MICROSCOPIC EXAMINATION:
BRAIN:
Multiple sections from representative areas as noted above are examined. All sections are essentially similar and show extensive disruption of brain tissue with associated hemorrhage. In none of the sections examined are there significant abnormalities other than those directly related to the recent trauma.
HEART:
Sections show a moderate amount of sub-epicardial fat. The coronary arteries, myocardial fibers, and endocardium are unremarkable.
LUNGS:
Sections through the grossly described area of contusion in the right upper lobe exhibit disruption of alveolar walls and recent hemorrhage into alveoli. Sections are otherwise essentially unremarkable.
LIVER:
Sections show the normal hepatic architecture to be well preserved. The parenchymal cells exhibit markedly granular cytoplasm indicating high glycogen content which is characteristic of the “liver biopsy pattern” of sudden death.
SPLEEN: