2. Organs are then turned over again without twisting, and examined from anterior surface as follows: removal and examination of thymus and thyroid; opening of superior vena cava, termination of thoracic duct and right lymph-trunk; opening of pericardium, examination of cardiac plexus, opening of arch of aorta; section and examination of pulmonary arteries and veins and hilum of lung; examination and removal of heart and lungs; examination of diaphragm, liver, gall-bladder and bile-ducts; external examination and separation of spleen, stomach, pancreas and duodenum; removal of œsophagus, stomach, pancreas and duodenum; external examination, dissection and removal of intestine to the rectum; examination of peritoneum, mesentery and omentum; separation and examination of kidneys, ureters, bladder and urethra; separation and examination of genital organs (in male, prostate, seminal vesicles, vasa deferentia and testes; in the female, oviducts, broad ligaments, ovaries, vulva, vagina and uterus). For the ordinary clinical autopsy this method is more inconvenient and time-consuming, and offers not a single advantage over the order advocated above. I use it only in young children and in adult cases of generalized carcinomatosis, sarcomatosis, pulmonary embolism, congenital cardiac lesion, tuberculosis, aortic aneurism with tracheal or bronchial erosion and a few other rare generalized conditions. For all other cases I advise that the first mentioned order be followed, varying it as occasion demands. The autopsy should be individualized. Departures from the routine order will take place chiefly in the thoracic and abdominal cavities. It is often more convenient to remove the kidneys before taking out the intestines, to examine the liver before the spleen, or to make other similar variations in the order. The order of examination of the larger divisions of the body (head, thorax, abdomen and pelvis) should always be followed strictly; but the neck and thoracic organs, or the thoracic organs alone, may be removed _en masse_ and examined outside of the body, and the same procedure may be carried out in the case of the abdominal or pelvic organs whenever advisable. Removal _en masse_ with examination on the table is especially indicated in the case of the neck and thoracic organs in aortic aneurism, pulmonary embolism, congenital cardiac lesions, mediastinal neoplasms, generalized carcinoma or sarcoma of thoracic organs, etc. The same procedure is indicated in the case of the abdominal organs in generalized carcinomatosis or sarcomatosis, inflammation and tuberculosis of the abdominal organs or peritoneum, aneurism of the abdominal aorta, pseudomyxoma peritonei, etc.