Extracardial murmurs, in cases of chest injury, are sufficiently uncommon to warrant the report of the case of Private A. F., returned from overseas for discharge. A search in the literature has failed to reveal similar observations, although doubtless there may have been many, since Col. Warfield T. Longcope, in a personal communication, writes that he "heard of several while abroad."
Private A. F. suffered a shrapnel wound in the left chest posteriorly, Sept. 24, 1918, at Verdun. The piece of shrapnel entered the chest just below the angle of the left scapula. He was taken to a hospital, where bloody fluid was aspirated from the left chest, and on removal to a second hospital, Sept. 29, 1918, another aspiration was made; the patient was then evacuated to a third hospital, October 12, where the following note was recorded: "Left hemothorax filling almost entire cavity; heart markedly displaced to right;