Pathology Prints

Clinical History A man aged 82 years had a history of tuberculosis of the left knee in childhood. He developed a painful swollen knee 10 days prior to admission to hospital. Examination revealed an inflamed knee, painful to move, which improved slightly...

Clinical History A 61-year old male with prostate cancer attends pre-assessment clinic prior to a prostatectomy. Overall, he feels well with no major complaints. On review of symptoms, it is noted he has chronic pain in his right knee, which his GP...

Clinical History A 65-year old male with presents with pain in his left groin. He has a history of skin melanoma on his left foot treated with surgical resection and radiotherapy. On examination, he is cachexic with a hard, enlarged liver and has a...

Clinical History A 57-year old male attends complaining of recurrent pain in his right thigh. On examination there is no palpable abnormality in the thigh. An x-ray of the limb showed bony absorption associated with expansion and periosteal reaction at...

Clinical History A 16-year old male presented with a 3-month history of increasingly swollen and painful right knee. On examination, there was a palpable tender swelling above the right knee. Blood test showed a raised Alkaline Phosphatase level. A knee...

Clinical History A 60-year old female presented with a 12-month history of recurrent pain and increasing swelling in her right shoulder. On examination, there was a palpable mass over the superior aspect of her right scapula. There was limitation of...

Clinical History A 66-year old male presents with postprandial epigastric pain. Of note, he is deaf and non-verbal. On examination, he has a tender epigastrium and several nodular tender lesions over his forehead and scalp. Blood tests show a low...

Clinical History A teenage boy presents with groin pain after horse-riding. Examination revealed a large, deep lump. Following biopsy and imaging, the diagnosis of chondrosarcoma was made and a radical surgical resection of his right leg was performed...

Clinical History A 37-year old female presents with increasing thoracic back pain. She has a history of untreated human immunodeficiency virus (HIV) infection and pulmonary tuberculosis. History revealed ongoing low-grade fevers, chills and weight loss...

Clinical History An 80-year old male presented with hematemesis. He has a known history of alcoholic liver cirrhosis with oesophageal varices. On examination, he is noted to have multiple spider naevi, large volume abdominal ascites and a scrotal...

Clinical History A 40-year old male presents with shortness of breath and swelling of his lower limbs. He is a smoker with a history of diabetes and previous myocardial infarctions. On examination bilateral pleural effusion, peripheral pitting oedema and...

Clinical History A 63-year old male presented to the emergency departed with acute abdominal pain. He has been unable to pass urine for 5 days. Further questioning revealed a 2-year history of urinary frequency, double void, urinary hesitancy, nocturia...

Clinical History A 30-year old female presents with inability to conceive. She also reports a history of intermittent pelvic discomfort, menorrhagia and painful periods. On examination a pelvic mass was palpable. All of her blood tests were within normal...

Clinical History A 63-year old woman presented with a history of dull lower abdominal pain for 2 months and heavy persistent vaginal bleeding for 1 week. The menopause had occurred 13 years previously. Radical abdominal hysterectomy and bilateral...

Clinical History A 76-year old female presented to the emergency department sudden loss of consciousness. She had signs of a left sided cerebrovascular accident. She was intubated and her stroke was treated. During her admission in ICU she was noted to...

Clinical History A 36-year old female has a large postpartum hemorrhage after the birth of her 4th child by breech delivery. Her previous 3 children have all been breech deliveries, and no miscarriages. She has a history of intermittent mild abdominal...

Clinical History This was a case of a 75-year-old female who presented with symptoms of recurrent disease and confirmed to have chemo-resistant multiple retroperitoneal lymph node metastases five years after the initial therapy for stage IIIc serous...

Clinical History A 60-year-old female presented with an abnormal swelling in the neck, persistent cough and difficulty swallowing. She gained weight over the previous few years. She died of unrelated cardiovascular disease and the specimen was obtained...

Clinical Presentation A 53-year-old female presented with an abnormal swelling in the neck and a persistent cough. She complained of lethargy and weight gain over the previous few years. Whilst being investigated she died of unrelated cardiovascular...

