PHTHISIS PULMONALIS. 
479 
the right side, and preternatural resonance of the other side, 
depending on the distended stomach, which distension was 
entirely symptomatic. The respiratory murmur was audible 
in the right lung further back. 
A dead sound on percussing a portion of lung will warrant 
us saying, there is something there that ought not to be ; but 
no more. A case occurred in one of the London hospitals, 
of a man who all agreed in saying had a hepatised lung. 
He died ; the hepatised lung was a very healthy one, but that 
side of the chest was completely filled by effused coagula. 
I expected to find some organic disease of the liver in 
this case, but there was none. Dr Knox (late Veterinary 
Examiner), while at Chelsea Hospital, examined from forty 
to eighty bodies of persons, supposed to be labouring under 
hepatitis or hepatic dysentery, and found organic disease of 
the liver in two only. 
THE TUMOUR EXAMINED BY THE EDITOR. 
It seemed, at first sight, before the particulars of the 
case producing it were received, to be the urinary bladder. 
It appeared to have a lining of a mucous coat, which 
was uniformly covered with a thick coating (in some places 
to the extent of a quarter of an inch through) of pale, ochre- 
yellow, clotted matter, of the consistence of thick cream, 
which admitted everywhere of being readily scraped off with 
the handle of the scalpel; leaving bare, when scraped off, 
the lining membrane, which, in some places, w as intensely 
reddened ; though, in others, it w 7 as shining and transparent: 
everywhere it presented a sort of callous or cartilaginous 
substratum, which firmly and intimately united it with the 
outer walls. These consisted of an internal covering of 
pleura, underneath which w r as a gelatinous tunic, in every 
part densely beset w r ith yellowish-white deposits, looking 
upon the excised surface of it, in point of magnitude at 
least, like so many millet seeds, which, when dissected out 
and rubbed between the finger and thumb, proved to be cal¬ 
careous in their composition. These earthy deposits pervaded 
every part of the transformed muscular coat, though they 
were found to be more numerous at the part which looked 
to us like the neck of the tumour (supposing it to have been 
a bladder), than at other parts. This newly-formed gelati¬ 
nous substance had grown to an enormous degree, especially 
at w hat might be called the fundus and neck of the tumour : 
at the former it measured one inch in thickness ; while at 
