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AUTOPSY CASE FOR MEDICAL STUDENTS
AUTOPSY CASE FOR MEDICAL STUDENTS

AUTOPSY CASE FOR MEDICAL STUDENTS

Update SEP, 2005

No.1

SEX:

AGE:39

AUTOPSY No:A93-70

DATE OF DEATH/AUTOSPY:82-12-31/82-12-31

FINAL ANATOMICAL DIAGNOSIS:

1. Pulmonary disease

    A. Severe silicosis, bilateral lungs.

    B. Multiple pyogenic abscesses

    C. Residual granulomatous inflammation.

    D. Severe fibrous adhesion, bilateral pleuras.

2. Barin disease

    A. Mutlipe abscesses, cerebrum.

    B. Leptomeningitis.

    C. Ventriculitis.

    D. Edema and tonsillar herniation.

    E. Duret hemorrhage, midbrain and midpons.

    F. Necrosis, pituitary and barin stem.

3. Mild hypertrophy, right ventricle.

4. Centrilobular hemorrhage and mild necrosis, liver.

5. Cystitis glandularis, urinary bladder.

6. Ulcer, trachea.

7. Hypospermatogenesis, testes.

8. Hepatitis B carrier.

No.2

SEX:

AGE:39

AUTOPSY No:A95-14

DATE OF DEATH/AUTOSPY:84-03-27/84-03-30

FINAL ANATOMICAL DIAGNOSIS:

1. Dilated cardiomyopathy, S/P orthotopic cardiac transplantation (on March 4, 1995).

2. Grade IA cellular rejection and grade IV vascular rejection of the allograft.

3. Severe pulmonary edema, bilateral lungs.

4. Bronchopneumonia, bilateral lungs.

5. Centrilobular hemorrhagic necrosis, liver.

6. Pleural effusions, serous, 2000 C.C.

7. Ascites, serous, 2000 C.C.

8. Generalized congestion.

9. Candidiasis, prostate.

No.3

SEX:

AGE:36

AUTOPSY No:A94-15

DATE OF DEATH/AUTOSPY:83-02-18/83-02-21

FINAL ANATOMICAL DIAGNOSIS:

1. Disseminated cacinomatosis S/P Modified radical mastectomy of left breast and total

    thyroidectomy (carcinomatosis in bilateral lungs, trachea, diaphragm, mediastinal lymph nodes, hepatic 

    vessels, gall bladder and cystic duct, pancreas, vertebrae, skull bone, left kidney, and skin of left breast.)

2. Uterus, leiomyoma.

No.4

SEX:

AGE:32

AUTOPSY No:A94-20

DATE OF DEATH/AUTOSPY:83-03-27/83-03-30

FINAL ANATOMICAL DIAGNOSIS:

1. History of rectal adenocarcinoma (Dukes' C2) with S/P abdomino-perineal resection, bilateral 

    salpingooophorectomy, and posterior vaginectomy.

2. History of metastatic adenocarcinoma to the pelvic soft tissue and skin of the scalp.

3. Moderately differentiated adenocarcinoma, metastatic, bilateral lungs, bilateral pleuras, diaphragm, 

    pericardium, urinary bladder, uterus, and vagina.

4. Bronchopneumonia and organizing pneumonia, bilateral lungs.

5. Diffuse alveolar damage, bilateral lungs.

6. Pleura effusion, serosangious (100 C.C.).

7. Hyaline thrombi, bilateral kidneys.

No.5

SEX:

AGE:73

AUTOPSY No:A95-23

DATE OF DEATH/AUTOSPY:84-06-20/84-06-21

FINAL ANATOMICAL DIAGNOSIS:

1. Atherosclerosis of the aorta, moderate.

2. Status-post coronary by-pass surgery and mitral valvuloplasty.

3. Complete fibrosis and occlusion of the by-pass vein.

4. Arteriosclerosis of the coronary arteries, moderate to severe.

5. Absence of left circumflex coronary artery.

6. Fresh and recent myocardial infarcts under the left lateral papillary muscle.

7. Atrophy and fibrosis of the left lateral papillary muscle.

8. Dilatation of the mitral valve, partially sutured.

9. Subepicardial hemorrhage, left ventricle.

10. Severe fibrous adhesion of the pericardium and epicardium with a repair patch.

11. Bloody pleural effuesion, bilateral (right 700 C.C. left 200 C.C).

12. Ascites (200 C.C).

13. Bronchopneumonia, right middle lobe.

14. mild congestion, liver and spleen.

