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Om CE Ho u r s 2tV APPOINTMENT R. 13. DUCKWORTH, M. D. Me d ic a l c e n t r e Bu il d in g 1TO MAPLE AVENUE Ph o ne Wh it e P u m a ttS WHITE PLAINS. N. Y., AprJJLJL .io_3.fi Dr. Robert A. Kehoe , Director ' lettering Laboratory of Applied Physiology College of Medicine ' iSden Avenue '. Cincinnati, Ohio . Dear Doctor Kehoe: . ' . ' . In the -series -of twenty-three cases_which.-1 am forwarding to you I have not attempted to makea specific diagnosis.in each case exceiot v;here the lesions have been, in my opinion, definite,- Case No. 21533 (Ur. ?.ncl Case No. 21672' ) I believe show evidence of old healed tubercular lesions-. -Case No. 21674 (Mr. shows similar though less marked pathology in the right apex. . '. . '' ' In reviewing this series none of these cases show any evidence of pleural adhesions and only a few show thickening of the interlobar pleural septum between upper and middle right lobes. This change l feel is of no great significance. There is one striking factor which is seen in practically every case. This is indicated by an increased density of the hilus shad ows and a prominence of the linear markings i.n the central lung fields, the latter evidently due to peribronchial thickening. Case No. 21673 (Mr. and Case No. 21681 (Mr. ^ show the latter more prominently. In these cases ther^appears^^^be a discrete mottling i.n the central lung fields. Prom the Roentgen standpoint I do not believe that the changes are sufficient to warrant a definite diagnosis. The following conditions could produce the changes noted above: 1. acute bronchitis 2. chronic bronchitis 3. dust inhalation (containing a minimum of mineral) 4. gas inhalation 5. first stage silicosis Naturally occupational history, physical examination, etc., play an important part in differential diagnosis. Respectfully submitted . \ KDD/HA y ? / U i/U O o 1S9605 Of f ic e Ho u r s v Appo in t me n t R. D. DUCKWORTH, M. D, Me d ic a l Ce n t r e b u il d in g 1TO MAPLE AVENUE Ph o ne Wh it e Pl a in s S3 WHITE PLAINS, N. Y., Apri 1 6-,____19_h Gase No. 21670--Mr Radiographic examination of the chest shows a narrowing of the rib interspaces due to a kyphosis. The detail of the bodies of the dor sal vertebrae is naturally obscured by cardiac shadow, but no evidence of bony pathology is noted. The hilus shadows and linear markings show moderate accentuation. RDD/HA K Okoo CTfTS 1S9605.01 Of f ic e Ho c k s Bt Appo in t me n t R. D. DUCKWORTH, M. D. MliDICAL CENTRE BUILDING 1TO MAPLE AVENUE PlIONK Wh it e Pl a in s aa WHITE PLAINS, N. Y.,- _ io 5 6 . Case No 21671-- Mi* Radiographic examination of the chest shows several calcifications in "both central lung fields as a result of previous inflamraatory reaction. There is a slight accentuation of the linear markings in both central lung fields. The examination is otherwise negative. UUUO N9605.02 Of f ic e Ho u r s By a ppo in t me n t R. D. DUCKWORTH, M. D Me d ic a l c e n t r e Bu il d in g 1TO MAPLE AVENUE Rh o n e Wh it e Pl a is m WHITE PBA.INS, N. Y, Apri]-- 6-,-- 10-3B- Case No. 21669-- Mr. Radiographic examination of the chest shows accentuation of the lin ear markings in both central lung fields with some questionable areas of bronchiectasis in these regions. An area of increased illumination is seen on level with the right third costochondral junction which, in my opinion, is not due to cavitation. RDD/HA cm N9605.03 