Document jJoeV999q1zn9vQMLvdNveJR

D25GUAG? SUOUJC /lor, Ciena iiklnlM Oatet F4/Mdi7 11, 1739 Mf/ GoaoIilAlai Shertneee of kmth, eery pnimdTil/ la<rM^ wr tht Lu'. l*i loot of vlit, bn& 30 poaovfe In the Loot t ;un rltt pirarltli paint over the but of the Ian* tinoo Jottorjr I95d* Thn potlit hae been vorfcln* for II /aero in o vonaeuUte not* m4 eeroeAnf All where totlilt it Manufactured* Physical ZnaiMUon Findings i JIcimIoI sound* in tha rl A lorr boot -# bo daeroaeod* Mae dullness to percuasiaa Ir. this ar^o. Taetils and vooal freulvia it alto detracted* Cordite ejuodnotlsn tt within normal Had to* There ot atiopfij of Wi ri-^l iottitlt ind on sbLan* like tvollln* of tho Irft laallelc oaeurl.i* about throe to els oantiosten in tltt* Thlt moo It veil outlined and trantillvolnatot to IL^lt* Skaaipatlon of tho oxtroodtieo revoal tho fonortla to bt four #1Oi The ontori or tod pottorlor tlbiala or* one pluo In tho l<or oxtrooltioo* There it on amq'lrxlt <f the loft onklt ond tf ro it limitation of mtoioM both UtoraUf and ^^`fladtn ond oztvtUon. There It all*ht with aarten'ion and fldn aovaeant whltfi it Hjdlad* Therm is o healed lnalilMul tear on if lift .oursi aspect nf t*to left tnklt which It a rosull of on old frecturt. Tentative Idalselon dit^ioelet 1. For itdear cod pulmonary Lubereuleela, prs*obl7 olive. 2* labo**?Cit to ho doitmine 1* Final iaadatlnn Ciaiyioole' 1. KlttoolttnnaU 1* ^MiUanbi* tobottcolt* I-per Finding i Ini till *rey fllmo aade on February 11, 1959, revealed tone, infiltration re*, a th.*?u jheul both lun^ field* on.? ceneideroble in/11*. ratian ir. t*e rirtst l:n field* perilaularly In U*9~riit lower lun< field whirfi inwivee ol>et tno entire liver lobe >dtr. cnneidorokle liffwot lnvoi*mont of tho r\r+\ *i,'3or lobe. There oipeare to be o ;9salfele effusion or. tho right. Scatter**! throRr.oMt tho loft Lun* firl*lr!it inr.eldarebie JAflltretlon. Thore are '*< mny iJ //.** veil define? lealofie vhj ih uoffot a possible lUenela. lehoratcry Finll-.i^* n: 'tl alcreetoplc *yviinatii of - **t*.*n concert rut ea and f*r.rt savlratee ore r.erettve on Frhr:a?T l.', 16, 1*. ej.d an heron 17, 1*W. Tht trlnaaff'.a veil within mr**l Halts *t wee alto tho *nrrta enrt tha toi!l*ofttAtlon rare ** 1? ali21*w?tere tl t1-** *rd nf on hour* Th* *'V>nd type *Oi > pjetl'.re. r.o KZ- tain frr v:h-ctlo#ii roeitlv* *1 the hiet3plaoar*le oJrlc te^t vat clew nnilive. T'-* skin teat for ***c"lll*i'l'wyc'>eia wee negative. TJ: TCS vr.r ftoilU^rae -* 1 the 73S1 wee Sjul1* eoneeitnln wile* h* br*n rreviewsly *l '' >** by Or. CeAme a! '-ibr.y kortana utte `f^irlet no^ativo^rvi 'Jan>tary> f>, kar*r. / Itareh l&f 17*7 for tsbareulooia* The bronehoao0py wes ;rfrrori on Merer* S-, *'JtX :* rrenulatlan V.aaua voe notad on tha eoao tf tr# trenehua, fran whirr ti--/aLna wore taeat end aipinUwe auh^ttod fur llac-Ati* end tnoae wore w ts*k- eard.yi aid oaheeuia frwiuleo were not noted. The left enet -at aeairVta " horr* il, lip? 1 -JfllF >?Vl*r| 0I< uG<nt of AM4ik "porta* aapkUrt, a4 a V--4 alat iw rrjn>4, *nd this u **! ImWi Mm Ur*7 179(01*1 01* aappoKlao* Cauroa la Vm laopUala KM pra^aoalv^p -ijr tin 8o UproTwl vita a rvat pailod* EL* mm&, *kl* rlnlaol a* pro*aotlr of a o^cnti csst of &it tOMUM iputM, Mtltt* bout lha MM. XLa ahaitMi * kratt VM also a aovttirt foataro* QLocbarso fiataa Bu*i 30, 1939 Lao*ta of Stop! 3* */ Kaault of fmWaitl SUlfMtl7 ! for DiNtarpi b*aa bM*Ul Wb*U .final Oiapoda oa fitiaharpi 1 airtcapli--it 2 AjbaaVoala XMMnliUcnai 1 Patlant ahoul* rvtura far a lone blop^a tfilth Ho *1* not prafar ta hava dona at ttdi tlaVf ta datandna 4afU*tal? tha 41a^oola of abutoala. 