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GPO 1976 q 59--747 CLINICAL RECORD SPECIMEN SUBMITTED BY SPECIMEN TISSUE EXAMINATION I DATE OBTAINED SRIEF CLINICAL HISTORY(lndudt duration ofltrion and rapidit3f of promtA,ifa neoplasm) OPERATIVE FINDINGS POSTOPERATIVE DIAGNOSIS 1° SIGNATURE AND TITLE PATHOLOGICAL REPORT NAME OF LABORATORY Laboratory of the enior e iCal1 ACCESSION NU(S). Investigator, VA Hospital, East Orange, NJ Dog 6027 (arar ducrlption. -iatdopic aamination and diopnorea) TOtJGUE The mucous membrane is intact. The tissue cuts with usual resistance and muscle is smooth!and brown. on sectionithe LARYNX The mucous memr we ~F.the epiglottis, true and false vocal cords, aryepigl!ottic folds and infraglottic region is smooth. The mucous membrane of the trachea, major bronchi and branch bronchi is smooth and grey. Lying in the anterior wall of the trachea 42cm. from the vocal cords is an oval opening which measures 7mm. by 6mm. The edge of th opening is grey in appearance. LUNGS The lungs were not weighed'. SIGNATURE OF -ATHOLOOIST (Continue on reverse side) I AGE I SEX I RACE PATIENT'S IDENTIFICATION (For typed or written entries Bive: Neme-lest. first, - middle; Qrede; date; hospital or medical facility) Dog G027 li REGiSTER NO. DATE [ENTIFICATIONNO. TISSUE EXAMINATION 9tandrrd Form 61b GENERAL SERVICES AOMIMISTRATION AND INTERAGENCICOMMITTEE O,UEDICAL RECORDS i-MR101-11.606-6 OCT06ER 1676. 6_11 l16-107 rA ~T~;. ~oa,i~ fe?}..~ ~-. .. "~ ~ a!.~ ~ • ~r •. Y:: - _- ..

CLlNICAL RECORD ~ NARRATIVE SUMMARY Dog 6027 DATE OF ADM1551ON ` DATE OF DISCHARGE . t NUMBER OF DAYSHOSPITALIZEO I I Page 2 (SiQn and date at end of narrati+e ) . In a fixed state, the left lung measures 23cm. in the apicobasal direction, 12cm~ in the mediolateral direction and 5cm. in the anteroposterior direction. The visceral surface of the parietal pleura and the parietali surface of the visceral pleura are smootKand shiny. In a fixed state, the rinht lung measures 22cm. in the apicobasal direction, 10cm. i,n the mediolateral directioniand 5cm. in the anteroposterior direction. The visceral surface of the parietal pleura an6the parietal surface of the visceral pleura are smooth andishi'ny. The pleural space is patent. : TRACHF.OBRONCHIAL LYMPH NODES The left superior tracheobronchial l'ymph nodes measure 9mm., cut with slightly increased resistance and are grey-brown in appearance. The left inferior tracheobronchiali lymph nodes measure 1cm., cut•-with slightly increased resistance and on section are grey-brown in appearance. The right superior tracheobronchial lymph nodes measure 8mm., cut with slightly increased resistance and on section are grey-brown in appearance. The right inferior tracheobronchial lymph nodes measure 1cm., cut with sligl~tly increased resistance and on section are grey-brown in appearance. LUNGS The left apical lobe measures 11'Zcm. in its greatest apicobasal direction. The tissue cuts with slightly increased resistance. Present withimthe superior portion of the lobe are occasional fine grey bands. At the periphery of these are occasional dilated ~ir sacs which measure less than lmm. in diameter. The remainder of the lobe ts b•,own"in appear ice - ' is resilient. The left cardiac lobe measures 6-1,m in its greatest apicobasaT direction. The tissue cuts with slightly increased resistance and on section shows the presence of occasional fine