15. Arteriolar nephrosclerosis.

16. Surgical scar, bilateral lower extremities.

17. Silicone implants of bilateral breasts, ruptured.

No.6

SEX:

AGE:44

AUTOPSY No:A95-44

DATE OF DEATH/AUTOSPY:84-11-01/84-11-02

FINAL ANATOMICAL DIAGNOSIS:

1. Primary biliary cirrhosis, stage I to III status post orthotopic liver transplantation.

2. Hemorrhagic infarct and centrilobular necrosis, liver, with severe cholestasis.

3. Acute pancreatitis, severe, with huge retroperitoneal hematoma.

4. Pulmonary edema and aspiration pneumonia.

5. Focal angioinvasive aspergillosis, left lower lobe.

6. Hemorrhagic infarct, spleen.

7. Acites, turbid, 2000 C.C.

8. Pleural effusions, serous, 400 C.C.

9. Generalized cholestasis and bile casts.

10. Esophageal varices, mild.

11. Tracheal ulcer.

12. Epicardial hemorrhage, mild.

13. Atherosclerosis, mild.

No.7

SEX:

AGE:43

AUTOPSY No:A96-17

DATE OF DEATH/AUTOSPY:85-4-29

FINAL ANATOMICAL DIAGNOSIS:

1. Aspiration pneumonia, bilateral lung.

2. Empyema, right lung.

3. Abscess, liver.

4. Abscess, prostate.

5. Candidiasis, urinary bladder.

6. Atherosclerosis, aorta and coronary artery.

7. Arterionephrosclerosis, kidney.

8. Diverticulum, ileum.

9. Erosion, esophagus.

10. Accessory spleen

11. Ascites, 200 C.C.

No.8

SEX:

AGE:85

AUTOPSY No:A95-43

DATE OF DEATH/AUTOSPY:85-10-21/84-10-26

FINAL ANATOMICAL DIAGNOSIS:

1. Centrilobular emphysema, advanced.

2. Old tuberculous granuloma, upper lobe of left lung.

3. Small cell carcinoma of the left lung with metastasis to hilar lymph nodes and invasion into the trachea.

4. Pulmonary emboli.

5. Aspiration pneumonia, mild and focal.

6. Diffuse alveolar damage, focal.

7. Atherosclerosis, aorta and coronary arteries.

8. Left ventricular hypertension, heart.

9. Arteriolar nephrosclerosis.

10. Duodenal ulcer.

11. Congestion, liver, kidneys, and urinary bladder.

12. Atrophy, bilateral testes.

No.9

SEX:

AGE:56

AUTOPSY No:A94-62

DATE OF DEATH/AUTOSPY:83-10-25/83-10-27

FINAL ANATOMICAL DIAGNOSIS:

1. Severe ischemic cardiomyopathy, status post orthotopic heart transplantation.

2. Grade III a rejection of the recipient heart.

3. Dilataion and hypertrophy of the heart.

4. Diffuse atherosclerosis.

5. Centrilobular hemorrhagic necrosis and mild cholestasis, liver.

6. Congestion and infarction, spleen.

7. Hyaline arteriolar thickening with tubulointerstitial disease, bilateral kidney.

8. Marked congestion and focal edema of lung.

9. Bilateral pleural effusion, serosanguineous, 1150 C.C.

10. Ascites, serosanguineous, 2100 C.C.

11. Mild bronchopneumonia.

12. Acute hemorrhagic infarct in left broca area.

13. Lacuna infarct in left putamen.

14. Focal meningitis.

No.10

SEX:

AGE:15

AUTOPSY No:A97-4

DATE OF DEATH/AUTOSPY:86-2-15/86-2-18

FINAL ANATOMICAL DIAGNOSIS:

1. Dentatorubropallidoluysial atrophy, brain.

2. Massive centrolobular necrosis, liver.

3. Aspiration pneumonia, lung.

4. Bronchopneumonia, lung.

5. Pleural effusion, 300 ml, serosanguious.

6. Ascites, 100 ml, serosanguious.

No.11

SEX:

AGE:48

AUTOPSY No:A97-6

DATE OF DEATH/AUTOSPY:86-2-23/86-2-24

FINAL ANATOMICAL DIAGNOSIS:

1. History of hepatocellular carcinoma and chronic hepatitis B, (S97-10998), S/P

hepatectomy with orthotopic transplantaion.

