Document J3JkdLZjegY8MdZKO87ER1N42

NQV-06-2002 WED 04:27 PH SHEPARD HOFFMAN ESQ FAX NO. 2145220420 P. 21 purulent bronchitis; mo and musculature, trunken. The distal oundcd. The chest >le surface, but parthe diaphragm and dly at the apex and r the base and diathroe-fourths con- PULMONABY ASBBST08IB The right lunghas a similar group of balloon-like bullae at the apex and in the midportion is similar to its fellow. The lower third of the lung is of nodular, hard, solidified consistence. Occupying the inner lower aspect, at the spine, is a honeycombed cavity containing caseous debris, ruptured in removing the lung because of its dense adherence to the spine. Tlie inner aspect of the cavity is quite rough, nodular, and the surrounding substance lumpy and caseous. This merges more or less into heavy traboculated fibrous induration and small cavity "pocking," as in the opposite lung. The lymph nodes at the root of the lungs are not conspicuous, a few moderatoly enlarged black nodes being found. ittachments hero le and is of car; baso. That of ,'tion it is rough, rface. ir mass of light rous trabeculae, calcareous hard , dry, and of a e apposition of ;ely tough, with mm.' and at the bi )hot. The entire hilar and mediastinal tissue is quite fibrous and edematous. The heart is not enlarged, but is of rather small size, the muscle pale and flabby, the right cavity moderately dilated. , Other organs and tissues are apparently normal in relations and appearances. Pathological Diagnoses at Autopsy: Fibrosis of lung; chronic tu berculosis of right lung; chronic fibrous pleurisy; tuberculous pleurisy; bronchiectasis. Microscopic Findings: Examination of the heart shows quito marked cellular fibrosis of the myocardium, accompanied by some large and small mononuclear cell infiltration. The muscle fibers are hypertro phied and also degenerated. The histologic diagnosis is chronic myo carditis.