516 francis' cases of morbid anatomy. 



structure was nevertheless discernible : its excretory duct had pre- 

 served its character. The omentum was rather contracted, possessed 

 little fat, and evidenced some signs of former inflammation. 



The heart had not a vestige of fat about it ; was uncommonly small, 

 but otherwise natural : the pericardium contained between two and 

 three ounces of a serous fluid. The lungs exhibited a very peculiar 

 and striking appearance, unlike any that I find described in Bone- 

 tus,* Morgagni,t Clossy,J Haller,$ or Baillie.|| They were throughout 

 in a state of induration, completely filled the thoracic cavity, and had 

 formed the most extensive adhesions. This was particularly the case 

 with the right lung, which was firmly united to part of the pericardium 

 by a strong membranous adhesion, to the pleura of the ribs, to the 

 mediastinum, and to the diaphragm ; the lung itself was changed into 

 a very firm substance, resembling a scirrhous gland ; it resisted pres- 

 sure, and did not collapse when cut, nor pour out any blood. On the 

 surface of the lung, and internally, there were numerous bodies of a 

 scirrhous appearance, of different, figures and sizes, from that of a pea 

 to that of a common grape ; some were of a much larger diameter : in 

 some few parts they were found to be separate from each other, and in 

 other parts they were coalescing, and formed large morbid masses. 

 They were rather more numerous on the outer than in the inner 

 portion of the lung, and occasioned considerable irregularity of its 

 surface. With the exception of their being of different sizes, they all 

 possessed a similarity of character, adhered closely to the substance of 



* Sepulcretum, sive Anatom. Pract. 



f De Sedibus et Causis Morborum. 



} Observations on the Diseases of the Human Body. 



$ Pathological Observations. 



jl Morbid Anatomy of the Human Body. 



