DISEASES OF THE LYMPHATIC TISSUES 119 
and roughly nodular, both in appearance and to touch. On section 
they are red and gray, follicular border not preserved and merging 
with medulla; connective tissue visible; gray juice expressed. Peri- 
cardium normal. Epicardium, glistening, transparent and pale. Heart 
position, size and interior normal. Abdomen contained no adhesions or 
fluid. Pale brown red, firm liver with smooth surface and sharp edges; 
markings not clear; section surface smooth; watery blood expressed 
from section. Gall-bladder normal, contents limpid, brown. Common 
bile duct patulous. Somewhat enlarged spleen, soft, yet resilient; 
capsule smooth ; section surface pulp homogeneous brown-purple ; folli- 
cles gray, slightly enlarged, clear, sharply outlined; trabeculjB faintly 
visible, more prominent where they are near follicles. Kidney normal 
in size, shape and location, with smooth, pale brown surface; capsule 
smooth, strips easily, section surface glistening, consistency soft yet 
resilient ; thickness of cortex slightly wide, of medulla normal ; individual 
lobules clear yet no increase of connective tissue between; pyramids 
quite pale; top of medulla a little darker; cortices, pale, striae quite 
faint and seem irregular; glomeruli not visible. R. Adrenal — In upper 
pole are two cysts about 1.5 and .8 cm. across ; no scar at this point. L. 
Adrenal — Wide pale purple, regular homogeneous cortex under very 
dense capsule; medulla reddish brown, homogeneous, quite bloody. In 
left adrenal is a pale gray, fairly well outlined area between medulla 
and cortex at upper pole about 3 mm. across. 
Stomach. — Contains glass and stones; mucosa, soft, smooth, flat, 
yellow and pink, translucent rugae ; cardia about normal ; pylorus, valve 
prominent but probably not hypertrophied. Duodenum — Beginning at 
pylorus and extending through to ileum where follicles commence, intes- 
tine contains small amount white, creamy material, serosa negative, 
mucosa smooth flat, pale pink, translucent. There are small nematodes, 
probably uncinaria, some of which are attached quite firmly. Here and 
there throughout the gut are bits of thickened mucosa or submucosa, 2-5 
mm. across. Some of these have a tiny opening from which clear fluid 
can be expressed. Ileum shows smooth flat translucent mucous mem- 
brane ; empty ; individual follicles faint but discernible. Colon reddened 
mucous membrane, nematodes and little mucus. Pancreas, soft, normal 
in size and position, color pink gray. The lymphatics of peritoneal cavity 
are all enlarged ; most of retroperitoneal are also. Regional lymph 
glands are also enlarged. The description given for mediastinal answers 
here. The glands of mesenteric stalk present chain of sausage-like 
masses. Glands in mesenteiy are but slightly affected. Glands within 
and without peritoneum at kidney are especially enlarged. Large gland 
behind stomach and pancreas and in front of upper end of spleen is 
much enlarged, thick and roughly circular; it shows much fibrosis. The 
regional glands are distinctly enlarged but proportionately not so much 
as the internal ones. Smear of juice expressed from peritoneal glands 
shows large and small lymph cells in about proper proportions. There 
are a few plasma cells. No granular cells. 
