1. The Changing Pattern of Pulmonary Suppuration: Surgical Implications
THOMAS B. FERGUSON, M.D., F.C.C.P., THOMAS H. BURFORD, M.D. 
Diseases of the Chest 
Volume 53, Issue 4, Pages (April 1968)
DOI: /chest
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

2. FIGURE 1
Bilateral saccular bronchiectasis characteristic of the preantibiotic era.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

3. FIGURE 2
Bronchogram typical of present-day “surgical” bronchiectasis. Bronchogram of the right lung was normal.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

4. FIGURE 3
Symptomatic bronchiectasis caused by distortion of the lingula following resection of left lower lobe.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

5. FIGURE 4
Bronchial compressive disease of the right middle lobe showing narrowing of the lumen by a large calcified node.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

6. FIGURE 5
Right middle lobe pneumonitis and atelectasis secondary to poor drainage. The bronchus is pushed downward by an adjacent node, but the bronchial lumen is not decreased in diameter.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

7. FIGURE 6
Bronchial compressive disease in the right lower lobe. The offending calcified node is clearly seen.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

8. FIGURE 7
Bronchial compressive disease of the lingular segment of the left upper lobe. A “middle lobe syndrome” on the left side.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

9. FIGURE 8
Preantibiotic lung abscess involving the left upper lobe with contralateral seeding to the right lower lobe.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

10. FIGURE 9
Right lower lobe abscess typical of intrapulmonary sequestration of the lung. An anomalous systemic artery entered the right lower lobe from the abdominal aorta.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

11. FIGURE 10
Severe aspiration pneumonia due to a vascular ring. This 11-year-old child had pulmonary symptoms virtually all of her life. She exhibited growth failure and was markedly underweight. She had been evaluated in the past for mucoviscidosis, bronchiectasis and collagen disease before the cause of her difficulty was discovered.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

12. FIGURE 11
Diagnostic studies obtained in the patient shown in Fig 10 prior to surgery. A. Posteroanterior arteriogram showing a right descending aortic arch and the aberrant left subclavian artery. The first portion of this vessel distal to its origin is flattened where it crosses the esophagus. B. Posteroanterior esophagogram showing oblique indentation in the barium column at the level of the anomalous vessel. C. Lateral esophagogram showing a posterior compression of the barium column due to the aberrant artery.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

13. FIGURE 11
Diagnostic studies obtained in the patient shown in Fig 10 prior to surgery. A. Posteroanterior arteriogram showing a right descending aortic arch and the aberrant left subclavian artery. The first portion of this vessel distal to its origin is flattened where it crosses the esophagus. B. Posteroanterior esophagogram showing oblique indentation in the barium column at the level of the anomalous vessel. C. Lateral esophagogram showing a posterior compression of the barium column due to the aberrant artery.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

14. FIGURE 11
Diagnostic studies obtained in the patient shown in Fig 10 prior to surgery. A. Posteroanterior arteriogram showing a right descending aortic arch and the aberrant left subclavian artery. The first portion of this vessel distal to its origin is flattened where it crosses the esophagus. B. Posteroanterior esophagogram showing oblique indentation in the barium column at the level of the anomalous vessel. C. Lateral esophagogram showing a posterior compression of the barium column due to the aberrant artery.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

15. FIGURE 12
Representative x-ray films early in the course of a patient with “benign” allergic granulomatosis.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

16. FIGURE 13
Recent x-ray films of the patient shown in Fig 12. At present the patient is totally asymptomatic with lesions known to be present for 18 years.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

17. FIGURE 14
A. A 24-year-old colored man with ischemic leg ulcers and no pulmonary symptoms. Clinical diagnosis at this time was emphysematous bulla. B. Film taken just prior to emergency pneumonectomy. Cavity is partially filled with fresh blood clot.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

18. FIGURE 14
A. A 24-year-old colored man with ischemic leg ulcers and no pulmonary symptoms. Clinical diagnosis at this time was emphysematous bulla. B. Film taken just prior to emergency pneumonectomy. Cavity is partially filled with fresh blood clot.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

19. FIGURE 15
A. Large abscess with almost total destruction of the left lower lobe which developed within a period of two weeks.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

20. FIGURE 15
A. Large abscess with almost total destruction of the left lower lobe which developed within a period of two weeks.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions

21. FIGURE 16
Cut surface of the right lower lobe from the case shown in Fig 15 showing the ischemic infarct characteristic of allergic granuloma.
Diseases of the Chest  , DOI: ( /chest )
Copyright © 1968 The American College of Chest Physicians Terms and Conditions