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October 1964

The Chest Film in Massive Pulmonary Embolism.

Arch Intern Med. 1964;114(4):579. doi:10.1001/archinte.1964.03860100161049

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The author begins this book by making a clear distinction between massive pulmonary embolism and pulmonary infarction. He points out that when a massive embolism and infarction coexist, it is usually the "good lung" which is infarcted. He proceeds to discuss the gross morphology of the pulmonary arterial tree and with the help of some very impressive and very clear diagrams reviews for the reader the gross anatomy. He describes the changes in the peripheral pulmonary arteries which occur in acute massive embolism. He emphasizes the utility of the plain posteroanterior film of the chest in making this diagnosis. The bulk of the book consists of 23 case presentations, beautifully illustrated with x-rays and diagrams which supply the supporting evidence for his findings. I think the author has presented his subject with great clarity. This is a book which can be scanned in 30 minutes and read carefully in two

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