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bibnum:111502x1927x63:0121
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    none: 0034 - Page 22 - La distension gazeuse du cul-de-sac pleural rétro-sternal au cours du pneumothorax thérapeutique, par Émile Sergent et Henri Durand
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    none: Fig. 1 Cette image simple peut parfois se compliquer, lorsque se produit un épanchement liquide. On voit alors une bulle hydro-aérique ; et le liquide qui remplit le cul-de-sac inférieur de la poche herniaire peut, suivant les cas, rester enkysté ou, libre, se déverser dans la grande cavité lors des changments de position du malade. Quelquefois, mais pas nécessairement, on peut avoir aussi un refoulement plus ou moins accentué de la cloison médiastinale dans son ensemble et un affaissement plus ou moins prononcé de l'hémidiaphragme du côté insufflé
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    none: Fig. 2 A la treizième, le 21 novembre, trois mois après le début, on constate aux rayons la présence d'une bulle claire débordant le bord gauche du sternum, dessinant une courbe à grand rayon sur le cjhamp pulmonaire gauche, allant de l'extrémité de la clavicule à la quatrième côte, la corde de l'arc étant de 5 centimètres
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    none: Fig. 3 C'est alors, en novembre, presque trois mois après l'installation du pneumothorax droit, qu'au cours d'un examen radioscopique pratiqué pour la surveillance régulière du pneumothorax, on vit, sur le champ pulmonaire gauche, une ligne nette, partant de l'articulation sterno-claviculaire et aboutissant au bord gauche du coeur, divisant le chap pulmonaire en deux parties, une externe légèrement marbrée représentée par le poumon gauche partiellement collabé, une interne claire
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    none: 0123 - Page 115 - La thoracoplastie hémostatique, par les Drs C. Colbert et J. Chatard. Hémoptysies graves récidivantes chez un porteur de pneumothorax. Phrénicectomie. Thoracoplastie basse. Résultat très favorable / Fracture ancienne partiellement consolidée du scaphoïde du poignet gauche, par le Dr L. Ménard
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    none: Fig. 1 - Bascule du scaphoïde autour du fragment interne
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  none: 0124 - Page 116 - Fracture ancienne partiellement consolidée du scaphoïde du poignet gauche, par le Dr L. Ménard / Actualités médicales. Un cas de myase des organes génitaux chez la femme
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    none: Fig. 2 et 3 - Fracture non consolidée et écrasement avec pénétration du scaphoïde gauche
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    none: 0125 - Page 117 - Étude radiologique du hile pulmonaire normal et pathologique, par le Dr Robert Chaperon
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    none: Fig. 1 - Les contours de l'ombre médiane cardio-vasculaire (Delherm et Chaperon
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    none: Fig. 2 - Hile normal, type moyen (Delherm et Chaperon) / Fig. 3 - Type artère pulmonaire gauche transversale ; la bronche gauche se dégage de l'ombre du ventricule / Fig. 4 - Type artère pulmonaire gauche antéro-postérieure ; à gauche, l'artère et la bronche sont masquées par l'ombre médiane ; la bronche droite entame l'oreillette droite
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    none: Fig. 5 - Le hile gauche en position oblique antérieure gauche de 15 à 20 degrés
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    none: Fig. 6 - Hiles radiologiques et hiles anatomiques, lobes et scissures (schématique)
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    none: Fig. 7 - Syndrome de stase veineuse au cours d'un rétrécissement mitral
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    none: Fig. 8 - Syndrome d'hypertension artérielle pulmonaire
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    none: 0135 - Page 127 - Diagnostic radiologique des sinusites, par MM. L. Baldenweck et C. David de Prades
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    none: 0141 - Page 131 - Des divers aspects radiographiques de la selle turcique, par M. Joly / Image de la selle turcique normale
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    none: Fig. 2 Voici par exemple un autre type de selle turcique normale chez un dolichocéphale : le plnacher F est plus allongé, moins profond, et plus mince. Le sinus sphénoïdal est élargi / Fig. 3 Le schéma ci-dessous est celui d'un brachycéphale. L'ensemble de la selle turcique est tassé, rétréci. Le diamètre antéro-postérieur est court, la fosse est plus profonde, l'entrée de la selle entre les apophyses postérieures est plus étroite / Fig. 4 On a signalé assez fréquemment, chez des individus tout à fait normaux, l'épaississement du dos de la selle, avec élargissement des apophyses clinoïdes postérieures qui se montrent sous forme de spatules / Fig. 5 Enfin, on a mentionné, comme dans le schéma ci-dessous, chez des individus normaux, l'existence d'une sorte de pont osseux jeté par-dessus la selle et réunissant les apophyses clinoïdes antérieures aux apophyses clinoïdes postérieures
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    none: Fig. 6 On rencontre dans ce schéma tous les éléments d'une selle turcique d'adulte, apophyses clinoïdes antérieures ACP, apophyses clinoïdes postérieures PCP, tubercule pituitaire T, sinus sphénoïdal SS ; en plus, on voit, le sillon intersphénoïdo-occipital / Fig. 7 Les dimensions sont réduites par rapport à celles de la selle turcique d'adulte : diamètre antéro-postérieur environ 8 millimètres, profondeur 6 millimètres, dimensions pouvant varier, du reste, dans la proportion d'un tiers sans qu'on puisse attribuer à ces variations un caractère pathologique / Fig. 8 Voyons maintenant quelles modifications de forme, de structure, de dimensions, ont été signalées, dans les cas pathologiques / Fig. 9 Le schéma ci-dessous, est celui d'une selle turcique déformée par la présence d'une tumeur hypophysaire, intrasellaire, de petites dimensions. Onvoit que le plancher F est aminci, creusé de telle façon que la fosse pituitaire apparaît plus profonde, de grande dimension, tandis que le dos de la selle est lui-même aminci, D, et les apophyses clinoïdes postérieures incurvées en avant
