L79

RIGHT LUNG (2/2)

Description
Inflated left lung showing pleural thickening and saccular bronchiectasis in basal segments of each lobe; apical portions of each lobe are consolidated with bronchopneumonia. Right lung shows saccular bronchiectasis in central portions of upper lobe with bronchopneumonia and abscess formation in middle lobe; lower lobe is largely destroyed; it was fibrotic with extensive cavitation, perhaps the end result of bronchiectasis or either a fungal or tuberculous infection.
History
A 60-year-old man who died suddenly at home. History not available. At autopsy, approximately 1 litre of creamy/yellow pus in trachea and main bronchi, from which Haemophilus influenzae and Streptococci were isolated. Liver showed signs of chronic venous congestion and he was said to have died in right ventricular failure secondary to cor pulmonale, cystic bronchiectasis and massive infection.