f *95 7 
Upon infpeCtion it appeared, that the left fide of the 
thorax was greatly inlarged, and prodigioufly dif- 
tended : the pe&oral mufcle was fomewhat raifed up; 
on preffure it felt foft, and readily gave way : upon a- 
rernoval of the preffure, the integuments refumed 
their former appearance, mo marks of impreflion re- 
maining on this, or any other part of the thorax, fo 
as to conflitute the charaCteriffic of an oedematous 
fwelling. 
The fpaces betwixt the 9th and 1 oth, and betwixt 
the 10th and 11th ribs, counting from above, were 
vifibly inlarged, and fomewhat elevated : they felt 
foft, and yielded to the fingers ; but were not at all 
inflamed, or otherwife difcoloured. Upon examina- 
tion, I difcovered a fluctuation in both thefe parts. 
The general fymptoms that attended this cafe were 
fimilar to thofe arifing from all confiderable collec- 
tions of fluids depofited in either cavities of the 
thorax: for inftance, the patient had a continual 
flow fever; a fhort cough, but without the leaft ex- 
pectoration of matter ; a great difficulty in refpiration, 
particularly in the aCts of expiration. He was inca- 
pable of lying down on the right fide, without very 
great uneafrnefs ; he was much emaciated ; and his 
countenance was uniformly fallow : he did not com- 
plain of fo much pain, or fo great a difficulty in 
breathing, when in an ereCt pofture, as I have fome- 
times obferved in difeafes of this kind even where 
the quantity of extravafated fluid has been much 
lefs ; but at the fame time I muff acknowlege, that 
no fair inference could be deduced from hence, be- 
caufe of the peculiar pofition the difeafed fide was 
put in when the poor man fat down, or flood up-; 
C c z either; 