2. Diffuse hemorrhagic necrosis of the transplanted liver.

3. Bilateral end-stage (non-functional) kidneys.

4. Acute tubular necrosis, of the transplanted kidney.

5. Bilateral pleural effusion, marked, with right hemothorax.

6. Congestion of lung with focal hemorrhage of right upper lobe.

7. Diffuse hemorrhagic necrosis of gastric mucosa.

8. Bloody ascites, 1000 C.C.

9. Hemorrhagic infarct, spleen.

10. Hemorrhage over omentun, diaphragum and mediastinal soft tissue.

11. Mild aterosclerosis, aorta and coronary arteries.

12. S/P subtotal resection of small intestine (S97-11171).

13. S/P cholecystectomy.

14. Hydrocele, left.

15. Restricted autopsy, brain not included.

No.12

SEX:

AGE:31

AUTOPSY No:A97-8

DATE OF DEATH/AUTOSPY:86-2-28/86-3-1

FINAL ANATOMICAL DIAGNOSIS:

1. Adult respiratory distress syndrome (exudative stage). Lung transplantation (left side).

2. Status post pneumonectomy, right side.

3. Pleural effusion, serosanguinous left side : 160 C. C. , right side : 50 C.C.

4. Extensive hemorrhage of transplanted lung.

5. Foreign body diffusely distributed in the transplanted lung.

No.13

SEX:

AGE:25

AUTOPSY No:A97-17

DATE OF DEATH/AUTOSPY:86-6-16/86-6-21

FINAL ANATOMICAL DIAGNOSIS:

1. Paraquat intoxication.

2. Diffuse alveolar hemorrhage, bilateral.

3. Acute pancreatitis.

4. Corrosive esophagitis and gastritis.

5. Mild cholestasis, liver.

6. Bilateral pleural effusion, 250 C.C

7. Generalized congestion.

No.14

SEX:

AGE:63

AUTOPSY No:A97-22

DATE OF DEATH/AUTOSPY:86-8-12/86-8-13

FINAL ANATOMICAL DIAGNOSIS:

1. History of ischemic cardiomyopathy with coronary artery bypass, status post orthotopic heart 

    transplantation.

2. Grade IV rejection (severe acute rejection) of the heart.

3. Moderate dilatation and marked hypertrophy of the heart.

4. Marked pulmonary edema and congestion.

5. Acute bronchopneumonia, bronchitis and bronchiolitis, bilateral.

6. Old granuloma of right hilar lymph node.

7. Centriobular hemorhagic necrosis, liver.

8. Acute tubular necrosis, bilateral kidneys.

9. Brain abscess, left temporal lobe.

No.15

SEX:

AGE:55

AUTOPSY No:A97-11

DATE OF DEATH/AUTOSPY:86-5-25/86-5-28

FINAL ANATOMICAL DIAGNOSIS:

1. Coronary artery disease with extensive myocardial infarction, status post orthotopic heart transplantation.

2. Systemic fungal infection; heart, lungs, stomach, pancreas and thyroid.

3. Pulmonary infarction.

4. Dilatation and hypertrophy of the heart.

5. Bilateral pleural effusions, serosanguineous; right 1350 C.C., left 1250 C.C.

6. Ascites, serosanguineous, 2200 C.C.

7. Generalized congestion.

8. Intraductal and intracanalicular cholestasis with marked jaundice.

9. Simple cysts, bilateral kidney.

No.16

SEX:

AGE:76

AUTOPSY No:A97-29

DATE OF DEATH/AUTOSPY:86-10-02/86-10-06

FINAL ANATOMICAL DIAGNOSIS:

1. History of cervical squamous cell carcinoma, stage IIIB, S/P radiation therapy.

2. Atrophic uterus and adnexal with radiation effect including fibrosis, necrosis and abscess formation without 

    residual squamous cell carcinoma.

3. Pulmonary lymphangitic carcinomatosis and severe diffuse alveolar damage superimposed by acute 

    bronchopneumonia.

