or mediastinal
and lymphatic glands contained fluid having the same appearance. The
right lung appeared solid to the feel, when removed from the body. It
was rough and irregular over its surface, from a variety of indurated
substances projecting from beneath the pleura. In making a section of
the whole lung, each lobe was almost completely saturated with thick
inky fluid, and was observed to be here and there hard and granular,
particularly in the course of the larger bronchi. Portions of this lung
were pervious to air and emphysematous, but the greater part was
disorganized, and contained carbonaceous matter in a solid and fluid
state. The left lung was light and flaccid, when compared to the right.
The upper lobe was extensively excavated. The parenchymatous substance
was found ragged and unrespirable, and many large blood-vessels crossing
from either side of the cavity, pervious to blood. With the aid of the
magnifier, a variety of open-mouthed bronchial twigs and minute
blood-vessels were visible, communicating with the cavity. The upper
part of the inferior lobe was partially excavated, and containing about
four ounces of fluid carbon. The lower margin of this lobe was firmly
impacted.

The mucous membrane of the trachea and bronchial divisions appeared,
when washed and freed from the black matter, red and softened. The
lining membrane of larynx was partially ulcerated, and the rima
glottidis slightly oedematous. There were various small lymphatic
glands on the back part of the trachea, which contained black fluid.

The pericardium considerably distended, and contained nearly twelve
ounces of light-brown fluid. Evident marks of inflammatory action were
observed externally. On its internal surface it was thickly coated with
false membrane of a brown colour. The heart was pale, soft, and
attenuated. The right auricle was much dilated, and its walls
exceedingly thin. There were no further morbid appearances.
Head,--External congestion of an inky colour was found on the surface of
the brain, which was to all appearance otherwise healthy. There was an
effusion into both lateral ventricles. The abdominal viscera were
natural. The liver was much larger than usual, soft, and highly
congested with inky-coloured blood.[12]

It is evident, from the symptoms and history of the above case, that the
patient had contracted the disease of which he died at an early period
of his life, and that during the fifteen years he refrain