256 AROUND THE WORLD VIA INDIA. 



Syphilitic Fibrosis of the Lung. — A portion of the 

 left lower lobe, showing broad bands of fibrous tissue 

 running through it, the largest proceeding from the 

 base of the lung in an upward direction. The section 

 shows very little lung parenchyma, and that in a most 

 condensed state. Numerous openings of vessels and 

 dilated bronchi are seen, closely agglomerated from the 

 shrinking process which has gone on. The affected 

 portion of the lung seems to be shut off from the more 

 healthy part by a broad band of fibrous tissue. The 

 specimen was taken from a man whose leg was ampu- 

 tated for chronic ulceration; a Hindu aged 40 years. 

 There were a few caseous nodules in the right lung; 

 the capsules of the liver and spleen are greatly thickened, 

 especially of the latter. There was a gumma in the 

 spleen; both testicles had undergone fibroid degenera- 

 tion with thickening of the tunica vaginalis. There 

 was a left hydrocele. 



Aneurism of the Heart. — At the upper posterior part 

 of the left ventricle, immediately to the right of the 

 mitral valve, is a pouched condition of the septum 

 measuring fully l 1 /^ inches across at its mouth and an 

 inch deep at the deepest part.. The pouch is lined with 

 thick, opaque endocardium. The right group of chordae 

 tendineae is thickened. There is thickening and con- 

 traction of the mitral orifice. In the right ventricle 

 is a patch of opaque endocardium at a point covering 

 the pouch in the septum. The patient was a male 

 Mohammedan, aged 60; ill for weeks. The aorta was 

 atheromatous, a breaking down gumma was found in 

 the liver, the capsule of which was extensively scarred. 

 The right kidney was atrophied and contained sand- 

 like calculi; left kidney hypertrophied ; fibroid left tes- 

 ticle; ulceration of large intestine. It is suggested 

 that it is a case of syphilitic myocarditis, with resulting 

 fibroid degeneration causing weakening of the septum. 



Malarial Hepatitis. — Section of a highly pigmented 

 liver, which is hard and has a mottled appearance on 



