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Description: The right hemisphere is distorted by massive area of hemorrhage which is: In the lateral ventricle Dark brown in colour
Organ: Heart
Description: The heart is within normal size The pulmonary artery is opened to show a large impacted embolus
Organ: Spleen
Description: Cut surface of the spleen shows Well circumscribed wedge shaped pale areas with ; their base subcapsular and apex pointing towards the hilum The overlying capsule shows patches of fibrosis
Organ: Heart
Description: The heart affection is in the form of pancarditis The pericardium is dull opaque lustreless being covered by fibrinous exudative material The heart is enlarged and chambers are dilated due to myocardial affection The mitral cusps are swollen and show vegetations which: o Are located at the line of closure o Small and firmly adherent to underlying cusps
Organ: Heart
Description: The mitral valve leaflets show large friable vegetations extending to the chorda tendinea
Description: The liver Firm in consistency having tense capsule Borders are rounded Cut surface: shows mottled appearance being formed of central dark red areas of congestion and pale yellow zones of fatty acid. ( Nut-meg appearance)
Description: The intima shows numerous varying sized and shaped grayish white and occasionally yellowish interconnecting atheromatous plaques Some of the plaques are ulcerated with superadded thrombi In one area, a saccular aneurysm is seen, the cavity of which is filled with lamellated thrombus
Description: The brain shows Cystic areas surrounded and tranversed by glial tissue that give it honey-comb appearance
Organ: Heart
Description: The heart is enlarged and shows The mitral valve leaflets are irregular, thickened, fibrotic and interadherent The chorda tendinea are thickened and shortened The mitral orifice is stenosed and button hole in appearance The left atrial cavity is dilated and filled with a large rounded ball thrombus filling the atrial cavity
Organ: Kidney
Description: The kidney shows pale areas of infarction that are Sharply demarcated pale wedge shaped areas The base is directed to the cortical surface and the apex points towards the hilum The affected areas are depressed below the surface of the kidney
Organ: Lung
Description: Cut section of the lung shows: in one area a lesion which is o Wedge shaped (triangular). With the base subpleural in location and the apex directing towards the hilum of the lung o Colour: dark red The lung parenchyma: reddish brown and indurated The pleura overlying the lesion is dull opaque with patches of fibrinous exudate
Diagnosis: chronic venous congestion and hemorrhagic infarction of the lung Page: 35
Organ: Lung
Description: The lung is within normal size large impacted embolus inside pulmonary artery in the lung