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    none: Fig. 10 Lorsqu'une tumeur hypophysaire est suprasellaire, ce qui correspondrait, d'après Erdheim, au syndrome clinique dit adiposo-génital de Fröhlich, l'aspect radiologique type est conforme, en principe, au schéma ci-dessous / Fig. 11 On constate non plus un développement de la fosse pituitaire en profondeur, mais un élargissement de la selle turcique. Le fond F n'a pas changé d'épaisseur ; il a conservé ses rapports avec le sinus sphénoïdal et le plancher de la fosse et le plancher de la fosse cranienne moyenne. Mais les apophyses clinoïdes antérieures se sont effilées ; elles se sont notablement éloignées des apophyses clinoïdes postérieures, lesquelles sont réduites à une sorte de bec renversé et minuscule. Ce type de selle turcique évasée se rencontre, du reste, constamment dans les cas de tumeurs hypophysaires suprasellaires / Fig. 12 Par exemple, le schéma ci-dessous s'applique à un cas de kyste supracellaire vérifié post mortem. Les apophyses clinoïdes antérieures sont bien reconnaissables, effilées et saillantes ; mais le dos de la selle n'existe plus, non plus que les apophyses clinoïdes postérieures ; le plancher forme une courbe à concavité peu accentuée et éloignée de la ligne du plancher cranien / Fig. 13 La première radiographie montre un évasement de la selle turcique, avec apophyse clinoïde antérieure petite et pointue
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    none: Fig. 14 La seconde radiographie montre également un fond de selle turcique à concavité diminuée, un élargissement du sinus sphénoïdal, des apophyses clinoïdes antérieures disparues, un rudiment de dos de selle turcique, lequel est aminci et rejeté en arrière / Fig. 15 D'autre part, les altérations du sphénoïde lui-même (cancer du sinus sphénoïdal, sarcome, tuberculose du plancher du sphénoïde) peuvent affecter facilement la selle turcique et produire, à cet endroit, des déformations osseuses. On pourra, alors, se rendre compte de l'atteinte du sphénoïde par son aspect radiologique spécial, diminution de la densité osseuse, flou des contours / Fig. 16 Mais la différenciation deviendra souvent presque impossible entre les aspects donnés par des tumeurs hypophysaires et ceux qui proviennent de certaines tumeurs de la base du cerveau. Les tumeurs qui partent de l'angle ponto-cérébelleux, celles qui, en particulier, partent du nerf acoustique, produisent, soit par pression directe, soit par propagation néoplasique, des déformations de la selle turcique qu'il est impossible, radiologiquement, de rapporter à leur véritable cause
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    none: Fig. 17 Voici, par exemple, une image de selle turcique avec apophyses clinoïdes antérieures aiguës et proéminentes, avec plancher à faible concavité, avec disparition du dos de la selle et des apophyses clinoïdes postérieures. Est-ce donc l'image d'une selle turcique dans une cas de tumeur hypophysaire suprasellaire ? Non, c'est l'image d'une selle turcique dans un cas de tumeur du nerf acoustique, vérifiée opératoirement
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  none: 0149 - Page 139 - La visibilité radiographique du squelette foetal « in utero », ses applications à l'obstétrique, par le Dr A. Blanche. II. Dans la deuxième moitié de la gestation
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    none: Squelette foetal in utero (8e mois). Présentation du sommet. On remarquera que les membres sont visibles dans toutes leurs positions / Présentation du siège au 7e mois. Le squelette des deux avant-bras apparaît en avant du massif facial, vu de profil
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    none: Gémellaire à 7 mois et demi. Les deux foetus se présentent par le siège / Gémellaire à 7 mois. Le foetus de droite, dont la tête apparaît complètement de face se présente par le siège. Le foetus de gauche se présente par le sommet (tête déjà engagée dans le bassin)
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  none: 0153 - Page 141 - Le radio-diagnostic de l'appendicite chronique, par G. Guénaux et P. Vasselle
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    none: 0153 - Page 141 - Le radio-diagnostic de l'appendicite chronique, par G. Guénaux et P. Vasselle
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    none: 0154 - Page 142 - Le radio-diagnostic de l'appendicité chronique, par G. Guénaux et P. Vasselle
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    none: Fig. 1 - Appendice normal : aucun signe clinique ou radiologique d'appendicite
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    none: 0155 - Page 143 - Le radio-diagnostic de l'appendicité chronique, par G. Guénaux et P. Vasselle
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    none: Fig. 2 - Appendice pathologique : forme et position immuables, adhérences avec le bas-fond caecal, douleur de la portion moyenne (diagnostic vérifié à l'opération)
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    none: Fig. 3 - Appendice pathologique : non mobilisable, adhérant au bas-fond caecal, à l'extrémité distale en massue avec aspect vacuolaire, à extrémité proximale douloureuse. Même aspect et même position à plusieurs examens. Diagnostic de calcul appendiculaire, vérifié à l'opération
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