]MORBID ANATOMY 



H3 



to note that usually the bronchial glands are also involved. 

 When the pleurae are affected the lesions consist of nodules 

 varying in size from that of a millet seed to a large pea, 

 sprinkled more or less thickly on one or both of the visceral or 

 parietal surfaces. These form the "pearl disease" {Perlsiicht) 

 of the German and the "grape disease" of the English writers. 

 If they become confluent, large masses are found. 



Fig. 30. Photograph of pleura shelving suiall tubercular tiodules. 



Tuberculosis of the thoracic glands is ver}' common and 

 usually accompanies lesions in the lungs ; but often the lungs 

 may be healthy and the glands involved. (See figures for 

 location of glandsj. The primary lesions maybe and often 

 are found in the lymphatic glands about the head. 



In the abdominal cavity the organs most frequenth' in- 

 volved are the peritoneum, mesenteric lymph glands, portal 

 lymph glands and liver. The kidneys, spleen, ovaries and uterus 

 are more rarely the seat of tuberculous tumors. Ulcers in the 

 intestine have not been common in the writer's observation. 

 Tuberculosis of the testis is sometimes found. The udder 



