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It is our desire to present a series of cases which illustrate not only certain interesting conditions but also certain details of our methods of handling such cases here. We also wish to emphasize the importance of an approach to all cases of chest conditions according to a plan of cooperation between the medical and surgical services. For nearly ten years we have been associated in the organization and development of a chest service for this group of hospitals. We meet almost daily and discuss patients who may possibly have any surgical conditions of the chest. The mutual cooperation of those with a medical and those with a surgical point of view on many of these cases is most helpful. In any large general hospital there are many patients who too often remain in the medical wards and are not given the benefit of the possibility of surgical help. The