11. =Left Lung.= Weighs 350-500 grm. _Size_ (voluminous, collapsed,
compare lobes); _form_ (edges rounded, sharp, nodular, saccular or
cystic, contractions, depressions, emphysematous enlargements);
_pleura_ (examine again more closely. Circumscribed dull-shining
or cloudy areas point to some pathologic condition of the lung
beneath. Look for evidences of healed tuberculosis, particularly
in the pleura of the apices. Secondary carcinoma of the pleura is
very common. Primary tumors are rare; endothelioma and sarcoma are
the most common forms. Small circumscribed areas of pigmentation
usually represent old tubercles); _color_ (depends upon degree of
anthracosis, blood-content and condition of pleura, areas showing
especial color should be examined closely; most common colors are
pinkish-gray normally, grayish, slaty, black, red, brown, dark-red
to black); _size of air-cells_ (normally can be seen with naked
eye, best seen at apex and borders, about size of pin-points, when
larger than the head of a pin they are emphysematous); _lobules_ can
also be seen with naked eye, usually polygonal in shape, 2-3 mm. in
diameter; _consistence_ (estimate by going over entire lung, pressing
the lung-substance between thumb and fingers; air-containing lung is
soft, elastic and crepitates; airless areas are hard, firm and do not
crepitate).
On the cut surface the following points should be noted:
_Blood-content_ (anæmia, hyperæmia, hypostatic congestion), _color
of cut-surface_, _air-content_, _exudate_ (serous, purulent),
_consistence_ (hard, soft, elastic, caseous, brittle, crumbling),
_character of surface_ (smooth, granular, nodular, cavities).
Cavities should be described according to their position, size,
shape, contents and character of their walls.
12. =Right Lung.= Weight 420-620 grms. Note size, form, color,
surface, size of air-cells, lobules, consistence, blood-content,
air-content, exudate, consistence and character of cut-surface, as in
case of left lung.
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