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GONZALEZ, Jessica <br />HEART: <br />ORANGE COUNTY SHERIFF-CORONER <br />HISTOLOGY REPORT <br />MICROSCOPIC EXAMINATION <br />13-02615-BB <br />Page 1 <br />Sections of the heart have mild patchy interstitial hemorrhage, but no <br />evidence of significant fibrosis or inflammation. <br />LUNGS: <br />Sections of the lungs have extensive patchy areas of atelectasis, and other <br />areas of intra-alveolar space hemorrhage. There is no evidence of <br />significant fibrosis, or malignancy. <br />LIVER: <br />A section of liver reveals minimal microvesicular steatosis and most portal <br />tracts with scattered and grouped lymphocytes and associated atypical <br />hyperlobated neutrophils. This inflammatory process extends to involve the <br />adjacent parenchyma (piecemeal necrosis or interface hepatitis}, and is <br />found in the centrilobular areas with associated pyknotic hepatocytes and <br />necrosis. <br />BRAIN: <br />A section of brain has leptomeningeal edema with foci of red blood cells and <br />lymphocytes (meningitis). There is also minimal to mild patchy areas of <br />subarachnoid hemorrhage, and evidence of cerebral edema with vacuolated <br />spaces within the parenchyma, surrounding individual cells, and surrounding <br />vessels. <br />8/5/2013 bl Etoi M. Davenport, M.D., Forensic Pathologist