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(Chest. 1960;38:561-562.)
© 1960 American College of Chest Physicians

X-RAY FILM OF THE MONTH

C. R. WOOLF M.D.1 and D. E. SANDERS M.D.2

1 Department of Medicine, Toronto General Hospital.
2 Department of Radiology, Toronto General Hospital.

Establishing the presence of the paramediastinal fluid was considered important as it precluded possible pericardial tap or angiocardiography. Paramediastinal effusion is rare and the mechanism involved is not fully understood. The localization of fluid below the lung is due to gravity. Medially it may be the result of partial collapse of the medial portion of the lower left lung. The pleural space was free of adhesions as shown by the immediate redistribution of the fluid with change in gravitational force when the patient assumed a supine position.






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