grey bands, at the periphery of which, are occasional dilated air sacs which measrlre less than 1mm. in diameter. The remainder of the lobe is browmand resilient. The left diaphragmatic lobe measures 10cm. in its greatest apicobasal direction. The tissue cuts with slightly increased resistance and on section the tissue is sl!ightly firm and' br wn'in appearance. In the superior portiqn of the lobe are occasional ~Uoe additional aheeta of thia form (Standard Form 502) iL•.more apace is required) SIGNATURE OF PHYSICIAN DATE IOENTIFICATIONNO.. I OKGANIItAT1ON . • PATIENT'S IDENTIFICATION (Forr tTp ed or written entriea./ir:e: Name-Ieat, 8rnt,. I REGISTER NO.. middle;: frade;..date: hoapitaJ.or madical facility). `' wARD No. Dog 6027 NARRATIVE SUMMARY SKandsra Form aos Ge-weral Services AdministrNion tad Interagency Gommittee on 1Aediul Records FPMR 101-11.806-8 OCTQBER 1975 502-111

4 °-"`- CLINICAL RECORD ( NARRATIVE SUMMARY Doq 6027 DATE OF ADMISSION DATE OF DISCHARGE .~. . ._ 4 Ij -. . + NUMBF-K CF DAYS HOSlY7Il1_iZ=D T7j _ Page 3 1 (Sijn and dab at end ofnarrarivo). dilated air sacs which measure less than 1mm. in diameter. At the periphery of these are occasional dilated air sacs which measure less than 1mm. in diameter. ,- - - ; The remainder of the lobe is brown and firm. ~ .,... _ _ , , . . . . The right apical lobe measures 6cm. in its greatest apicobasal direction!. The tissue cuts with slightly increased resistance and on section shows the presence of occasional fine grey bands. At the periphery of these grey bands are occasional dilated air sacs which measure less than 1mm. in diameter. The remainder of the lobe retains its resiliency and.-is brown in appearance. The right cardiac lobe meksures 6cm. in its greatest aoicobasal direction. The tissue cuts with slightly increased resistance and on section shows the presence of occasional fine grey bands in the superior aspects. Inithe areas beyondithese there are di-lated.ai'r sacs which measure less than 1mm.;,in diameter. The remainder of the lobe retains its..r_esi.l.iency and is:brown'in appea.r.ance: The right intermediate lobe measures 4cm. in ,its greatest apicobasal. ,di.,rect,ion. The ti ssue , cuts .wi th _u$uat resi stance and on section shows the_` Tunq fo be brown and resilient. _ , . Therright di,aphragmatic lobe measures 8~cm. in i'ts'greatest apicobasal direction. The tissue cuts'wi'th usual resistance and on section the parenchyma is brown and resilient. HEART ,-~.. thickened,• notoshortened' and are not'fused. pie. . . :.. r ( -_t..f.. ,,:p. w~11 'of e rigfit ventricle mea"sures 2mm. in thickness.' The apex iis rounded. muscle is.f irm:and brown. The trabeculae carneae and papi'lilary muscles-are Flat. The pulmonic valve measures'3cm. in circumference. The pulmonic cusps'are not are not thickened and are.not shortened. ~. €~c.. .~.~, E..., _ ,.. , . . _ _..... - ci'rcumference.' The free edge is thin. The chordae tendineae are in areas fused. Tahe. i~a,i_j pf,,;t~e ri.ght: ,a'triu~m l measur~s 1imm. •i n-thi ckness. The -auri cul"ar 'appendage i s" pater~t..= The:endocardial surface is smooth. The tricuspid valve measures 8cm. in cavi ty. :. ; ,. . ,.. The heart weighs 108.5gms. The visceral surface of the parietal pericardium and the parietal surface of the visceral pericardium are smooth and shiny. The pericardial ~~}~!ace _iS ~~te,nt There _is the usual amount of,clea.r flui_d.present,in the pericardial 1~~~. -- - ~'..._: _._... f, ... . . . . . . . . r (Use additional enee(a of thia lorm (Standard Form 507) ig more space is reqcrired) i AATE IDENTIFICATION'NO ~ ` ORGAt{.ZAT{~,1tV MGMiA7URE OF PHYSICIAN ..