PathWays Case Study: October 10

By April Josselyn • October 10, 2017

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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
Mayo Clinic

Mariam (Priya) Alexander, M.D.
Consultant, Division of Anatomic Pathology
Mayo Clinic
Associate Professor of Laboratory Medicine and Pathology,
Mayo Clinic College of Medicine and Science

April Josselyn

April Josselyn is a Marketing Channel Manager at Mayo Clinic Laboratories. She has worked at Mayo Clinic since 2012. Outside of work, April enjoys the outdoors and being "hockey mom" for her two sports-crazed boys.