== Clinical Summary ==
This 57-year-old male was hospitalized with a three-month history of a dry, hacking cough, dyspnea, and chest pain. He was diagnosed as having congestive heart failure. There was no evidence of myocardial infarction, but renal and hepatic functions were decreased. The patient developed refractory congestive heart failure and renal failure. The patient's cardiac index was marginal and he was classified as a having congestive cardiomyopathy. The patient had a cardiorespiratory arrest and died two months after admission.
This 57-year-old male was hospitalized At autopsy the lungs were congested and edematous with a three-month history evidence of a dry, hacking cough, dyspnea, and chest painlobar pneumonia. He was diagnosed as having congestive The heart failure due weighed 540 grams and showed 75 to viral myocarditis. There was no evidence 95% atherosclerotic stenosis of myocardial infarction, but renal and hepatic functions were decreasedall the major coronary arteries. The patient developed refractory congestive heart failure right and renal failureleft ventricles were markedly dilated. The patient's cardiac index was marginal and he was classified as a having congestive cardiomyopathyventricular walls were extremely thin with patchy areas of subendocardial fibrosis. The patient had a cardiorespiratory arrest liver weighed 1630 grams and died two months after admissiondisplayed the classic "nutmeg appearance" of chronic passive hepatic congestion on cut surface.
== Autopsy Findings ==