~- _ rAT1ENT S IDENTIFICATION (For typed or~written entriea /ire: Nbm.-/ett, Brst, -middle; ifrad.; date;,Aoepitaform.diaal'facility)~, -~ ~ ". ._.,.... ~ c Dog 6027 ......i.~ .+.~.:~ -i~..} ...~* - . . ' . . . ~~~.: .. . ~YA . , .. . - . . ~ . . ..~,. REGISTER NO. ~ WARD NO. They The --~ ~ -- =.XARRAinIE SIJMMARC 1 BtsndRrd Form 602 Cenerel Services qdminjStration 1nd Intera`ency Cbmmittet on' Aiediril! Recmds - `kPk4R 102=I1.806-5 ~ ° ' _ O;,tO6ER 1975 502-if] s -;d

CLINICAL RECORD Doq, 6027 DATE OF ADMI551DN' (' DATE OF' DISCHARGE NUMBER OF DAYS HOSPITALIZED II Paqe 4 (Sign and date at end ol narrafive f' The wall of the left atrium measures 2!nrr:. inithickness. The end'ocar6ial''surface is smooth. The auricular appendage is patent. The mitral valve measures 5'Zcm. in circumference. The f ree edge is thin. The chordae tendineae are not thickened, not shortened and are not fused. The wall of the left ventricle measures from 6mm. to 8mm in thickness. The apex is rounded. The muscle is firm and brown a!~ is the muscle of the interventricular septum. The papillary muscles and trabeculae carneae are flattened. The aort-ic valve measures 22cm. in circumference. The aortic cusps are not thickened and are not fused. The coronary arteries arise in their usual locat-•om. The coronary arterie! are paten t. Th e coronary arter-ie s AORTA contain no yellow at.hermatous plaques along their course. . The aorta retains its resiliency andl contains no yellc=Y atheraai(;us plaques along its course. VEI N S The veins'are thin and pliable. The lumens are patent. LI VtR The liver weighs 3'22.1gms. The liver edge is sharp~. The liver surface is sinooth and' brown. The tissue cuts with usual resistance and on section the siinusoids stand~out prominently. i. GALLBLADDER, The wall' of the,gallbladder measures 1mm. in th,ickness. The gallblladder contains clear green bile. The cystic, hepatic and common bile ducts are patent. SPLEEN The spleen weighs 58.1gms. The capsule is wrinkled and slate-grey in appearance.'-The - tiissue cuts with usual resistance and on sEction the splienic corpuscles are prominent. (Use additional sheets of fhls lorns (Standard Form 502) if more space Is required) . SIGNATURE..OF PHYSICIAN I DATE NARRATIVE SUMMARY IDENTIFICATION NO. I ORGANIZATION. PATIENT'S IDENTIFICATION (For typed orrvritten entriea Qive: lirame-/aeY, hrat, I REGISTER NO.a+iddle;,(rade; date; hoapi.tai'or medicalfaeility)i Dog 6027 I WARD NO. NARRATIVE SUMMARY eianasra Fotrm aos General Services AdminisVa!.on and Interagency Committee en M!edical Records FPMR 101-11.806-8 OCTOBER 1975 $l)2-111 s43- IG-+101.'.-2 o.o

CLINICAL RECORD DATE OF ADM7551ON DATE OF DISCHARGE (Sijn and dete at and or narrative) ADRENALS Dog 6027 NUMBER OF DAYS HOSPITALIZED Page 5 The adrenals are present in their usual location. They cut with usual resistance and on section the adrenal cortex is yellow and rich inilipid. The right kidneyweighs 35.8gms. .The capsule strips withlease leavingia smooth ° surface. The tissue cuts withiusual resistance and on section the cortex stands out* prominently from the medulla. The cortex and medulla together measure 12mm. The cortex alone measures 7mm.