Clinical History A 68-year old woman presented with a small hard lump in the thyroid. During the following six weeks, there was progressive rapid enlargement of the mass leading to laryngeal stridor and oesophageal obstruction, which were the terminal...

Clinical History A 60 year old man who had worked in a paint factory for 40 years developed painless hematuria for one month. CT scan showed a suspected tumor in the left renal pelvis. He underwent a nephrectomy. Pathology This is the post-nephrectomy...

Clinical History A 54 year old male patient presents with flank pain. He is an active intravenous drug user. Further questioning reveals a history of intermittent hematuria, fevers, malaise and vomiting. On examination he is hypertensive and pyrexic...

Clinical History A 64-year old male presents with a 5-month history of generalized malaise, weight loss and dull right flank pain. On examination, there is a palpable right sided abdominal mass. He is noted to be hypertensive. Urinalysis reveals...

Clinical History A 38-year old female presents with severe nausea, vomiting, fevers and rigors. She has a history of recurrent urinary tract infection over the past 6 months. She has required several courses of oral antibiotics, and one admission for IV...

Clinical History A 68-year old male presented with fevers and rigors. Further questioning reveals a 6-month history of intermittent bilateral flank pain and hematuria. Biochemical investigations reveal significantly impaired renal function with a normal...

Clinical History A 72-year old female presented with colicky flank pain and increasing malaise. Intermittent hematuria was noted. Biochemical investigations reveal significantly impaired renal function. CT abdomen showed congenital renal agenesis of the...

Clinical History A 49-year old male presents with a 6-week history of malaise, urinary frequency and hematuria for 6 weeks. Further questioning revealed intermittent left flank pain. Abdominal ultrasound showed severe hydronephrosis and hydroureter,...

Clinical History This specimen was found during a routine post-mortem of a 56-year-old male who died of rheumatic heart disease. Pathology The kidney is 12 cm in length and the two parts are fused at the lower pole forming this horseshoe-like shape. The...

Clinical History A 40-year old male attends his GP complaining of 2 weeks of hematuria and new onset of headache with blurred vision. His GP notes a blood pressure of 260/110 and refers the patient to hospital. The patient collapses on arrival to...

Clinical History A 77-year old male presented with a 3-day history of abdominal and flank pain with fevers and rigors. He was 2 weeks post-operative from a duodenal ulcer repair surgery. He was hypotensive, hyperkalemic and hyponatremic with a purpuric...

Clinical History A 60-year old male is admitted with jaundice, melena and abdominal distension. He has a past medical history of untreated Hepatitis C infection from previous intravenous drug use. Further questioning reveals a 9-month history of...

Clinical History An 85-year old male presented with urinary retention due to benign prostatic hypertrophy. On admission it was noted that he was jaundiced with cholestatic derangement of his liver function tests. He underwent a transurethral prostate...

Clinical History A 44-year-old man had a skin lesion on his back that grew slowly. At presentation at A&E several years later, he complained of bone pain, and had hepatomegaly and a pleural effusion. He died shortly afterwards. Pathology The specimen...

Clinical History A 60-year-old man head a history of four episodes of severe gripping abdominal pain during the previous year, each lasting two hours and associated with meals. He presented with a similar attack associated with vomiting and fever. This...

Clinical History A 50-year old male underwent a colonoscopy after testing positive for fecal occult blood during a screening test. Colonoscopy revealed a pedunculated tumor in the descending colon, which was later resected. Pathology This specimen is the...

Clinical History An 82-year old female presents with an episode of melena (dark tarry feces). She had a 6-month history of dyspepsia and nausea. Recently she had noted weight loss and early satiety. Soon after admission she had a large melena episode and...

Clinical History A 5-year old male presents with a history of constipation since birth. A barium enema showed a constricted rectum with a dilated sigmoid colon. Surgical resection of constricted section of bowl was attempted but the patient died during...

Clinical History A 54-year-old man presented to hospital with 12 hours of severe colicky pain, nausea and vomiting. On history, he was noted to have had a 3-year history of intermittent right subcostal pain for which he had not seen a doctor. He was...

