Pulmonary Pathology ICase 2

• 37 year-old woman, 1 day postpartum with dyspnea, pleuritic chest pain, and swollen calf.

Identify the organ, structuresDescribe the gross morphologic changesDiagnosis?

Pulmonary EmbolusThe arrow points to an embolus extending

through the branches of a pulmonary artery.

Identify the organ, structuresDescribe the gross morphologic changesDiagnosis?

Pulmonary Embolus/InfarctThe embolus (arrow) lies in an opened pulmonary artery.

The hemorrhagic infarct (*) is subpleural. 

Identify the organDescribe the gross morphologic changesDiagnosis?

Pulmonary InfarctRecent, small hemorrhagic

pulmonary infarct

hemorrhage

Blood vesselpartiallyoccluded withorganizingthrombus

alveoli

Intra-alveolarhemorrhage

Alveoli with barelydistinguishable (necrotic)septa

Identify the organDescribe the gross morphologic changesDiagnosis?

Saddle thrombus (arrow) is a blood clot which is seen at the bifurcation of the pulmonary artery.

A saddle thrombus often results in sudden death with no pathologic change in the lungs