Document aB61XrGN4pMnNKajQp0zdjLEX

FILE NAME: Norfolk & Southern - WC Case - Ancel W heeler (NS) DATE: 1952 Feb 27 DOC#: NS047 DOCUMENT DESCRIPTION: Physician Report X n AY p ; 1 .RTM CN T L ew is-Gale h o sp ita l R O A N O K E 11. V IR G IN IA F e b r u a r y 2 ~[, 1552 A L L E N L a f : K fc n , M . . c D. S M IT H . M. D. D A N I E L L . D O H E R T Y . J R . . M. O. Dr . W. R. Wh i t m a n Ch i e f Surgeon No r f o l k & We s t e r n Roanoke, V i r g i n i a Ra i l w a y Dear Dr . w h i t m a n : R e : A n c e l Wh e e l e r Y ou r e f e r r e d to me for f u r t h e r s t u d y two gr ou p s of F I L M S OF T H E A B O V E I N D I V I D U A L . T H E F I R S T G R O U P , D A T E D A p r i l I d , 1 9 5 '1* and made by Dr s . Ma h r e r , K r a u s e L u b e r t of Cl e v e l a n d , c o n s i s t of s t e r e o s c o p i c PA and a l a t e r a l f i l m . T he second group i s dat ed S e pt e mb e r 2 3 , Good Sa m a r i t a n Ho s p i t a l i n C i n c i n n a t i . 155"1# and made at T h e s e c o n s i s t of the s t e r e o s c o p i c PA and l a t e r a l and g r i d f i l m s of t h e c h e s t . I n C O M P A R I N G T H E TWO GROUP S OF F I L M S , | F E E L C E R T A I N T H A T NO M I S T A K E I N T H E I R I DENTI TY COULD HAVE B EEN MADE AS T HEY ARE S I M I L A R IN ALL RESPECTS. A L L OF T HEM SHOW A M O D E R A T E D E G R E E OF P L E U R A L R E A C T I O N OVER T HE LOWER L O B E OF T H E R I G H T L U N G W H I C H E X T E N D S I N T O THE C O S T O P H R E N I C S U L C U S , AND ON T H E L A T E R A L F I L M S , T H E R E I S S E E N S L I G H T T H I C K E N I N G OF T H E I N T E R L O B A R F I S S U R E S ON T H E R I G H T . T H E R E I S A M I L D ' : G R O U N D - G L A S S !: A P P E A R A N C E OV E R T H E L OWER R I G H T L UNG F I E L D , AND | B E L I E V E SOME I N T E R S T I T I A L F I B R O S I S I N BOTH LOWER LUNG F I E L D S , MORE P R O N O U N C E D ON T H E R I G H T . T H E S E C H A N G E S A R E C O M P A T I B L E W I T H A S B E S T O S I S W H I C H , I N V I E W OF T H E P L E U R A L R E A C T I O N , WOUL D F A L L I N T O T H E C L A S S I F I C A T I O N OF M O D E R A T E L Y A D V A N C E D . T H E E X T R E M E O B E S I T Y OF T H I S I N D I V I D U A L MA K ES I T I M P O S S I B L E TO O B T A I N F I L M S OF T HE B E S T T E C H N I C A L Q U A L I T Y , AND T H I S F A CT OR MAKES THE F I L M S MORE D I F F I C U L T TO I N T E R P R E T . ON A L L OF T H E F I L M S , T HE H E A R T SHADOW I S Q U I T E L A R G E B U T HAS NOT C H A N GE D I N S I Z E OR C O N F I G U R A T I O N B E T WE E N A P R I L AND S e p t e m b e r , 1 9 5 1 - " h i s a p p a r e n t i t ; c r e a s e i n the s i z e of t he c a r d i a c S I L H O U E T T E IS PROBABLY DUE TO THE P A T I E N T ' S O B E S I T Y RATHER THAN ACTUAL CARDIAC HYPERTROPHY. Dr . J . Rush Sh u l l of Ch a r l o t t e , E X P E R I E N C E I N T HE D I A G N O S I S OF A S B E S T O S I S TO H A V E H I S O P I N I O N OF T H E S E F I L M S . i .'or th Ca rol i n a , has a w i d e At JD I T WOUL D BE V A L U A B L E KINDEST r e g a r d s . Sincerely, A L L E N o A f f R tTR , i . D 7 S