Abstract
INCREASINGLY frequent reports1 , 2 in the literature have emphasized the striking prevalence of malignant neoplasms among solitary pulmonary lesions. Such a frequency is not surprising, but it is not so widely known that these lesions may be completely asymptomatic even though malignant. Bugden,3 Sharp and Kinsella,4 Effler5 and Storey, Grant and Rothmann6 have called attention to this fact. They have all recommended exploratory thoracotomy when accepted measures have failed to establish a diagnosis.DefinitionThe series described below includes 77 cases of asymptomatic pulmonary shadows from the records of the Massachusetts General Hospital from October 1, 1947, through October 1, 1954, . . .

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