Document JrXMZpO0VXVmRBBBRn1457jVB

NOV-06-20D2 WED 04:27 PM SHEPARD HOFFMAN ESQ FAX NO. 2145220420 P. 19 a largo quantity ore aggravated, d strength. For egnlar afternoon * illness fever of ng on the day of d 100. The resslightest exertion >oked much older remely weak and PULMONARY ASBESTOSIS 59 tem prosonted no abnormalities except for the clubbing of the fingers previously noted. X-ray examination of the chest was made by Dr. Hillyer Rudisill, who reported as follows: " First examination, Jan. 12, 1934: There is a generalized fibrosis throughout both lungs, particularly in the bases. There is generalized increased density in the right base probably caused by pleural thickening. In addition I beliove there are bronchiectatic areas through the lower halves of both lungs. "Impression: Pulmonary fibrosis, pleural thickening (particularly right base), and bronchiectasis, probably tho results of inhalation of some irritant material." ' ... Carcinoma or >cd and somewhat . Expansion was of both lungs, bes were resonant. Rales of all variespect of the chest, :t. They were inlry, "squeaking" <ounda were good. 3 was accentuated, he -uperficial ves- and nervous sys- Fio. 2, Abbbsto-siucosjs *wrrn Cahcinoma or Loweb Lobs The tuberculin (Mantoux), and Wassermann tests were negative. Xo tubercle bacilli were found in tho sputum on numerous examinations. Asbestosis bodies were present in unconcentratcd viscid, tough mucopus. Tests for fungi woro negative. The urinary findings wero nor mal. Blood counts were as follows: Jan. 11, 1934: hcmt>global 80 per cent (Dare), leukocytes 15,525, small and large lymphocytes 11, largo mononuclears 3, neutrophils 86; Feb. 20, 1934: hemoglobin 72 per cent (Dare), leukocytes 13,250, small lymphocytes 18, large mononuclears 4, neutrophils 76, eosinophils 2. Tho admission diagnosis was pulmonary fibrosis and pleurisy with effusion. Tho final diagnosis was asbestosis and chronic indurative pneumonia. Autopsy (B.G.) No. 205.U-34-58, March 17,1934: Summary of path ological diagnoses: Fibrosis of lungs; pulmonary asbestosis; epider-