Clinical History A 66-year-old woman suffered sudden onset of severe colicky central abdominal pain, somewhat relieved by drawing up her knees. She passed a stool containing mucus and blood ("like redcurrant jelly"). On examination, there was a...

Clinical History This elderly patient had a long history of "indigestion". He collapsed and died after a massive stoke. Pathology The specimen is a 2cm coronal slice of tissue, which incorporates a portion of stomach diaphragm, liver and...

Clinical History A middle-aged woman was investigated for recurrent bouts of epigastric pain. Endoscopy failed to reveal any peptic ulceration. A cholangiogram demonstrated a non-functioning gallbladder. She died from a myocardial infarction...

Clinical History A 36-year old female was admitted to hospital with a 3-week history of bloody diarrhea and lower abdominal pain. Further history taking revealed 4 similar episodes of diarrhea and abdominal pain of over the past 7 years. Sigmoidoscopy...

Clinical History This 63-year old man had several previous admissions to hospital for bleeding from oesophageal varices. On admission he was noted to be mildly febrile, jaundiced with severe flapping tremor of his hands. He had a constellation of other...

Clinical History No clinical details are available. Pathology A slice of liver reveals the characteristic yellow/grey and greasy appearance on one side. On the other side the appearance is restricted to the outer margin whilst the central area displays...

Clinical History A 70-year old man was admitted for investigation of muscular weakness and the passage of large amounts of mucus per rectum. The patient was found to be hypokalemic. A tumor of sigmoid colon was discovered and later resected. Pathology A...

Clinical History There are no details of the clinical history. Pathology The specimens from this case consists of two segments of sigmoid colon. The mucosa of the bowel is studded with numerous sessile and pedunculated partially pigmented polyps up to 1...

Clinical History This 47-year old woman was admitted with terminal carcinomatosis. On examination, a hard liver and a right pelvic mass were palpable. She had been ill with constitutional symptoms for months and she finally sought medical attention. She...

Clinical History A 55-year old female presents with severe dyspnoea, a productive cough and oral candidiasis. She is immunosuppressed with a history of rheumatoid arthritis being treated with steroids and cyclophosphamide. Sputum cultures grew...

Clinical History A 6-year old girl was admitted with a productive cough, dyspnoea and fevers. She became increasingly hypotensive and dies soon after admission. She had a previous history of recurrent pneumonia and meconium ileus. The clinical diagnosis...

Clinical History A 45-year old male presented with a lump in his left supraclavicular area. The swelling had been increasing in size over 6 months. Excision biopsy of the lump showed Hodgkin lymphoma (HL). Ten months later he was readmitted with left...

Clinical History There is no clinical history for this specimen. Pathology The specimen is a parasagittal section of the right lung and the boundaries between the upper and lower lobes is clearly visible. The entire upper lobe is congested and pale grey...

Clinical History A 74-year old male presented with increasing shortness of breath and hemoptysis. Further history reveals 20kg weight loss in 6 months, night sweats and a chronic cough. He has recently moved from a country where TB is endemic. On...

Clinical History A 32-year-old female G3P0 (gravida 3, para 0 i.e., has had two pregnancies, with neither of the embryos surviving to a gestational age of 24 weeks) presents in preterm labor at 25 weeks gestation. The GP had noted an increased fundal...

Clinical History There is no clinical history for this specimen. Pathology The specimen is a parasagittal section of the left lung. There are patchy regions of focal consolidations and discolorations caused by congested and hyperemic lung tissue...

Clinical History There is no clinical history for this specimen. Pathology The specimen is a parasagittal section of the right lung and the boundaries between the three lobes are visible. The entire upper and middle lobes are congested and hyperemic*...

Clinical History This 47 year old woman was admitted with terminal carcinomatosis. On examination a hard liver and a right pelvic mass were palpable. She had been ill with constitutional symptoms for months and she finally sought medical attention. She...

