Found the body very thin, surface pale. No serum in the peritoneal cavity. Upon lifting the small intestines from the cavity of the pelvis, found the rectum closely adhered to the posterior surface of the bladder, completely obliterating the recto-vesical _cul-de-sac_. Considerable dense scirrhus matter, was found upon either side of the rectum and bladder. Upon removing the rectum and bladder, a large opening (one inch in diameter) was found communicating between the two. The edges of this opening were thick and ragged. The walls of the bladder and rectum generally, were thick and hard from scirrhus deposits. The bladder contained considerable purulent and feculent matter, with also a cherry-stone. Upon examining the liver, found upon the under side of the left lobe, a large cancerous mass, imbedded in the substance, but projecting from the surface, and quite as large as a goose egg. Other portions of the liver healthy.[25] The lungs were healthy. The muscular walls of the heart were pale and soft, while each of the cavities contained soft, imperfectly formed fibrinous clots. The right pleural cavity contained nearly a pint of serum, while the pleura presented a red, inflamed appearance. In removing the sternum from its position, noticed purulent matter beneath the upper end, which appeared to come down from the neck. Upon carrying an incision upwards to the hyoid bone, found the whole region of the neck infiltrated with pus, without being confined by any limiting membrane or sac, and evidently metastatic in its origin. =Tubercles.= The peritoneum covering the liver, like other portions of this membrane, will sometimes (more frequently with children) be found filled with numerous minute tubercular particles, the presence of which are liable to give rise to appearances of inflammation, such as redness, roughness, and perhaps adhesions. =Fibroid and Cartilaginous Tumors= are of extreme rarity in the liver. When present, they exhibit the characters of those growths in other parts. =Adenoid Tumors= have been detected in this gland. They vary in size and number, but are usually enclosed in a fibrous capsule, and appear to be made up of glandular cells, resembling the hepatic cells, but of larger size and greater density. =Vascular Tumors= are sometimes found in the liver, consisting apparently of a compact, irregular net-work of dilated veins, held together by connective tissues. Of a dark, almost black color, they vary in size from a few lines to two or three inches in diameter, and are very irregular in their outline. _Cysts_ of small size are occasionally found, developed either in the connective tissues, or from a dilatation of bile ducts. They may be found filled with serum, or colored mucus and epithelial cells.