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oaollteCoapany Libby, Montana
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following Is a tentative ssslysis..of chest X-Says tak
of the eaployees In your Company.
yX^:- The sx--lnatloa consisted oaky of a flat X-Ray piste of aaokr
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:-^v *:' rv- employee's chest* It is not accurate nor complete without a
personal, physical differential diagnosis, which should be done
on all cases shoving any abnormal defects of the chest.
Many of the pictures read shoved multiple defects, or disease.
It vas only in rare instances that a specific diagnosis of any
disease was acted singly.
Statistical review of the above examinations is as follovs*
1. number of persona examined 2. Number with normal chests 3. Number with abnormal chests -
130 82 48
Statistic;.! review of the Abnormal Chests*
a. Pleural Thickenings - 8
b. Defects of the Dlaphraga - 3
c. Interstitial Fibrosis -
26-/
d. Skeletal Deformities -
4
(Bones, fractures, etc.)
: re. Metallic Objects
f. Calcified Densities g. Pneumoconiosis, or
1
possible Asbestosls
h. Bronchiectasis
1
i. Abnormal Hearts, or
7
Aortas
J. riaphysema
11-
k. Tuberculosis (?)
2
l. Malignant Lesions (?)
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M. D.. M. & *v<wr-
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Doctor Little, Roentenologist In this study, and mysalf, feel that a complete physical examination consisting of 1. History. 2- Physical Examination,. 3* Tuberculin Test, 4, Further X-Ray Examinations, 5 Sputum Examinations, 6. Other special Diagnostic Tests., should be performed on all the above mentioned cases showing any intra-thoraclc pathology. I feel that we should have a conference on how best to proceed with the examinations. There will be a umber of questions that should be explained before directing patients to consult their larily physician. Piea.-o f-. ':1 free to call ce if there are any questions, or `xpianat: ens that ve ~:.y be able to give In di re ~t: r.g phis
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