This 71-year-old male was admitted to Gross examination of the hospital aorta revealed severe atherosclerosis with dry gangrene of extensive mural thrombus formation. Recent infarcts were noted in the spleen and in the left great toekidney. Subsequently, he An old posterior myocardial infarct was found noted. The left iliac artery also appeared to have a poorly differentiated adenocarcinoma be almost totally occluded. A whitish-tan tumor was noted in the apical portion of the left upper lobe of the lung. He developed a perforation of a duodenal ulcer with generalized peritonitis metastases in the carinal and died five days after admissionhilar lymph nodes.