AT-T! Of f ic e Ho u r s By a ppo in t me n t R. 13. DUCK.WORTH, M. D. Me d ic a l Ce n t r e Bu il d in g 1TO MAPLE AVENUE PHONE Wh it e P l a in s U WHITE PLAINS, N. Y.,_ Case No 21682--Mr Radiographic examination of the chest shows increased density of the hilus shadows and a prominence of the bronchi in the central lung fields. RDD/HA 0 w U O 'J 1 - N9605.04 Or-i-iCE Ho d h s n v <U>POINIMENT R. D. DUCKWORTH, M. D Me d ic a l Ce n t iu s b u il d in g 170 MAPLE AVEXUE PlIONl! Wh it e Pl a in s ifir 'WHITE PLAINS, N. V.,_______ A pviil__6-,__li)5 6 Case No 21679-- Radiographic examination of the chest shows moderate accentu ation of the linear markings and a slight prominence of the hilus shad ows . . RDD/HA v*1 K O O O u U 1)kl N9605.05 Of f ic e Ho u r s By Appo in t me n t R. 13. DUCKWORTH, M. . Me d ic a l Ce n t r e b u il d in g 1TO MAPLE AVENUE PlIONK Wh it e P l a in m WHITE PLAJUVS, N. Y.,__________ A p H ll_ 6 _ ,___luJ35_ Case No. 21681 Radiographic examination of the chest shows a few calcifications in the region of the hilus shadows as a result of previous inflammatory reaction. The linear markings in both central lung fields are fairly prominent, causing a somewhat mottled appearance of these areas. r d d /h a ^ G O O 1-'G G o N9605.06 Of f ic e Ho u r s By a ppo in t me n t R. D. DUCKWORTH, M. D. Me d ic a l Ce n t r e Bu il d in g lTO MAPLE AVENUE PHON-15 Wh it e Pl a in s s s WHITE PLAINS, N. Y., Case No. 21666-- Mr .April 6, iJ& Radiographic examination of the chest shows a slight increase in density of the hilus shadows and a prominence of the linear markings in the central dependent lung fields. There is a slight thickening of the interlobar pleural septum between the upper and middle right lobes. The heart shows a straightening of the left auriculo-pulmonic area. A small calcification is seen on level with the left third costochondral junction. RDD/EA K 0008C4 V)605.07 Of f ic e Ho u r s j j y Appo in t m e n t R. D. DUCKLWORTII, M. D. Mu d ic a l c e n t r e b u il d in g 1TO MAPL2 A V E N U E Ph o n e Wh it e P l a in s WHITE PLAINS, N. Y . , _ ______A p r i l --6-, lo5.6- Case No 21664-- Mr Radiographic examination of the chest shows a moderate increase in density of the hilus shadows. The linear markings in the central lung fields are prominent. There is some evidence of emphysema in these areas. RDD/HA K E A S* cm N9605.08 Of f ic e Ho u r s B v Appo in t me n t R. D. DUCKWORTH, M. D . Mk d ic a l Ce n t r e Bu il r in g 1TO MAPLE AVENUE Ph o n e Wh it e P l a in s s s WHITE PLAINS, N. Y.t______ Apr_il 6, lO-SB Case No. 21665-- Mr Radiographic examination of the chest shows an increased density of the hilus shadows and a prominence of the linear markings in the central lung fields, especially the dependent portions. An occasional calcifi cation is seen in the hilus regions due to previous inflammatory reaction. The heart is mitral in type although the measurements are within normal limits. RDD/HA 0u CT53 i N9605.09 Of f ic e Ho u r s By Appo in t me n t R. D. DUCKWORTH, M. . M&DICAX CENTRE BUILDING . 