Case 17--Sudden Death in an Older Man

Clinical summary: A 69-year-old Filipino man was awakened by respiratory distress at 4 am and died shortly thereafter.

An autopsy was performed.

Autopsy findings: The body was well-developed and slightly obese. There were bilateral pleural adhesions, but no pleural fluid or pneumothoraces. The heart showed mild left ventricular hypertrophy, and coronary arteries were patent. The lungs did not collapse and almost filled the chest cavity. They were slightly heavy (R 700 g, L 400 g, normal combined 500 g). For fixation, the lungs were distended with formalin.

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