104 



surface^ over the left auriculo-ventricular zone two or three dozen 

 hemorrhagic areas are seen, varying in size from a pin-head to a 

 millet seed. Otherwise the visceral pericardium is normal. Heart: 

 The myocardium is fairly firm and somewhat pale. The left 

 ventricle is contracted, and the right one dilated. The latter con- 

 tains a rather firm, though somewhat gelatinous, reddish-gray 

 coagulum, which does not completely fill the ventricular cavity. 

 The coagulum is continued into the pulmonary artery, which it 

 completely fills. Here it is firmer in consistency and decidedly 

 more grayish in color. These variations from the consistency and 

 color of the clot in the heart became greater the farther the dis- 

 tance from the entrance of the pulmonary artery to the interior 

 of the ventricle. The thrombus extends into the main branches 

 of the pulmonary artery, from where it can be followed into the 

 lower, secondary branch of the right side, and it is then lost in 

 the highly congested lower lobe of the right lung. A distinctly 

 hardened infarcted area can not be found. The blood in the left 

 ventricle and auricle is fluid and of a dark purple color. The lungs 

 are quite firmly adherent to the parietal pleura. The lower lobe 

 of the right lung is particularly firmly adherent to the diaphragm. 

 The partly obliterated pleural sacs contain a small amount of 

 slightly turbid, yellowish fluid. The upper lobes are dark grayish- 

 pink and contain a considerable amount of air; the lower lobes, 

 particularly the right one, are dark purplish-blue and contain 

 very little air. On section the lower lobes are found to be quite 

 cedematous and filled with a very dark, purplish, fluid blood, which 

 oozes out freely from the larger and smaller vessels. The right 

 lower lobe on the cut surface shows some small, grayish-white dots. 

 The bronchi contain a small amount of foamy, grayish-white fluid. 

 Their mucous membrances are injected and rather bright-red in 

 color. The trachea and the larynx likewise show swollen, injected 

 mucosa. The spleen is large and bluish-pink in color, its capsule 

 smooth and shining. The cut surface is dark purplish-brown. The 

 trabecule and the Malpighian corpuscles are distinct. The pulp 

 is fairly firm in consistency. The kidneys are rather small and 

 their surface smooth and of a dark grayish-pink color. The 

 capsules peel off easily, and the denuded surfaces then show the 

 small vessels to be much injected. They stand out plainly on a 

 grayish-yellow background. On section the vasa recta and the 

 glomeruli appear quite strongly injected and intensely scarlet. 



