400 



GEOEGE II. HOXIE 



The accompanying illustrations (Figs. 6-7-8) show the X-ray pictures 

 in the following case reported by Brayton and Heublein : A male infant, 

 twelve pounds in weight, was seen one hour after birth. The labor had 

 been easy, but with the first cry the obstetrician had noticed that the 

 child's breathing was decidedly abnormal. The patient presented the 



Fig. 7. Same, one week later. 



most unusual appearance; the skin, lips, and nails were intensely cya- 

 notic, and the inspiratory stridor was distinctly audible in the adjoin- 

 ing room, while the epigrastric retraction was equal to that accompanying 

 the severest form of laryngeaJ diphtheria. Percussion and X-ray both 

 detected the presence of a thymus filling nearly one-half the chest cavity, 



Fig. 8. Same, ten weeks later. 



while inspection, palpation, and X-ray all revealed the presence of an 

 enormous thyroid occupying the entire front of the neck as far back as the 

 lobes of the ears. Eadium was applied and within forty-eight hours the 

 baby showed decided improvement which continued until, at the end of a 

 week, he was nearly normal in appearance. It was interesting to note that 



