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Name No. 99200 Interpretation of Stereo taken on 12/12/72 Plant: New Orleans, La. Reading Date 12/17/72 roentgenogram of cheat Small irregular densities partially obscure the bronchovascular markings in the lower 2/3 of both lungs. The left diaphragm margins are unclear. There is minimal thickening of the pleura abng the lateral chest wall on both sides. These findings are consistent with, but of themselves do not establish, a diagnosis of asbestosis. GEORGS W. WRIGHT, U. P. Saint Loke' Hoapital 11311 Shaker Boolevaxd Cleveland, Ohio 44104 * >r' *1 4 Nam# .No. 363222 Interpretation of Stereo "k*"1 1/28/72 Plant: New Orleans, La. Raading Data 2/17/72 roantganogr&m oi eKoat 5 ' He is short and heavy. There is some prominence of the bronchovascular makrings at the bases, especially on the left. Stereo and overexposed PA suggests this is due to inadequate lung expansion. I believe the films are within the limits of normal for his body build. GXORGX W. WRIGHT, U. D. Saint Lok`* Hospital X1311 Shakar Boolavard Claraland, Okio 44104 / .t *. 1 as ' 'T N. (Ct Nun* No- '*326388 Interpretation of taken on stereo 8-14-69 Plant: New Orleans, La. Reading Date 8-20-69 roentgenogram of cheat fV A-. f The bronchovascular markings are unusually prominent in both lungs, especially at the bases. In the presence of a history of substantial exposure to respirable asbestos fiber, the appearance of these films would suggest a diagnosis of asbestosis. GXORGI W. WJUGHT, U. D. Saint Luka'* Hospital 11311 Shaker Boulevard Cleveland, Ohio 44104 ,> . v Nam# : r PUnt: New Orleans, La. (NGC) 170563 Interpretation of Stereo Reading Date: 5-27-57 roentgenogram cheat taken 005^1^.57 compared with taken on The broncho-vascular markings are prominent throughout both lungs. There are several heavy linear densities opposite the 3rd and 5th rib on the right and an irregular rounded density opposite the 5th rib on the left-these appear to be the evidence of previous infections. A complete occupational history and a medical history as- to pneumonia and other lung infections are needed for adequate evaluation of this film. GEORGE W. WRIGHT. M. D. Saint Luka'* Hospital 11311 Shako* Boulevard Clavalaad 4, Ohio "* * A * '* i * e. . "*N TO WHOM IT MAY CONCERN' This is to certify that____ EMPLOYED RY National Cypsum Co, is this Hntft 6X15/66 f Still under treatment. May return to work* DRS. BRADBURN & BRADBURN By. Insurance^ ^ Company-------------------------------- J >* -v ; 'vTv. '*** . .Cft* kfc 1 q Connecticut General Life Insurance Company SURGEON'S STATEMENT (This form should be completed immediately and returned to the patient, or employer, or company, as appropriate) Patient's Name i i^.-ployee's Name............................................................ _...........................If other than Employees... Nature of surgical or obstetrical procedure (describe fully). 3e........45 Charge for this procedure $..............................Date performed................................................................ 19............. Where performed.................................................................................................... If in hospital, in-patient G out-patient G Was procedure due to pregnancy? Q Yes G No If "Yes", what was approximate date of commencement of pregnancy?...................... '........................................................ 19, Treatment v\ as-Wytfv due to mjury or sickness ansmg out of patient s employment?**!] Yes No if "Yes", explain .... Slipped..and. fall,. hit..left...chest...on .garbage. can*.................................. Remarks:......Diagnosis:..Seve3^_ contusion to left rib cage* Date......... !...Slept*...30^........................19-63.... .......... Dg%wJ*yQna Baker at Faine ,M.D. Address^--i500. -Hibernia Bank Bldg* Street City --Jto.-Orlefina-y. Orleans^ La*. County State Phone.________ 523.-i3.ll......... EMPLOYEE'S STATEMENT Employee's Name.......................................................................... Employer's Name___ If claim is for dependent, indicate relationship. AUTHORIZATION TO PAY SURGEON (To be completed by the insured employee if payment is to be made directly to the surgeon) I hereby authorize payment directly to..................................................................... .................................................... (PRIST Same of Surgeonj of the Group Surgical benefits otherwise payable to me but not to exceed the fee stated above. I understand I am financially responsible to the surgeon for charges not covered by this authorization. 19.. Signed (Insured Employeet CL4S3e (GS-1) KK 3 q Connecticut General Life Insurance Company SURGEON'S STATEMENT (This form should be computed immediately and returned to the patient, cn employer, or company, as appropriate) Patient's Name 1 Employee's Name............ ..................... ....................-...........................If other than Employee...................................... Age........45 Nature of surgical or obstetrical procedure (describe fully)...................................................................................................................... Charge for this procedure S............................. Date performed................................................................. 19............. Where performed.................................................................................................... If in hospital, in-patient G out-patient Was procedure due to pregnancy? Yes G No If ''Yes", what was approximate date of commencement of pregnancy?.................................................. Treatment . . ., , ., , Was -rtygqrv due to injury or sickness arising out of patient s employment?**^. Yes i_j No If -Yes'', explain t.... Slipped...and ..fell, ..hit.. left...chest..pn..arbage...can ..19. Remarks- Diagnosis: Severe contusion to left rib cage* $ Date.............. Sept *...30,....................... 19...63... Address_15.0.0 Hibernia ..Bank Bldg*. Street City ...Hftw..Orleans,....Qrleans La. Phone............ ...................................... EMPLOYEE'S STATEMENT Employee's Name.......................................................................... Employer's Name................... If claim is for dependent, indicate relationship......................................................... ....................................... AUTHORIZATION TO PAY SURGEON (To be computed by the insured employee if payment is to be made directly to the surgeon) I hereby authorize payment directly to.... (PRIST Same of Surgeon, of the Group Surgical benefits otherwise payable to me but not to exceed the fee stated above. I understand I am financially responsible to the surgeon for charges not covered by this authorization. .19.... (Insured Emptoyte, CL453e (CS-I)