• The mucous membrane of the calyces, pelvis and ureter is smooth. . . ~ .. :: _ . . . - . . ._, _e.r ... C'~.~ . . .._ ~~' 3 .. . ~. _ ~_ . .. _ . . ' - . . ~ ~ i.'; 1< 6i %'- The left kidney weighs 34.4gms. The capsule strips withiease leaving a smooth surface. The tissue cuts with usual resistance and on section the corfex stands out prominently from the medulla. The cortex and medulla together measure 11mm. The cortex alone measures 6mm. The mucous membrane of the calycespelvis and ureterl s~'smooth and grey: URI'NARY BLADDER The uri~nary bladder is contracted. The mucous membrane is intact. PROSTATE The prostate measures 2cm. by 2cm. by 1~cm. The tiissue cuts with usual resistance and on section the prostatic urethra is patent. The prostati'c parenchyma shows no evidence of pathologic change. TESTES MJD EPI DI D1T1I DES The testes and epididymides cut with usual resistance and show no evid,ence of pathologic... change. The testes string easily.. 6ASTROIATESTINAL TRACT 1'z 4 TF;e mucous membrane of the hypopharynx is smooth. E SO P HAr3G S The mucous membrane is smooth and grey. The longitud'inal folds are prominent. _, ,. (Uae.additionaf aheeEa of this lorm (Standard Form 302) if'shore: epace is requ~rq'n SIGNATURE OF PHY5ICIAN DATE ' - IDENTIFICATION NO. ORGANIZATION PATIffNT'StDEMT1FICATION (Port9pe dorwri..ttenentriesjive:Neaie--last,lirst, IREGISTERNO. middle; jrede;dateThospitalor medicalfaoility) . Dog 6027 NARRATIYE SUir1MARY eta.ndaid Form SOS = Cenenfi ServiEei A'ministration and, . rL t~'= InlersQentY'Committet on AAedicat Records ~µ FPMR 101-11:8b6-8 OCTOBER 1975 5D2-111 W. .. .._....__.~.~. . r,~ `.i~~.•. .~• -•.:.y ` : .. . y . ~ . ~ • NARRATIVE SUMMARY 1~' WARD NO.

CLINICAL RECORD f- NARRATIVE SUMMARY DATE OF ADMISSION i DATE OF DISCHARGE 1 .' L Page 6 (SiQn and dato at end of narrat ire) ST'~OMAC H The mucous membrane is intact and brown in.appearance. The rugal'pattern is maintained. DUODENUM The mucous membrane is intact. JEJUNUM The mucous membrane is intact. The villi are prominent. I LEUM The mucous.membrane is intact. The villi are prominent. CECUM The cecum measures 7cm. in length. The tissue cuts with usual resistance and the mucous membrane is intact. COLON The mucous membrane of the ascending colon is intact. The mucous membrane of the transverse, descending and sigmoi~d colon is iintact. The mucous membrane of the rectum is intact. TfSe mucous membrane of the anus is grey andlintact. PANCREAS The pancreas weighs 28.2gms. The tissue cuts withiusual resistance and on section the lobular architecture is maintained. DIAGNOSI S 1. Pulmonary fibrosis and emphysema, slight SECTIONS TAKEN Bottle A - two sections left apical lobe (Use additional sheets of this form (Standard Form 502) if tYtore spaco is required) SlATUR'E CF PHYSICIAN ORGANIZATION i DATE IDENTIFlC/ATION NO. I I PATIEN7'3IDENTIFICATION(~For typedor written entriea give: Neaie-leat, Rrat;, middle; Jrade;.d.te; hoepital'or rnedieal facility) Dog 6027 0 cS~ "`~.. .• [ REGISTER NO. Dog 6027 NIJMBER OF DAYS HOSF'ITALIL6D [WARDN O. NARRATIVE SUMMARY 8ta.nQSrt1 Ebrax 502 General Services Ad'ministt.tion and Intereyency Committee on Medical Records FPM'R 101-11.806-8 OCTOBER 1915 502-111

