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Page 3238 M-19-019432 JEFFREY EDWARD EPSTEIN Page 6 bladder that contains approximately 5 ml of cloudy, yellow urine. The prostate is slightly - and diffusely enlarged, with marked enlargement of the verumontanum. The testes are unremarkable. ENDOCRINE SYSTEM: The pituitary, thyroid, and adrenal glands are unremarkable. DIGESTIVE SYSTEM: The esophagus and gastroesophagea! junction are unremarkable. The stomach contains approximately 5 ml of opaque, brown fluid without recognizable food or pills. The gastric mucosa is unremarkable. The small intestine and large intestines and rectum are unremarkable. The vermiform appendix is surgically absent. MUSCULOSKELETAL SYSTEM: See “Therapeutic Procedures.” On the anterior, inner surface of the right, first rib is a slightly displaced, healed, fracture callus. The vertebrae, clavicles, remainder of ribs, and pelvis are without fracture. The musculature is well developed and normally distributed. MICROSCOPIC DESCRIPTIONS: Tissue or Organ x # of fragments and/orlevels (#= slide ID number) Histology # HT19-003396 HEART x 2 (#2): Myocardial and perivascular fibrosis. Slightly hypertrophied myocytes. LUNG x 5 (#3.4): Slight patchy emphysema. LIVER x 1 (#1): Steatosis involving approximately 50% of hepatic parenchyma. Slight periportal fibrosis. Marked congestion. KIDNEY_x 1 (#1): Arteriolar sclerosis. Congestion. TESTES x 2 (#5,6): No pathologic abnormality. TONGUE x 1 (#7): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. MUSCLE ADJACENT TO HYOID BONE x 14 (#8): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. LEFT POSTERIOR NECK MUSCLE x1 (#9): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. DOJ-OGR-00026827