A 58-year-old Caucasian male was found dead in the cab of a vehicle that was slightly crashed into a barn. Past medical history includes obesity, poorly controlled type 2 diabetes, and tobacco use. Autopsy revealed no trauma, hilar and mediastinal lymphadenopathy (Figure 1), heart (cardiomegaly, 611 g) with no mottling or fibrosis, and mild coronary artery disease (Figure 2). Other organ systems were grossly normal, including lungs and liver (Figure 3). Negative toxicology studies. Histology is shown (Figures 4 to 8).
Alessia Buglioni, M.D.
Resident, Anatomic and Clinical Pathology