(Mediastinum=The area between the lungs. The organs in this area include the heart and its large veins and arteries, the trachea, the esophagus, the bronchi, and lymph nodes.)
"The mediastinal contents are normally distributed."
"The 21 gm thymus gland has a normal external appearance."
"The cut sections are finely lobular and pink-tan."
"No petechial hemorrhages are seen."
"The aorta and remainder of the mediastinal structures are unremarkable."
Body Cavities
"The right and left thoracic cavities contain approximately 5 cc of straw colored fluid."
"The pleural surfaces are smooth and glistening."
"The percardial sac contains 3-4 cc of straw colored fluid and the epicardium and pericardium are unremarkable."
"The abdominal contents are normally distributed and covered by a smooth glistening serosa."
"No intraabdominal accumulation of fluid or blood is seen."
Lungs
"The 200 gm right lung and175 gm left lung have a normal lobar configuration."
"An occasional scattered subpleural petechial hemorrhage is seen on the surface of each lung."
"The cut sections of the lungs disclose an intact alveolar architecture witha small amount of watery fluid exuding from the cut surfaces with mildpressure."
"The intrapulmonary bronchi and vasculature are unremarkable."
"No evidence of consolidation is seen."
Microscopic Examination of Lungs. (All sections stained with H&E). "The alveolar architecture of the lungs is well preserved. Pulmonary vascular congestion is identified. No intrinsic abnormalities are seen."
Heart
"The 100 gm heart has a normal external configuration."
"There are scattered subepicardial petechial hemorrhages over the anterior surface of the heart."
"The coronary arteries are normal in their distribution and contain no evidence of atherosclerosis."
"The tan-pink myocardium is homogeneous and contains no areas of fibrosisor infarction."
"The endocardium is unremarkable."
"The valve cusps are thin,delicate and pliable and contain no vegetation or thrombosis."
"The major vessels enter and leave the heart in the normal fashion."
"The foramen ovaleis closed."
Microscopic Examination of Myocardium. (All sections stained with H&E). "Sections of the ventricularmyocardium are composed of interlacing bundles of cardiac muscle fibers. No fibrosis or inflammation are identified."
Aorta and Vena Cava
"The aorta is patent throughout its course as are its major branches."
"No atherosclerosisis seen."
"The vena cava is unremarkable."
Spleen
"The 61 gm spleen has a finely wrinkled purple capsule." * "Cut sections are homogeneous and disclose readily identifiable red and white pulp."
"No intrinsic abnormalities are identified."
Microscopic Examination of Spleen. (All sections stained with H&E). "There is mild autolysis of the spleen. Both red-and-white pulp are identifiable." (Autolysis= The enzymatic digestion of cells by enzymes present within them. The cells most susceptible to autolysis tend to be dying or dead cells.
Adrenals
"The adrenal glands are of normal size and shape.""
"A golden yellow cortex surmounts a thin brown-tan medullary area.""
"No intrinsic abnormalities are identified.""
Microscopic Examination of Adrenal Glands. (All sections stained with H&E). "The architecture of the adrenal is well preserved and no intrinsic abnormalities are seen."
Kidneys
"The 40 gm right kidney and 40 gm left kidney have a normal external appearance. The surfaces are smooth and glistening."
"Cut sections disclose an intact corticomedullary architecture."
"The renal papillae are sharply demarcated."
"The pelvocaliceal system is lined by gray-white mucosa which is unremarkable."
"Both uretersare patent throughout their course to the bladder."
Liver
"The 625 gm liver has a normal external appearance. The capsule is smooth and glistening."
"Cut sections disclose an intact lobular architecture with no intrinsic abnormalities identified."
Microscopic Examination of Liver. (All sections stained with H&E). "The lobular architectureof the liver is well preserved. No inflammation or intrinsic abnormality are identified."
Pancreas
"The pancreas is of normal size and shape."
"Cut sections are finely lobular and tan. No intrinsic abnormalitiesare identified."
Microscopic Examination of Pancreas. (All sections stained with H&E). "There is autolysis ofthe pancreas which is otherwise unremarkable."
Bladder
"The bladder is contracted and contains no urine."
"The bladder mucosa is smooth and tan-gray."
"No intrinsic abnormalities are seen."
Microscopic Examination of Bladder. (All sections stained with H&E).
"The transitional epithelium of the bladder is autolyzed. No significant intrinsic abnormalities are seen."
Genitalia
"The upper portions ofthe vaginal vault contain no abnormalities."
"The prepubescent uterus measures3 X 1 X 0.8 cm and is unremarkable."
"The cervical os contains no abnormalities."
"Both fallopian tubes and ovaries are prepubescent and unremarkable by gross examination."
Microscopic Examination of Reproductive Organs. (All sections stained with H&E). "Sections of the uterus are consistent with the prepubescent age. The ovary is unremarkable."
Gallbladder
"The gallbladder contains 2-3 cc of amber bile.
"No stones are identified and the mucosa is smooth and velvety.
"The cystic duct, right and left hepatic duct and common bile duct are patent
throughout their course to the duodenum."
G.I. Tract
"The esophagus is empty. It is lined by gray-white mucosa."
"The stomach contains a small amount (8-10 cc) of viscous to green to tan colored thick mucous material without particulate matter identified."
"The gastric mucosa is autolyzed but contains no areas of hemorrhage or ulceration."
"The proximal portion of the small intestine contains fragmented pieces of yellow to light green-tan apparent vegetable or fruit material which may represent fragments of pineapple."
"No hemorrhage is identified."
"The remainder of the small intestine is unremarkable."
"The large intestine contains soft green fecal material." * "The appendix is present."
