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the stomach was somewhat congested. The surfaces of the kidneys were slightly granular.
The right supra-renal capsule was much enlarged and weighed one ounce and a-half; its fibrous envelope was considerably thickened, firmly adherent to the capsule, and attached by fibrous bands to the diaphragm. It was nodulated, and on section no distinction appeared between cortex and medulla. The greater part of the organ was converted into an opaque substance of the consistence of soft cheese, in some parts of a pale yellow, in others of an orange colour. Near the anterior end, and extending inwards from the hilus, was an irregularly-shaped semi-transparent, grey coloured patch, which sent off prolongations partially separating the yellow cheesy substance into circular masses. This semi-transparent portion was itself studded with opaque yellow nodules. At one point in the yellow substance was a small cavity filled with puriform fluid. The left supra-renal capsule weighed about half-an-ounce; its envelope was much thickened, but did not adhere to the surrounding parts; its surface was much nodulated. On section, there appeared no distinction between cortex and medulla, the organ consisting of irregular roundish opaque masses of a yellow colour, separated by semi-transparent, grey, fibrous tissue. These masses were of a crumbling consistence, and in many places broken down into puriform fluid and granular detritus. Portions here and there were less opaque, and of an orange colour similar to that found in parts of the right supra-renal capsule.
Microscopical examination.- Thin sections of various
portions of the right capsule were submitted to careful
microscopical examination by
The grey semi-transparent substance presented tracts of connective tissue, with numerous fibre-cells and nuclei, interspersed with masses composed almost entirely of nuclei, and of irregular roundish cells, about the size of white blood-corpuscles, and distinctly nucleated. They were mixed up with little irregular roundish or oval corpuscles and much granular matter, and presented the ordinary characters of tubercle. Portions from the yellow substance presented, in parts, the tubular spaces of the cortex filled with cells containing much yellow pigment and oil; these, in many cases, formed islands, surrounded by tracts of connective-tissue. In other parts were tracts of opaque, oily, and granular matter, which sometimes shewed indications of filling the tubular spaces, and sometimes appeared disseminated without any structural arrangement. The fluid from the cavity