1TO MAPLE AVENUE Phone Wh it e Pl a in s ~ ~ 6-,WHITE PLAINS, N. Y.,----------Apr 11 - ----------19.36- Case No 21661-- Mr Radiographic examination of the chest shows a prominence of the hilus shadows and accentuation of the linear markings in the central lung fields pointing to a "bronchial irritation. RDD/HA R OA vA U O--}o < N9605.1 O m cB Ho u r s By Appo in t m e n t R. D. DUCKWORTH, M. R. Me d ic a l Ce n t r e Bu il d in g 1TO MAl'LE AVENUE ph o n e Wh it e P l a in s as WHITE PLAINS, N. Y.,_________Ap r i l 6 , i d .'58 Case No 21662-- -Mr Radiographic examination of the chest shows moderate accentuation of the linear markings in the central lung fields, and thickening of the interlobar pleural septum on level with the right fourth anterior rib. RDD/HA tk5 0 cm N9605.ll Of f ic e Ho c k s By Appo in t m e n t R. D. DUCKWORTH, M. D. Me d ic a l c e n t r e b u il d in g 1TO MAPLE AVENUE Ph o n e Wh it e P l a in s as WHITE PLAINS, N. Y., Case Ho 21676-- Hi* -19. 36 Radiographic examination of the chest shows a slight increase in density of the hilus shadows and an accentuation of the linear markings in "both central lung fields. The interlobar pleural septum between upper and middle right lobes is somewhat prominent. PUT }*( fT cm L ...I*1"*** ^ 9 6 0 5 .1 2 Of f ic e Ho u r s IIy Appo in t me n t R. R. DUCKWORTH, M. D MISDICAL CENTRE BUILDING 1TO MAPLE AVENUE 1*110X15 Wh it e Pl a in s S2 WHITE PLAINS, N. Y.,___ April 6 , __ t>56 Case No 1675--Mr Radiographic examination of the chest shows a moderate accentua tion of the linear markings in the central dependent lung fields. NDD/HA ftg' 0 0 0 3 0 VO N9605.13 Oi t i c b Ho u r s By Appo in t m e n t R. D. DUCKWORTH, M. D. Me d ic a l Ce n t r e Bu il d in g 1TO MAPLE AVENUE Ph o n e Wh it e P l a in s 33 w h i t e p l a i n s , n . y ,,_____ April 6,_-io36 Case Ho 21677--Mr Radiographic examination of the chest shows a calcification near the upper portion of the right hilus shadow due to a previous inflammat ory reaction. The hilus shadows and linear markings in the central de pendent lung fields are somewhat prominent. UA Ua ,0nO' ?UA i 1 N9605.14 Of f ic e Ho u r s IJY Appo in t me n t R. D. DTJCIiLWORTH, M. I>. Me d ic a l c e n t r e Bu il d in g 1TO MAPLE AVENUE I'iloNi; W hite Plains eli WHITE PLAINS, N. Y.,____________Apri1 fi, io .'v " Case No. 21663--Mr Radiographic examination of the chest shows a moderate accentuation of the linear markings in the central lung fields, especially the depend ent portions, and a slight prominence of the hilus shadov/s. RDD/HA mmmz N9605.15 Oi-i ic b Ho u r s By Appo in t me n t R. D. DUCKWORTH, M. D. Me d ic a l Ce n t r e b u il d in g 170 MAPLE AVENUE Ph o n e Wh it e Pl a in s US Case No. 21G60--Mr WHITE PLAINS, N. Y. April 6. 1n56 Radiographic examination of the chest shows several small circum scribed areas of density together with some evidence of fibrosis in both right and left first anterior interspaces. The hilus shadows, especially the right, show some increase in density. The linear markings in the cen tral lung fields, especially the dependent portions, are prominent. The heart is mitral in type, although the measurements are within normal lim its. The pathology in the region of the first anterior interspaces, in my opinion, is the result of a healed, inactive tuberculosis. The prom inence of the hilus shadows and the evidence of peri-bronchial thicken ing would indicate bronchial irritation, the cause undetermined. RDD/HA N9605.16 Ok h c e Ho u r s j j y a ppo in t me n t R. . DUCKWORTH, M. MUDICAL CENTRE BUILDING ITO MAPLE AVENUE I'HONB Wh it e Pl a in s ssa WHITE PLAINS, N. Y.,___________April ... .10.56 Case No 21668--Mr Radiographic examination of the chest shows some accentuation of the linear markings in the central dependent lung