In making roentgenologic examinations of many chests, one finds evidence of chronic infection that is nontuberculous in origin. Most of the patients who are referred for roentgen examination of the lungs are sent for one purpose; namely, to determine whether or not pulmonary tuberculosis is present and to what extent. Formerly, the roentgenologist was content with his diagnosis when he could rule out a pulmonary tuberculous infection. Now, in order to be of greater service to the referring physician and to the patient, he must try to find the origin of the chronic infection that is causing the lung symptoms. The lung changes may represent chronic bronchitis, bronchial asthma, or bronchiectasis. The origin may be in the upper respiratory tract, especially the accessory sinuses.
During the past four years my associate Dr. James H. West and I have been impressed by the number of chest patients whose clinical symptoms suggested
OSMOND JD. ACCESSORY SINUS INFECTION IN SUSPECTED PULMONARY TUBERCULOSIS. JAMA. 1931;97(24):1778–1781. doi:10.1001/jama.1931.02730240028006