Clinical History A 37-year old male patient presents with a 1-month history of lethargy, cough and weight loss. He had a history of an orchiectomy 18 months previous for a testicular tumor. Then 12 months post-op he underwent neck radiotherapy to treat...

Clinical History A 89-year old male presents with an episode of large hemoptysis. He has a history of diabetes and immunosuppression secondary to steroid treatment for rheumatoid arthritis. Further history reveals a long history of cough, hemoptysis,...

Clinical History A 57-year old male presented with a 3-week history of cough and pleuritic left sided chest pain. Chest x-ray showed left upper lobe collapse with large left sided pleural effusion. Pleurodesis aspirated frank pus from the pleural cavity...

Clinical History A 60-year old male presents with a 6-week history of globus (i.e. the feeling of a lump in his throat) and dysphonia. On examination, he had enlarged cervical lymph nodes. Investigations discovered a laryngeal tumor. He underwent a...

Clinical History A 47-year-old male presents with a 13-month history of dysphonia and odynophagia at the level of his thyroid cartilage. He has a significant smoking history. Investigations revealed a laryngeal tumor. He received radiotherapy to the...

Clinical History No clinical details are available for this specimen. Pathology The heart displays both ventricles from the posterior aspect. There is a prominent saccular dilatation of the thoracic ascending aorta, which shows several atherosclerotic...

Clinical History A 61-year old male presents with exertional anginal chest pain and dyspnoea. He has had these symptoms for 6 years with increasing severity. On examination, he is cyanotic and tachycardic with a collapsing pulse. A swelling was noted on...

Clinical History A 15-year old boy with cough and sputum developed a hectic (spiking) fever and chest pain a few days before being admitted in a comatose condition. Examination revealed an early diastolic murmur at the aortic area, which radiated down...

Clinical History A woman who swallowed a chop bone during lunch collapsed later in the afternoon and suffered a massive hematemesis. At laparotomy, the stomach was filled with fresh blood but the cause was not identified. She died one day later and...

Clinical History The patient was a 52-year old female with increasing dyspnoea. She gave a past history of fever with flitting joint pains in childhood following a sore throat. On examination: cyanotic, pulse showed atrial fibrillation, jugular venous...

Clinical History There is no clinical history for this specimen. Pathology The specimen is partial horizontal 1.5cm slice through the plane of the left atrium whose smooth internal lining together with the left auricular appendage and part of the left...

Clinical History A 21-month old boy was admitted with a history of exhaustion and exertional dyspnoea for the previous 2 to 3 months. During this time there had been several attacks of acute dyspnoea each lasting up to two minutes. Examination revealed...

Clinical History A thin 42-year-old American tourist was found dead in his hotel bedroom. A coroner's autopsy was performed. Pathology This is a longitudinal section through the heart displaying the left and right ventricles and interventricular...

Clinical History This 11-year-old female had an 18-month history of hydatid disease (see below). In total, 17 cysts were removed from the child's brain at craniotomy on three occasions, and subsequently cysts were found in the kidneys, mesentery,...

Clinical History This male child had a cardiac murmur discovered at birth. He remained well until the age of 10 months. Two weeks before admission to hospital, he became languid, developed a slight cough, and suddenly gained a lot of weight. Ten days...

Clinical History A 64-year old woman presented with a story of chest pain for 5 months, associated with breathlessness and wheezing for 4 months. On examination, she was dyspnoeic, with an expiratory wheeze, left-sided crepitations and signs of a right...

Clinical History A 10-year-old girl with a known congenital heart was admitted for surgical repair because of the recent onset of cyanosis and cardiac failure. On examination, she was breathless with a blood pressure of 105/60mm/Hg and a pulse rate of...

Clinical History This 56-year old female suffered from emphysema and gave a 2-year history of increasing shortness of breath on exertion associated with recurrent attacks of bronchitis. On examination, she had a BP 160/90 mm Hg, pulse rate of 96...

Clinical History This 70-year-old man with a past history of mild gastro-oesophageal reflux presented to the Alfred Hospital with a sudden onset of severe upper abdominal pain, which radiated to the left shoulder tip. On examination, he was distressed...