r !-_ :- s, t DI AG11oSE S L~ • P~f (SiQn and dare at and of n.rrati.e ) two sections left cardiac lobe 'gottle C - two sections left diaphragmati1c.lobe r,-..CLINICAL RECORD I NARRATIVE SUri1KiAF?Y Dog 6027 u ` DATE OF ADMYSSION. _ DATE OF DISCHARGL ..t NUMBER OF DAYSHOSYIT -LIZED tll_ I! Page 7 S--'-'-Battle B -==-Bottle D- two sections right apical liobe °Bottle E- two sections right cardiac lobe Bottle F - two secLllons right intermediate lobe !'~. ' Bottle G- two sectionst right diaphragmatic lobe T` ''AlAI & 1LA2 & LAfi LEFT API CAL LOBE . T ~ Y ''" "alveol'ar septa.are torn to leave slightly enlarged air sacs. Present is,an "nccasional small focus composed of accumulations or lymphocytes, fibroblasts, `, 'r.`histiocytes, brown pigment and small collections of fat. The overlying.pleura is The bronchi are lined by tall' columnar cells and show a sllight increase in the number y'-of basal cel Ts ,_ the nucl ei of whi ch vary, sl.i ghtly to moderately i n si ze, shape and .staining,character. The walls of.the pulmonary'arterie, are of"'average thickness. The walls of the pulmonary arterioles are slightly thickened by pink hyaline material. ..The walls of the alveolar septa, particularly in the subpleural regions, are slightly thickened by an increase of connective tissue the regions beyond these the Im `-=--' =--=-The capi l 1 aries of the i ntersti ti al tissue are sl i ghtly di l ated and fi l l ed wi th bl'ood. slightTy thickened by an increase of connective tissue I Pulmonary fibrosis and: emphysema, slight . . The elastica van Giesun stain show(z the elastic fiibers i'ntact at the leuro ulmonar I. p p y Junction.. The overlying pleura is slightly thickened by an increase of connective tou. ~ rl `ti~5ue': _The •i rtterna'l -eTasti c 1 ami na of the arteri es i s--i ntact.' - The _wal l.s ar,e. of average thickness. The elastic framework of the lung parenchyma is maintained. C.,.~. ,_. . Dn 2. 3. Arteriolosclerosis, slight Passive congestion, slight _-{6/so-additionalahoefs of thie lorrrm (Sfandard'Form 502) if more-space.is required) \. `J SIGNATURE OF PHYSICIAN . P . __._-,.-.....~...-_... . . .. -,_, _- - I DATE J IDENTIrICA1lON 'PATIENT'S IDENTIFICATION (For typedor written entFiesXiretName-Jrat„Srst. .. -I REGISTER NO. middle;/r.de; date;.hospitatormedicalJac.lity t) . Dog 6027 I 1MAt+O NO. NARRATIYE SUMMARY 6t.aaaard Form ao2 J_t E,~ _prGeneral, Scrviqes AEmina e'ioe .no '- ~. JI.j Ia14r.wxj Gommiltee o, Mediuli Rawh ' FPMR 101-11.806-8 ~ rF.. M3-lr-a:033-: 0F0 ~ ~~. .. _,. _.., .. . . . 11

_ CLIN1CAL RECORD ~' NARRATIVE SUMMARY Dog 6027 DATE 5 ON D OF DMIS I . Dog 6027 NARRATIVE SUMMARY ecanaera Fozm aos 0 General Services Administntion and ~ InlenetncY Committee on 6Ae1ic.1 Records FF1AR 101-11,806-8 ~ OCTOBER 1915 502-111 N N3-16-4103 :-: GPO . .yy .. / . .. . ~ `i~ - A ( ATH OF DISCHARGE (Sian and dafeat end'ol narrari.e)' 4. Basal cell hyperplasia, slight, with slight atypism 5. Brown pigment and fat granulomata 6. Fibrous thickening of the pleura, slight I NUMHER OF DAYSHO5PITAL1ZcD Page 8' 2LCI y 2LC2 & LC3 LEFT CARDIAC LOBE The capillaries of the interstitial tissue are slightly dilated and filled with blood.. The walls of the alveolar septa, particularly in the subpleur-al regions, are slightly thickened' by an increase of connective tissue. In the regions beyond these the alveolar septa are torn to' leave slightly enlarge6 •air sacs. 