fields. The heart is aortic in type, but the measurements are within normal limits. The left border of the aortic arch is somewhat knuckled. r d d /h a O d i)o d (4 N9605.17 Of f ic e Houits IY APPOINTJnsNT R. D. l>tJCivWORTH, M. D MEDICAL CENTRE BUILDING 1TO MAPLE AVENUE PlIO.NE Wh it e P l a in s AVHITE PLAINS, N. Y. April 6_,__ io_S6 Case No. 21667--Mr Radiographic examination of chest shows an increased density of the hilus shadows and a moderate accentuation of the linear markings in the central lung fields. A small calcification is seen in the outer third of. left pulmonic field on a level with the fifth anterior rib, this possibly the result of a healed tubercular lesion. :!DD/:ia N9605.18 ,,,, Of f ic e Ho u r s By Appo in t m e n t R. D. DUCKWORTH, M. D. Me d ic a l Ce n t r e Bu il d in g 170 MAPLE AVliNUE Ph o n e Wh it e Pl a in s aii w h i t e p l a i n s , n . y .,___ __Aprl_6j_i>56 Case No 21672--hr Radiographic examination of the chest shows several small areas of calcification at the base of the left apex on level -with the first and second anterior interspaces; these indicate an old healed tubercular lesion. No evidence of activity is noted. The linear markings in both central lung fields are quite prominent. The heart shows a slight knuck ling of the left border of the aortic arch. D/HA 0 0 d v (0 cm N9605.19 Ok k ic b Ho u r s b y Appo in t me n t R. 13. DUCKWORTH, M. 13. Me d ic a l Ce n t r e Bu il ij in g ITO MAPLE AVENUE PlIONI Wh it e P l a in s WHITE PLAINS, N. Y.,_________ApT-ii__6l , ____10_3S_ Case No 21673--Mr R rg.iogpbnliic examination of the chest shows accentuation of the nil us shadows, siisht prominence of the linear markings in the central lung fields, and a tendency tov/ard mottled illumination of the right central lung field. J; 00Gif{V N9605.2 -v~tl'itiiT^TTr rftfiPrV'-f-r" - <. Of f ic e Ho u r s 1)y Appo in t a ie n t R. . UCIvMORTII, M. , Mk d ic a l Ce n t r e b u il d in g 1TO MAPLE AVENUE Ph one Wh it e P l a in s a s WHITE PLAINS, N. Y, _io_36 Case No. 21678-- Mr ^ Radiographic examination of the chest shows calcifications in wieRegion of the. hilus shadows as a result of previous inflammatory re action. j.nere is a. prominence of the linear markings which i-s f-ai-rl-y extensive and ent portions. is seen in both central lung fields, especially the depend T/lIA iA n r.' >:, UUUOp 0 N9605.21 Of f ic e Ho u r s By Appo in t me n t R. D. DUCKWORTH, M. . Me d ic a l Ce n t r e Bu il d in g 1TO MAPLE AVENUE Rh o n e Wh it e Pl a in s si Aprilw h i t e PLAINS, N. y .,__________ 6, I D 56 Case Ho 21680-- Mr Radiographic examination of the chest shows a slight accentu ation of the linear markings in the dependent central lung fields. r d d /h a Kt #, N9605.22 Of f ic e Ho u r s By Appo in t me n t R. D. DUCKWORTH, M. D. m e d ic a l c e n t r e b u il d in g 1TO MAPLE AVENUE Ph o n e Wh it e Pl a in s S2 WHITE PLAINS, N. Y.,_________April--6-,-------10. 36- Case No 21674-- Mr. Radiographic examination of the chest shows eventration of the left dome of the diaphragm due to gas in the splenic flexure. There are several small questionable densities in the right apex which may be due to a previous tuberculosis. No evidence of activity is noted. The linear markings in the central dependent lung fields are prominent. Questionable areas of bronchiectasis are seen in the right lower lobe. The costal cartilages are beginning to calcify. HDD/HA 000.3060 N9605.23