Clinical History (pre access to CT and MRI imaging) This 51-year old woman had surgery for breast carcinoma 2 years before presentation. Her main complaint was left-sided ataxia for the 2 weeks prior, and this had been preceded by a fainting attack...

Clinical History In the 1970s, a 31-year-old woman presented with severe headache and diplopia on a background of having a pigmented skin lesion (diagnosed as an invasive skin melanoma) removed from her neck 8 months earlier. Clinical examination...

Clinical History A 62-year-old woman presented with disorientation to time, place and person. Physical examination revealed no localized neurological signs. Radiological investigations revealed a space occupying lesion in the floor of the 3rd ventricle...

Clinical History A 56-year old male presented with a generalized seizure. He remained unconscious after this seizure and later died. A collateral history revealed 6 months of progressive confusion, short-term memory loss and personality change...

Clinical History Over a 3-year period, a 57-year-old woman had intermittent frontal headache and memory disturbance with progression to psychiatric disturbance, and ultimately vomiting and meningeal signs. Localizing neurological signs only developed...

Clinical History A 73-year-old female was admitted with new left-sided hemiplegia. On further questioning she revealed a 3-month history of headaches, nausea and deteriorating balance. CT brain revealed an inoperable brain tumor. She died 1 week after...

Clinical History Five days before admission this 38-year old female experienced the sudden onset of pain behind the right eye, associated with a slow development of weakness of the left leg. Examination disclosed left-hemiparesis in a confused...

Clinical History The patient was an 80-year old man who suddenly lost consciousness. On examination there was a right gaze palsy, a left hemiplegia and right hemiparesis. Pathology The specimens are coronal sections of the brain at the level of the...

Clinical History A 56-year-old woman with 6 months of intermittent headache and vomiting was admitted to hospital comatose after a grand mal seizure, and failed to regain consciousness. Pathology The specimen is a coronal section of a brain. It is...

Clinical History This patient died at the age of 58 years from post-operative complications following transurethral resection of the prostate. At the ages of 28 and 35, he had suffered two episodes of transient neurological deficit. However, at 50 years,...

Clinical History A 22-year-old male presented with a 2-week history of generalized malaise, weight loss and bruised skin without any trauma. He recently developed 5 days of productive cough and fevers. He was admitted to hospital for further...

Clinical History A 50-year-old alcoholic was admitted with a 2-week history of weakness and shortness of breath. At the onset of the illness he reported a productive cough, chest pain and blood-stained sputum. Examination revealed a febrile, cyanosed,...

Clinical History A 56-year old male underwent a total gastrectomy and splenectomy for gastric adenocarcinoma. Over a period of two months he developed a progressively unsteady gait, increasing weakness of his left hand and frontal headaches associated...

Clinical History A 29-year old male presented with a 22 month history of headaches and blurred vision. Examination revealed a bi-temporal hemianopia and a left VI nerve palsy. Skull X-ray showed erosion of most of the sphenoid body with some dorsum...

Clinical History The patient was a 51-year old woman who had a cerebrovascular accident resulting in a left hemiplegia 2 years prior to death. At necropsy, she had severe generalized atherosclerosis and an old left ventricular myocardial infarct with an...

Clinical History A 68-year-old female presented with recent onset of seizures and was diagnosed with epilepsy. Collateral history revealed a gradual change in the patient's personality. She subsequently died several months later from a myocardial...

Clinical History The patient was a female aged 24 years, who presented 18 months before death with an abnormal electroencephalogram (EEG) after a single epileptic fit. Six months later she complained of blurred vision and headaches. Bilateral...

Clinical History A woman of 56-years was admitted following 2 episodes of severe headache with loss of consciousness. Clinical examination revealed systemic hypertension with cardiac enlargement, and a right hemiparesis. Angiography showed bilateral...

Clinical History A 37-year-old patient presented to hospital after falling and striking his head, with subsequent symptoms of headache, vomiting and disorientation. CT scan showed dilatation of the lateral ventricles associated with a large mass...