Microscopic Description

Sections from the heart revealed a recent apical-lateral myocardial infarction involving the papillary muscle. Remote infarcts in both anterior and posterior walls were also noted. Sections from the left circumflex showed plaque hemorrhage with associated inflammation. Significant findings in the lungs included moderate emphysematous change, early focal bronchopneumonia and intimal vascular proliferation consistent with pulmonary hypertension. The kidneys, adrenals, pancreas, intestines and bladder revealed diffuse hemorrhage in keeping with shock. The brain was remarkable for acute anoxic changes and multiple, old areas of encephalomalacia involving cerebellum, cortex and white matter.

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