was also complete pleural adhesion. The patient had been much exposed, and on admission presented the symptoms of acute pneumonia; his temperature was high ; the lung was extremely dull below and presented the Skodaic note at the apex. So dull was the basal note that four aspirations were made with negative results. This consolidation extended up the lung toward the apex. The patient's temperature remained irregular, but he waB thought to be improving; when cough-