95.3) shows the lesion to be thin walled and at the apical segment of the right lower lobe. The causes of lung cavities include primary lung cancer (typically Squamous cell), tuberculosis, Klebsiella, Staphylococcus aureus (usually multiple), anaerobes, mycetoma, Wegener's granulomatosis, rheumatoid nodule, and pulmonary infarction. Lesions in the upper lobe and apical segment of the lower lobes are typical of pulmonary tuberculosis.
Case 96. This patient presented with a three-month history of coughing and loss of weight. Blood tests showed a markedly elevated peripheral eosinophil count. Her CXR is shown (Fig. 96.1).
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Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.