'In Slide LC3 the fibrous thickening and the rupture beyondi them is slightly more advanced. The walls of the pulmonary arterioles are slightly thickened by pink hyaline material. The walls of the pulmonary arteries are of average thickness. The bronchi are lined by tall columnar cells and show a slight increase in the number of basal cells, the nuclei of which vary slightly to moderately in size, shape andistaining character. Within - the lobe is an occasional small focus composed of lymphocytes, fibroblasts, histiocytes, collagen fibrils, brown pigment and collections of fat. The overlying pleura -!s. sl ightly thickened by an increase of connective tissue. The elastica van Gieson stain shows the elastic fibers intact at the pleuropulrionary junction. The overllying pleura is slightly thickened by an.increase of connective tissue. The intern al elastic lamina of the arteries is intact. Th e walls are of average thickness. The elastic framework of the lung parenchyma is maintained. DI AGNOSE S 1. Pulmonary fibrosis and emphysema, slight ?~. Passive congestion,slight 3. Arteriolosclerosis, slight 4. Basal cell hyperplasia, slight, with slight atypism 5. Brown pigment and fat granulomata 6. Fibrous thidcening of the pleura, slight (Use addit7onal sheets of this form (Standard Form 502) II more space is reqvired) SIGe.ATIJRE OF PHYSIr'I~M I .. I ~...~ ..~..... .v................ I v...a.....an..v.~ PATIENT'5IDENTIFICATION(FortrpedorwrittenentrieaAlirecNeme-laet,.Arat, REG.ISTERNO. IWARDNO. middle; frade; date; hoepitalormediielJacility) I

,4 ,, - CL4NICAL RECORD ~ -NARRATIVE SUMMARY _Dog60e7 DATE OF ADMISSION - 1' DATE OF DISCHARGE (Si/n and date ai and ol~narrative). - r . . i. `. ,,_. .. . .. : . . . . .. _.. ".. .. 3'LDi & 3LD2 & LD9 LEFT DIAPHRAGMATI C LOBE . Passive congestion, slight . Arteriolosclerosis, slight atypism The capilllaries of the interstitial tissue are slightly dillated and filled with blood. Present within the lobe is an occasionall small focus composed of lymphocytes, collagen ,}r,fibrils, brown pigmernt,and.cpllections of fat. The bronchii are lined by tall columnar _.,_:cells and show a sligbt increase in the number of basal cells, the nuclei of which vary slightly in size, shape and staining character. The pulmonary arterioles are _!~=-slightliy thickened by Fink hyaline'material."'The pulmonary'arteries'are"of average ''=thickness. The wa11s of the alveolar'septa, particularly in the 'subpleural regions, `~are slightly thickened by an increase of connective tissue. In the region'.s beyond. these the alveolar septa: are torn to leave slightly.enlarqed air sacs. In Slide ° LD9 the fibrous thickening and the rupture beyond..them is of_a saight to moderate =?degree. The overlying pleura is slightly thickened by an increase-of connective tissue s..- _ : ,, . . , . . ..:. • The elastica van Gieson staiin shows the elastic fibers intact at the pleuro~~ulmonary junction,. ' The overlying, pi'eura is slightly-thickened-by an increase of connective ,, ~` ;ti'ssue.': Th.e`internal 'elastic liamina of the arteries 'is intaet:'' The walls are of' average thickness. The elastic framework of the lung parenchyma is maintaiined. 