8" P aai Dr* J. X* Calma 0* V. Sonar* X.D DI5CHAAG? aDQUicr /lor, Olwut A<tel*lon Oetet robfMer/ U, 1739 frimrj CmbIiIiHii Shortneeo of bruth, tt oc*rt pnimilrtl/ lacrauad ewer tho loot two jwre| looo of welit, about 30 powwle In tho loot two r**n end rllt plturllli point <rrr tho booo of the lun* olroo Jam* *7 1954. Thn potlont hoo boon working Tor 19 /**r* In o world eullto rock end torooninf dill vttoro ooaollto 1 oenufoeturod* ftyileal Zroalnation findings i fteooolod btw.ih sound* Sr. tho rldit lower boot to bo deeroeeed. H*o duHnoea to porcuotloi is. *Mo aroi. Tactile ond wooal frooit-io lo Aloe decroeood, Cordite xuimU(i woo within rwineal llxdta. There woo atrophy of tho rlf,ht tootlei* and on ?blanj( like o*eUlft of tho loft tootlelc oaottrlnf obout throw to oln oontlastero In ait*. Thlo moo io wU OMtUn*>l end tfonolllmlnotoa to Buool ration of tho ztrlUw rcvoal the fonorelo to bo four "iioi, Iho Anterior end pootorlcr tlhlolo or* on* plus in tho lower mrwltlaa. Thor* lo or. arog'lneio c-f tho loft onkl* end th.oro lo Unite lion of norrmant both Lot troll/ end w^thYlaaSen end astwitlon. Thor* lo alight oowoaait with uttnfion asii flasleo saoranant *rftldh lo ilollod* Thor* la a hotled lnelalontl aoar on tft left .4tr*i trct of t4>* l*ft enklo which lo o r*sall of on old fructuro* TontAtlT* Idaioolon di&^ioelei final A station Dlaj/iooio* l. for edworcod pulnorvtr? tubereuloeia, pri?hebl7 ?tiwe. 2. labo* :jii to bo dalamin* 1. 1. Klotoolesmoolt 1 (f)*o linkable aabeoteelo. X-ro/ findingsi Initial x-roy fllo sad* or. fobnjorz 11, 1959, r*"eef*d eoo*. infiltration noted thiT*v jhoi.i both lun^ field* on.? eottoidorobl* Infiltration lr. ttoe rl^st-.V) field, portl'.ulorly lr tho'ridit lower lun* field whirh ln- n?it*i ol>ot in* or.tlro iwor lob* d tr. conoidoreslo liffwo* lrn>lMnt of th* *i,'oor lob*. Thor* 4-ipoor* to bo & :eeilblo offuelon or. tt# ri*ht. Seattorwi thron^O'it tho loft iun* fini.1,! io 'rnroidarobi# Infiltration. Thero ere .'id n*ny iJ rC'iOt veil define* leatpri* whi nh ouvool e possible ilieooi*. Leborotrrr fl rv i l ne:*>*to>i eicm# sopic rteinotler, of - o-t-.ot eeneontroto* and *rvrle aovirwtas ore r.eretiv# on frhrrary l.', 1&# 11 #:.d an JUreh l?, 1*59. Tho urlftoiy*'# *0# well within nnrwl Halt* wet also ih* ennrrvo end tho odiwantAtion roro ww 17 ai 121"?to re tl t1** -rd r.f en f.nur, T) hV-nd typo **o V* .V* ^iotllro. 7v# ?~Z oslh *-'. frr v:h-eil3*ii ** f*>o`-ttwo -1 the hiotapla00**1* oklc to*ft wwo e>nn /roitJwp. 7-e *lr\n toet for t-rf-l-Il-udnoyoolo woo n*i(etlYo T*JK vr.s A.*. uiLllpre.v -* 1 tho 73SL ww* rvfillvi. Sf^tva* eonow.tntleo wniei* he* brsn rradwsly oi In by Tr. Colms af Libr.y Horton* w*r^ ~e>rtod nn^wtiv* on `Jenaor/ <brr / .tn:l March 16, 17*7 Tor tahoreuloolo, 7b# broncKoooopj w* :*rfrror*. oft Merer. 5`, :! rrunuletian f.eou# woo notad on the neoe tt tr# trenehuo, froti whinh ti**.*Lno r# tocon *nrt eopirotiono wwrw ubeittod fur di*cr>oio 4nd tneoo wort r-'pn-V'h tA-sh. *id eobootno fronuloo wore not rotod. Tho left ennet *eo ejJrj*tft ~ M*rr if, Iwy? ei i ibX? * #n*ll A1 usoit of Ak(l41k V<ri*i x>4 a Ua4 dal m nrinri. and this u raportad BapkUn* Badiaal Imtoaiii Wo aj^taaittl aid aipparUaa( Couraa ta Vw faa^Ula KM pwgwalraly 8a Uproiad villi a nrat BL> *Ud aw *4 ud p'odaeUra af a aadanla cscl of afidta twwtaw apdw, anatlriad about tha mm. SLa ahaitflaaa ad kioatl au aloa a acnrtaat faatva. OLacbars* Baiai M 9, 1999 Lw&dth of suri 39 4aj Kaault of fmbaii SaUifW(ai7 Baa bob for DiMtarpi ftfl-- baaaital korfli final Ola da aa Olialarpi 1. Ill rtea pla aasola 2. Aabaataaio f i i-amrli Uanai 1 fall ant ahould rvtum far a 1gr| blape^, Wilcb ha did not prafar ta Kara dona at Uda tlaot to datandna dafldtalp tha dlipoali of aabaatoala* 0* pa aai Dr* i. I* Calma 0* V. Satsar K0