4. Coronary atherosclerosis, triple vessels.

5. Acute myocardial infarction of anterio-lateral wall of left ventricle.

6. Atherosclerosis of aorta and other major arteries including basilary artery.

7. Chronic pericarditis.

8. Radiation effect of large bowel, S/P segmental resection.

9. Chronic pyelonephritis, bilateral kidneys.

10. Hemorrhagic cystitis and urethritis with abscess.

11. Passive hyperemia of liver with early perivenular fibrosis.

No.17

SEX:

AGE:8

AUTOPSY No:A98-16

DATE OF DEATH/AUTOSPY:87-6-8/87-6-9

FINAL ANATOMICAL DIAGNOSIS:

I. Acute encephalomyelitis due to enterovirus 71 with the involvement of :

1. Bilateral cerebral hemispheres; fornix, white matter of frontal lobes and gray matter of pariental lobes

2. Bilateral hypothalamus

3. Midbrain; red nucleus and substantia nigra

4. Pons; tegmentum and basis pontis

5. Medulla; inferior olive complex and reticular formation

6. Cerebellum; dentate nucleus and white matter

7. Spinal cords, cervical, thoracic and lumbar; dorsal, intermediate and ventral horns

8. Enterovirus 71 identified by IFA method from medulla and spinal cords

    II.Severe pulmonary edema and hemorrhage of bilateral lungs

    III.Mild diffuse alveolar damage of bilateral lungs

    IV.Mild microvesicular fatty change of liver

    V.Moderate biventricular hypertrophy of heart

    VI.Pleural effusion, serosanguinous, 20 C.C. each side

    VII.Pericardial effusion, serosanguinous, 5 C.C.

    VIII.Ascites, serosanguinous, 20 C.C.

No.18

SEX:

AGE:12

AUTOPSY No:A98-17

DATE OF DEATH/AUTOSPY:87-6-15/87-6-17

FINAL ANATOMICAL DIAGNOSIS:

1. Acute meningoencephalomyelitis due to flaviviridae (Japanese B encephalitis)

    A. Frontal, parietal, temporal, occipital lobes, basal ganglia, thalamus, hypothalamus, midbrain, pons, 

        medulla, and cerebellum.

    B. Cervical, thoracic, lumbar spinal cord.

2. Pulmonary edema with focal hemorrhage.

3. Acute bronchopneumonia, right upper lobe.

4. Congestion with centrilobular hemorrhagic necrosis, liver.

5. Moderate myocardiac hypertrophy, heart.

6. Pleura effusion, serosanguious, right 10 C.C left 5 C.C.

7. Pericardial effusion, serosanguious, 5 C.C.

No.19

SEX:

AGE:1day

AUTOPSY No:A98-18

DATE OF DEATH/AUTOSPY:87-6-26/87-6-27

FINAL ANATOMICAL DIAGNOSIS:

1. Immaturity, gestational age of 26 weeks

2. Hyaline membrane disease, bilateral lungs

3. Acute tubular necrosis, bilateral kidneys

4. Subependymal hemorrhage and intraventricular hemorrhage

5. Pleural effusions, bilateral, serosanguinous, 30 C.C. each

6. Ascites, serous, 50 C.C.

7. Pericardial effusion

8. Generalized congestion

No.20

SEX:

AGE:1day

AUTOPSY No:A98-20

DATE OF DEATH/AUTOSPY:87-7-9/87-7-11

FINAL ANATOMICAL DIAGNOSIS:

1. Immaturity, gestational age of 28 weeks and birth body weight of 680 gm

2. Dandy-Walker malformation

    A. Hydrocephalus

    B. Vermis agenesis

    C. Arachnoid cyst at the posterior fossa

    D. Agenesis of corpus callosum

No.21

SEX:

AGE:84

AUTOPSY No:A98-35

DATE OF DEATH/AUTOSPY:87-10-30/87-10-29

FINAL ANATOMICAL DIAGNOSIS:

1. Necrotizing glanulomatous inflammation, bilateral lungs, consistent with pulmonary tuberculosis.

2. Hemothorax, right with severe pleuritis.

3. Myocardial fibrosis, anterior wall of left ventricle, mild.

4. Coronary atherosclerosis, severe, triple vessels.

5. Systemic atherosclerosis, severe, including aorta, major arteries, and renal arteries.

6. Chronic pyelonephritis with retention cysts, bilateral kidney.

7. Congenital abnormal renal blood supply with triple arteries.

8. Bening nodular hyperplasia, prostate.

9. Lithiasis, urinary bladder.

10. Accessory spleen.

11. Cerebral atherosclerosis, severe, including circle of willi and cerebral arteries.

12. Hydrocephalus, mild (1100 GM).

13. Autolysis of internal organs including liver, pancreas, G-I tract and adrenals.

No.22

SEX:

