CASE 23.—Private James W. Bates, Co. F, 25th N. Y.
Cav.; age 53; was admitted Dec. 5, 1864, with acute
bronchitis. Counter-irritants, expectorants and stimulants
were employed. He died on the 18th. Post-mortem examination: Body well developed. The trachea and larynx
contained a quantity of frothy rust-colored sputasputum. There
were slight pleuritic adhesions on both sides and each
cavity contained about an ounce of thin liquid. Both lungs
were greatly congested; on section a large quantity of
frothy rust-colored fluid exuded, but no portion of either
lung sank in water; the right lung weighed fifty-two ounces,
the left twenty-eight and a half. The left cavities of the
heart contained small fibrinous clots. The liver was
considerably congested and weighed fifty-three ounces and a
half; the spleen seven ounces. There were cysts in both
kidneys; the pelves were distended and the ureters enlarged to about half an inch in diameter. The
intestines were normal. [Specimens 455 and 456, A. M. M.,
are from this case, and show the enlargement of the pelves
and distention of the ureters, together with the cysts, the
largest of which is about the size of a shellbark.]—Act. Ass't Surgeon H. M. Dean, Lincoln Hospital, Washington, D. C.