Medical Report, June 7, 1932

DR. WILLIAM WALLACE MAVER 632 BERGEN AVENUE JERSEY CITY, N. J. June 7, 1932. Collins A Corbin, 1 Exchange Place, Jereey City, N. J. NAME: Vies Tettie Madlinger DATE: June B, 1933 PARTS Bkull, Ribs, Spine, Pelvis, Upper and Lower Extremities Centlemen: Roentgenographic examitation of the akull, ribs, spine, pelvis, upper and lower extremities of the above named patient, on this date, revenled the following: SKULL: The skull vas examined in three different plánea. The bones composing this part were normally developed and were ayusetri- cal in contour. The combined dimensiona of the internal and external tables were normal. There were no areas of abnormalities, zarefac- tion or condensation, maggestive of an organio bone lesion. The sella tuzolea of normal dimensions. The andible and upper jaw were partly included intthis exanimation, and evidence of a marked degree of absorption and recession of the marginal alveolar préoses was noted, that results in exposure of the eervical portions of the teeth of the upper and lower jaws. RIBS: Examination of the ribs shotred no ovidanes of a destructive lesion in the ribe of the räght or left obest. There however, evidence of extensive calcification of the costel cartilages, which although abnormal, ie noted fairly frequently, and in a woman of thirty-tso yenre of age, indiontes a pregenile tendenoy. le aleo wish to note the evidence of a marked degree of tracheal displacement townd the left, by 2. marked degroe of enlargement of the right lobe of the thyroid gland. The trachea, in ite abnormal posi- tion, liee just anterioz to the left spinal border. The cartilages of the larynx also showed evidence of dispiscement toward the left due to the enme cause. Examination of the spine from the cervionl region dom- ward, in the anterior and lateral planes, the bony segments composing the spine to be normally developed throughout, and free from evidence of destructive bone involvement. PELVIS: The finding of most note in the pelvis was the evidence of chronic osteorthritic changes involving both sagroilies articula- tions, alightly more pronounced on the left aide. Changes of this character are frequently noted, and are ueually of infections origin. UPPTR (From the right and left shoulders to the finger tips). Eximition of these parte did not revenl any abnornal- ities in the contour or density of any of the bones composing the