Forensic Pathology for Police - Brainshare Public Online Library

Disc Image Legends 333
Disc Image 12.30 A relatively dense subdural hemorrhage. A flap of dura is being
reflected upwards in order to visualize the underlying subdural blood.
Disc Image 12.31 Basilar subdural hemorrhage, after brain removal.
Disc Image 12.32 A healing (or “organizing”) subdural hemorrhage.
Disc Image 12.33 Another example of an organizing subdural hematoma.
Disc Image 12.34 The base of a brain with minimal subarachnoid hemorrhage.
Disc Image 12.35 Focal subarachnoid hemorrhage overlying areas with cerebral
contusions.
Disc Image 12.36 Deep contusions within the brain. Note the “midline shift” of
central structures, from right to left, due to the injury and associated swelling.
Disc Image 12.37 A gliding contusion of the cerebral cortex.
Disc Image 12.38 A brain with a cortical contusion (lower left), associated brain
swelling with midline shift, and a cingulate gyrus, subfalcine herniation (arrow).
Disc Image 12.39 Bilateral (both sides) temporal lobe uncal herniation contusions.
Disc Image 12.40 An example of uncal “notching,” when the uncal regions are
compressed but not yet hemorrhagic (arrows).
Disc Image 12.41 Cerebellar tonsil herniation contusion.
Disc Image 12.42 A transcalvarial herniation occurring in a head trauma victim
who underwent craniotomy (removal of a portion of the skull) surgery to relieve
pressure. Note the relatively large area of swollen brain tissue protruding outward
from the remainder of the brain, as seen in the upper aspect of the photograph
(arrows).
Disc Image 12.43 An immunohistochemistry stain showing brown staining areas
indicative of axonal injury.
Disc Image 12.44 A case where extensive internal hemorrhage occurred into the
peritoneal cavity (hemoperitoneum).
Disc Image 12.45 An example of a hemothorax, where blood has filled the right
thoracic (pleural, chest) cavity. The heart sac is indicated by the asterisk. The
diaphragm is indicated by the double asterisk. The compressed and injured right
lung is indicated by the arrow.
Disc Image 12.46 A pathologist checking for the presence of a pneumothorax.
The inverted cylinder (filled with water) is used to collect air bubbles escaping
from the chest cavity. (courtesy of the Dallas County Medical Examiners Office,
Jeffrey J. Barnard, Chief Medical Examiner)
Disc Image 12.47 Aspirated blood within a lung.
Disc Image 12.48 The gross appearance of a brain from an individual who experienced
fat embolism syndrome. Note the numerous areas of prominent pinpoint
blood “spots” within the white matter.
Disc Image 12.49 The microscopic appearance of fat emboli (clear round to ovalshaped
areas) within a lung blood vessel.
Disc Image 12.50 A remote (old) contusion of the brain. Note the depressed, brownyellow
appearance.
Disc Image 12.51 A patterned injury produced by contact with a steel cable.
Disc Image 12.52 Numerous patterned injuries produced by an electrical cord
“loop” that was used as a “whip.” Notice that some of the marks have a “tram