Name: Cardo Dalisay Date: 09/05/2023

Section: BSA 3A

A. The instillation is carried out as described above, but owing to the higher viscosity of the
medium, the examiner must be more careful in manipulating the patient. However, by placing
the subject in the position as previously described, satisfactory filling of the entire bronchial tree
is obtained in the course of 3 to 5 minutes. The fact that the alveoli do not fill is due to the
higher viscosity, and it is therefore important to remember that the medium must not be
warmed before use, but should be used at room temperature. Warming before use may easily
result in alveolar filling, and then the medium does not differ from ordinary iodized oil in regard
to the elimination. We prefer the suspension with 5 g sulphadiazine as we find that it possesses
the most appropriate degree of viscosity. This suspension produces good filling of the entire
bronchial tree without any tendency to alveolar filling. The contrast medium is coughed up
within a short time which varies from some hours to a few days. The addition of sulphonamide
does not increase the irritancy of the oil, the contrast effect is not impaired, and we have not
observed any toxic side-reactions or other complications in the use of these media. It is our
preliminary impression that, owing to its rapid elimination, a suspension of sulphonamide in
iodized oil is the best contrast medium for bronchography at present in existence, and thus
represents a very considerable advance in diagnostic radiology of the lungs.