AGE: 64

AUTOPSY No:A99-15

DATE OF DEATH/AUTOSPY:88-05-11/88-05-13

FINAL ANATOMICAL DIAGNOSIS:

1. History of cardiomyopathy in congestive heart failure, functional class IV

2. Heart status post orthotropic heart transplantation

    -- left heart failure

    -- left side hypertrophy

    -- cellular rejection IIIA ( low moderate rejection )

    -- pericardial fibrosis

3. Coronary artery -- severe atherosclerosis

4. Lung, bilateral -- emphysema, mild

    -- pulmonary hemorrhage and edema, focal

5. Lung, right -- adhesion

6. Pleural effusion, bilateral, serosanginous

7. Kidney, bilateral -- nephrosclerosis, marked

    -- acute tubular necrosis

8. Liver -- centrolobular hemorrhagic necrosis with congestion

No.23

SEX:

AGE: 24

AUTOPSY No:A98-04

DATE OF DEATH/AUTOSPY:87-01-29/87-02-06

FINAL ANATOMICAL DIAGNOSIS:

1. Batten's disease with diffuse cortical atrophy with neuronal basophilic change of the cerebrum and 

    cerebellum.

2. Brain, 4th ventricle, choroid plexus adenoma.

3. Lung, bilateal, diffuse atelactasis, emphysema and congestion.

4. Kidney, bilateral, acute tubular necrosis, focal proliferative glomerulonephritis.

5. Heart, dystrophic myopathy.

6. Heart, mitral and tricuspid valves, hyaline sclerotic change.

7. Bone marrow, erthyroid hyperplasia.

8. Esophagus, stomach, small bowel and large bowel, dystrophic myopathy.

9. Liver, chronic passive congestion, cholestasis.

10. Spleen, chronic congestion.

No.24

SEX:

AGE: 12

AUTOPSY No:A98-14

DATE OF DEATH/AUTOSPY:87-05-18/87-05-21

FINAL ANATOMICAL DIAGNOSIS:

1. History of hyperimmunoglobuline E syndrome, and hepatitis B and C carrier.

2. Abscess, right upper lobe, lung.

3. Organized pneumonia, left lobe, lung.

4. Calcification, aorta.

5. Atherosclerosis, coronary artery.

6. Centrolobular necorsis, liver.

7. Vasculitis, cerebrum, cerebellum, brainstem

    A. infarct, recent and old, frontal lobe, cerebellum.

8. Ischemic encephalopathy.

    A. hippocampal neuronal loss

    B. cerebellum

    C. thalamus

9. Amyloid angiopathy and amyloid deposit, focal, right caudate nucleus.

10.Cerebral atrophy (910 GM).

11.Lewy body, substantia nigra, midbrain.

No.25

SEX:

AGE: 32

AUTOPSY No:A98-28

DATE OF DEATH/AUTOSPY:87-09-07/87-09-09

FINAL ANATOMICAL DIAGNOSIS:

1. Dilated cardiomyopathy, S/P orthotopic heart transplantation

2. Grade II rejection, heart

3. Bronchomalacia

4. Pulmonary edema, congestion and focal hemorrhage

5. Bronchopneumonia, mild

6. Infarct, left caudate nucleus

7. Microabscess, brain

8. Shift to left, bone marrow

9. Microcalcification, kidney and brain

10.Squamous metaplasia and erosion, trachea

11.Pleural effusion, serous, 100 C.C.

12.Ascites, serous, 100 C.C.

13.Generalized congestion

No.26

SEX:

AGE: 39

AUTOPSY No:A98-30

DATE OF DEATH/AUTOSPY:87-09-12/87-09-15

FINAL ANATOMICAL DIAGNOSIS:

1. Severe anthracosilicosis, bilateral lung, S/P heart-lung transplantation

2. Dilated cadiomyopathy with arteriosclerosis of coronary arthery and focal scar, S/P heart-lung

     transplantation

3. Mild hemorrhage, AV node, bundles of HIS, right and left bundle branches, transplant heart

4. Atelectasis with severe congestion and mild hemorrhage, transplant lung

5. Pleural adhesion, severe, right, S/P decortication

6. Centrilobular contestion and mild fatty metamorphosis, liver

7. Ascites, serous, 400 C.C.

8. Subtle acidophilic degeneration of Purkinje cells, cerebellum

9. Generalized contestion

10.Medullary fibroma, right kidney

No.27

SEX:

