It is recognized today that in refining the diagnosis in nonspecific affections of the lung with productive sputum, roentgenography and bronchoscopy in addition to the careful and complete clinical and laboratory examination of the patient, are of greatest assistance to physician and surgeon.
After the roentgen-ray examinations have shown haziness, fuzziness, infiltration, cavity formation with and without a fluid level on the stereoroentgenograms—in the erect and horizontal posture as well as in the lateral view—the trained bronchoscopist will give us further details. Having thoroughly evacuated the mucopurulent secretion from the bronchial tree by means of suction, he is in a postion to watch the appearance of the discharge at the very outlet of its source, at the respective bronchial opening, and also to detect, at the latter spot, granulations, ulcerations and stenosis of orifice or lumen; this visual observation then can be corroborated by intrabronchial instrumental manipulations.
Most important clinical
MEYER W. CHRONIC PNEUMONIA OR TUMOR OF THE LUNGAN INTERESTING OBSERVATION OF INFILTRATION CF THE RIGHT UPPER LOBE. Arch Surg. 1925;10(1):431–444. doi:10.1001/archsurg.1925.01120100443024