1. Pulimonary fibrosis and emphysema, slight DI AGiJOSE S ~ 4:' _'Basal -cel1 hyperplasia:, slight, ~wittt sl ight . -Brown pigment andifat granulomata i= 6. : Fibrous thic'- - ni ng "of the pleura, sllight 4RA1` & 4RA2 &'RA14 '&' `RA15 RI G Fff! API CAL ` LOBE ;_~" ~ (Uae edditionaFaheefs of this form (Standard Form ~`_0.?) if.more apace ie reqnired)= =- The-capillaries of the interstitial tissue are slightly dilated and filled with blood.. Lying in Slide RA15 is a small irregular focus composed of purple granular material (calcium and small amounts of bone). The walls of the alveolar septa, particularly in the subpleural regions, are slightly thickened by an increase of connective tissue. SIGNATURE OF PHYSICIAN PATIENTS IDENTIFICATION (For typed or writtenentries /ive: Name-Naf; Arst, ..... . tnidd/e; /rads; date;.,hoepit.lor msdiullacility) Dog 6027 I NUMBER OF DAYS HOSPITALITED Page g_ RE=•ISTER NO. WARD NO. lURRATIYE SUMMARY ~ S . --,c ,etVnnaard Form ao= k[ _> r f _° Ae6eQl,ServKes, Abm:p i4 reNM ind - -, T r ;trrtsitgeix:7 Comm itee or. L'ediui Retords -FP''R 101-11~806-8 , \N OCTOBER 1975•-_ 502 =11 - L j .rl ~M . ~~ '~ •. . . I DATE _ _' LDENTIFfCAT1ON.NO.IiORGANIZATION

CLINICAL RECORD ~ NARRATIVE SUMMARY DATE OFADMISSION. I DATE OF DISCHARGE (S;pn and dete at end of narrat:re ) Dog 6~0'c~7~ j NWMHEHOF DAYS NDSPITP_12ED i/ Page 1() In the regions beyond these the alveolar septa are torn to leave slightly enlarged air sacs. The pulmonary arterioles are slightly thicke ned by piink hyaline materia-. The pulmonary arteries are of average thickness. The bronchi' are 1 ined by tal'l co iumnar cells and show a sl'ight increase in the number of basal' cells, the nuclei of which vary slightly in size, shape and staining character. Present within the lobe is ani occasional small oval focus composed of fibroblasts, histiocytes, collagen fibrils ~ andismall amounts of fat. The overlying pleura is slightly thickened, by an increase of connective tissue. The elastica van Gieson stain shows the elastic fibers intact at the pleuropuli7onary junction. The overlying pleura is slightly thickened by an increase of connective tiissue. The intQrn,l elastic lamina of the arteries is intact. The walls are of .. average thicknes.,. 1'Ir~r. elastic fram,ework of the l::ng parenchym,a is maintained. DIAGNOSES 1. Pulmonary fibrosis and emphysema, slight 2. Passive congestion, slight 3. Arteriolosclerosis, slight 4. Basal cell hyperplasia, slight, with slight atypism 5. Focal calcification 6. Brown pigment and fat granulomata 7. Fibrous thickening of the pleura, slight 5RC1 & 5RC2 & RC6 RI G1iT CARDI AC LOBE The capillaries of the in-cerstitial tissue are slightly dilated and filled with blood. The walls of the alveolar septa, particularly in the subpleural regions, are slightly thickened by an increase of c6nnective tissue. In the regions beyond these the alveolar septa are torn to leave slightly enlarged air sacs.' The pulmonary arteriol!es are slightly thickened by pink hyaline material. The pulmonary arteries are of average thickness. The bronchi are lined by tall columnar cell s and' show a sl ight increase iin the number of basal cell s, the nucl ei. of whic h vary sl ightly in size, shape and staining character. Present withim the lobe is an occasional smal l focus (Use additional sheets of thia form (Standard Form 502) if more space ie requ;red) SIGNATURE OF PHYSICIAN I DATE' IDENTIFICATION NO:.I ORGANIZATION' PATIENT'S IDENTIFICATION (For typedor written entries B;re: Nama-last, Rrst, ~ REGISTER NO. middle; /rade; date; ho.pita!'or medicellacility). Dog 6027 [WARD NO. NARRATIVE SUMMARY BtLUnO,aud 1'oria 302 General Services Adninistrstio- and Inlera`encr Comrnnlleeg on Me.. tal ReCords FPMR 101-11.806-8 OCTOBER 1975 502-111