AGE: 69

AUTOPSY No:A98-41

DATE OF DEATH/AUTOSPY:87-12-15/87-12-17

FINAL ANATOMICAL DIAGNOSIS:

1. Lung, bilateral, moderately differentiated adenocarcinoma with carcinomatosis

2. Liver, metastatic adenocarcinoma, mild fatty change, centrilobular necrosis

3. Brain, choroid plexus, metastatic adenocarcinoma

4. Pancreas, metastatic adenocarcinoma

5. Esophagus and stomach, metastatic adenocarcinoma , by lymphatic permeation

6. Heart, left ventricle, myocardium, metastatic adenocarcinoma

7. Aortic incompetence

8. Thyroid, right, metastatic adenocarcinoma, nodular hyperplasia

9. Prostate, bilateral (1). metastatic adenocarcinoma (2). nodular hyperplasia

10.Adrenal glands, bilateral and pituitary gland, metastatic adenocarcinoma

11.Lymph node, paraaortic, bronchopulmonary, paratracheal, peripancreatic, metastatic adenocaricnoma

12.Bone marrow, metastatic adenocarcinoma

13.Aorta and major systemic arteries including basilar artery atherosclerosis with calcification

14.Coronary atherosclerosis, triple vessels

15.Large intestine, cecum and ascending colon, diverticulosis and fibrous adhesion

16.Small intestine, terminal ileum, fibrous adhesion

17.Kidney, bilateral, acute tubular necrosis

18.Ascites, 100 C.C.

19.Pleural effusion, 50 C.C

20.Left scrotum, hydrocele

No.28

SEX:

AGE:24

AUTOPSY No:A00-06

DATE OF DEATH/AUTOSPY:89-4-28/89-5-6

FINAL ANATOMICAL DIAGNOSIS:

1. History of restrictive cardiomyopathy.

2. Heart status post orthotropic heart transplantantion.

    Acute rejection, grade 4 (cellular rejection)

    Left heart failure

    Pericardial fibrosis

3. Coronary artery ----- severe atherosclerosis

                             ----- cardiac allograft vasculopathy (vascular rejection)

4. Lung, bilateral ----- pulmonary hemorrhage and congestion.

5. Pleural effuseion, bilateral, serosanginous.

6. Kidney, bilateral ----- atherosclerosis, mild

                              ----- nephrosclerosis, mild (focal)

                              ----- tubular autolysis (marked)

7. Liver ----- marked cholestasis

             ----- autolysis

8. G-I tract ----- marked autolysis

No.29

SEX:

AGE:24

AUTOPSY No:A00-02

DATE OF DEATH/AUTOSPY:89-1-27/89-2-1

FINAL ANATOMICAL DIAGNOSIS:

1. Neonatal hematochromatosis with iron deposion in liver, pancreas, testis, thyroid, small intestine, lung, 

    thymus, spleen, kidney, and adrenal glands and with cardiomegaly.

2. Immaturity of bilateral lungs with no expansion of alveolar spaces.

3. Ascites, serous, 10 C.C.

4. Pleural effusion, serous, right, 10 C.C., left 5 C.C.

5. Pericardial effusion, serous, 3 C.C. 

No.30

SEX:

AGE:8 M

AUTOPSY No:A01-08

DATE OF DEATH/AUTOSPY:90-03-22/90-03-28

FINAL ANATOMICAL DIAGNOSIS:

Glycogen storage disease, Type II (Pompe disease)

      Hypertrophy, myocardium, severe, LV:17mm, RV:5mm, IVS:20mm in thickness, 

          200gm (normal 42.5gm).

      Macroglossia

      Hepatomegaly (340gm, normal 280 gm).

      Vacuolar change of all skeletal muscle fibers.

      Marked glycogen accumulations in : myocardia, liver, all skeletal muscle fibers and neurons of anterior 

        horn of spinal cord.

Bronchopneumonia, lungs, bilateral, multifocal

Effusions, peritoneal, 6 C.C.; pleural, right: 8 C.C.; pericardial, 17 C.C., all erosanguinous.

Hemorrhage, subdural, left temporal lobe; subarachnoid, left temporal and left frontoparietal.

Congestion, visceral, generalized

Disseminated intravascular coagulation (DIC), evdienced by small fibrinous microthrombi in lungs.

Abnormal lobulation, lung, right : 2 lobes, with absence of horizontal fissures.

 
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