1. Recent Advances in the Conservative Treatment of the Giant Cavity
DONATO G. ALARCON, M.D., F.C.C.P. 
Diseases of the Chest 
Volume 16, Issue 4, Pages (October 1949)
DOI: /chest
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

2. FIGURE 1
G.M.: Bilateral caseo-pneumonic lesions. Large apical cavity on the right side. Its limits are very close to the chest wall. Poor indication for the conventional extrapleural pneumothorax. On the left, a small cavity is located under the clavicle. Tubercle bacilli very numerous in sputum.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

3. FIGURE 2
G.M.: As the pleurae were found adhered, a combination of upper three rib thoracoplasty and extrapleural pneumothorax as described, was done. The cavity fell and its size very markedly diminished.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

4. FIGURE 3
G.M.: The collapse was considered insufficient and a second stage was performed to enlarge the chamber and closure of the cavity was obtained.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

5. FIGURE 4
GM.: Conversion of the extrapleural chamber to oleothorax (mineral oil). The condition became immediately inactive. Sputum and gastric contents persistently negative, for over one year. Patient is leading normal life.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

6. FIGURE 5
E.S.: Giant cavity in the right upper lobe and another smaller one underneath. Intrapleural pneumothorax was continued for several years on that side but was abandoned 14 years ago. A large nodule is visible under the left clavicle. Sputum: Tubercle bacilli very numerous.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

7. FIGURE 6
E.S.: To avoid thoracoplasty and deformity, the combination thoracoplastyextrapleural pneumothorax was performed with excellent results. The upper lobe seems to be collapsed and the cavity closed and protected from perforation by the soft tissues left on the surface of the lobe.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

8. FIGURE 7
E.S.: Conversion to oleothorax with 1000 cc. Nujol when the chamber was filled up.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

9. FIGURE 8
E.M.: Giant cavity in the right upper lobe and exudative spread over the lower lobe and the opposite lower lobe. Sputum: very large number of tubercle bacilli.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

10. FIGURE 9
E.M.: Large extrapleural chamber is obtained after the combination of thoracoplasty - extrapleural pneumothorax is done.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

11. FIGURE 10
E.M.: Conversion to oleothorax to make a permanent collapse. Sputum and gastric contents repeatedly negative.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

12. FIGURE 11
A.M.: Large apical cavity on the upper lobe. Pleural synechia.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

13. FIGURE 12
A.M.: The combination thoracoplasty - extrapleural pneumothorax was done.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions

14. FIGURE 13
A.M.: Conversion to oleothorax. Sputum and gastric lavage negative.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1949 The American College of Chest Physicians Terms and Conditions