Miss G., aged 41, a government employee, consulted me, Oct. 30, 1934, because of pain beneath the lower extremity of the sternum. Her family history was unimportant. Her previous history showed that she had been ill with typhoid from Sepember 1927 to January 1928. During this illness she lost 30 pounds (13.6 Kg.). During the progress of typhoid, pain developed in the chest, the exact area of which she did not remember. The pain troubled her continuously throughout her illness. In March 1928 a roentgenogram showed an abscess in the neighborhood of the sternum, which was drained and which contained typhoid bacilli. A sinus formed and drained until Aug. 17, 1928, at which time it was excised at the Letterman General Hospital in San Francisco.
Notes furnished by the hospital stated that under local anesthesia a small elliptic incision about 1 inch long running transversely was made around the