148 NOTES ON THE POST-MORTEM EXAMINATION OF A MAN 



mostly containing large oil-drops in their interior, were very plain, 

 and numerous, and normal. There was much fluid in the right 

 pleura ; the lung was not adherent, but its lower lobe had a fringe 

 of yellowish lymph along its edge, and the diaphragm had a coating 

 of similar material, which presented the coarsely villous appearance 

 assumed by lymph exuded between two opposed and moving sur- 

 faces. The apex of the right lung had strata of lymph of different 

 ages and vascularity capping it, and a mass of consolidated tissue 

 of the size of the second joint of the thumb underlay this portion 

 of the pleura. This mass was of a dead white colour, a little varie- 

 gated by the black pigment which abounded in both lungs ; shreds 

 of it sank in water, it had a small cavity with ragged walls in its 

 interior, and it presented under the microscope the characters found 

 in pneumonic consolidation. The black matter consisted of small 

 granules of about the 1 2,000th of an inch, which were aggregated 

 here and there into large masses. The left lung was universally 

 adherent, the bands of attachment being old ; there was a con- 

 siderable amount of emphysema, as also in the right lung, along its 

 anterior edge, but it was free from consolidation, and all, save 

 pigmentary deposit. 



The heart was much loaded with fat, which concealed the colour 

 of the muscular tissue, over the entire surface of the right ventricle, 

 and took the form of large bosses at the apex and round the base 

 of the two ventricles. There was a considerable quantity of fluid 

 in the pericardium, and some vascular injection upon the intra- 

 pericardial part of the aorta, as if from commencing inflammation. 

 Its circumference there was four inches. White spots of thickened 

 serous membrane were visible upon the aorta and pulmonary artery, 

 as well as upon the usual places on the anterior surface of the right 

 ventricle, and upon the back of the heart. 



The valvula Thebesii in the right auricle and the remnant of the 

 Eustachian valve were large and stout ; and the difference between the 

 colour of the two auricles was as sharp as usual. A linear aperture, 

 guarded by a valvular flap, looked downwards from the fenestra 

 ovalis into the right auricle ; a moderate-sized probe passed easily 

 through this into the left auricle, from under a flap of half-an-inch 

 in length, attached at both ends, and looking downwards also. 

 The cusp immediately next the conus arteriosus was considerably 

 thickened ; from the conus arteriosus, close to, but not connected 



