Table 2

Summary of macroscopic findings at autopsy

SystemCase 1Case 2Case 3Case 4Case 5Case 6Case 7Case 8Case 9
Central nervous systemBrain atrophy.Normal.Circle of Willis atheroma.Old infarct and old head injury.Normal.Circle of Willis atheroma, neurostimulator present.Circle of Willis atheroma.Circle of Willis atheroma.Normal.
Respiratory systemRight lung 654 g,
left lung 448 g.
Bilateral lobar pneumonia, inflamed trachea with mucus.
Right lung 802 g,
left lung 693 g.
Lung consolidation, inflamed trachea with mucus, pulmonary oedema, anthracosis.
Right lung 581 g,
left lung 458 g.
Lung consolidation, inflamed trachea with mucus, pulmonary oedema, pleural adhesions.
Right lung 854 g, left lung 622 g.
Lung consolidation, pulmonary oedema.
Right lung 782 g,
left lung 650 g.
Lung consolidation, pulmonary oedema, fibrinous exudate right pleura, turbid right pleural effusion, inflamed trachea and purulent sputum.
Right lung 1082 g,
left lung 815 g.
Bilateral bronchopneumonia and consolidation.
Right lung 892 g,
left lung 448 g.
Right lung bronchopneumonia, pulmonary oedema, emphysema.
Right lung 2033 g,
left lung 1146 g.
Lobar pneumonia, pulmonary oedema, emphysema, pleural adhesions and fibrinous exudate.
Right lung 707 g,
left lung 500 g.
Bilateral bronchopneumonia, purulent sputum, marked emphysema, pulmonary oedema, pleural adhesions.
Cardiovascular systemMinimal coronary artery atheroma.Enlarged heart (592 g), minimal coronary artery atheroma.Enlarged heart (582 g), focal significant coronary artery stenosis by atheroma, old myocardial scarring.Enlarged heart (669 g), fibrinous pericarditis.Enlarged heart (534 g), normal coronary arteries and myocardium.Two-vessel significant coronary artery stenosis by atheroma.Enlarged heart (502 g), moderate coronary artery atheroma (50% stenosis).Triple-vessel significant stenosis by atheroma, old myocardial scarring.Right ventricular hypertrophy.
Gastrointestinal systemNormal.Normal.Normal.Normal.Normal.Normal.Normal.Normal.PEG feeding tube.
Pancreatohepatobiliary systemNormal.Chronic venous congestion of the liver.Chronic venous congestion of the liver.Chronic venous congestion of the liver.Fatty change of the liver.Absent gall bladder.Gallstones.Normal.Chronic venous congestion of the liver.
Genitourinary systemScarred, shrunken kidneys.Scarred kidneys.Scarred kidneys, renal stones.Normal.Normal.Scarred kidneys.Scarred kidneys, hysterectomy.Scarred kidneys.Renal cysts.
Endocrine systemNormal.Normal.Normal.Normal.Normal.Nodular goitre.Nodular goitre.Normal.Normal.
Lymphoreticular systemNormal.Enlarged (662 g) with pale nodules.Normal.Normal.Normal.Normal.Soft, autolysed spleen.Enlarged spleen (594 g).Normal.
Musculoskeletal systemLower thoracic spine deformity.Rib fractures from resuscitation.Normal.Rib fractures from resuscitation.Normal.Rib fractures from resuscitation.Rib fractures from resuscitation.Rib fractures from resuscitation.Normal.
SARS-CoV-2 test (PCR)Positive (trachea and lung swabs).Positive (trachea swab).Positive (trachea swab).Negative (pericardial swab).Negative (trachea, right lung, pleural fluid).Negative (trachea and lung swabs).Negative (trachea and lung swabs).Negative (lung swab).Negative (lung and trachea swabs).
Other virology/microbiologyNegative virology panel, postmortem contaminants in bacteriology culture.Rhinovirus detected (trachea and lung swabs). Streptococcus pneumoniae cultured (lung). Streptococcus pneumoniae cultured (lung).
  • PEG, percutaneous endoscopic gastrostomy; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.