Necrosed pulmonary tissue and exudation becoming tubecular (card specimen)

Tricuspid stenosis : partial obstruction of right auriculo-ventricualr opening by partly calcified and organised fibrinous vegetations : localised fibrous thickening and calcification of endocardium of left auricle ; Ileo-c¿cal intussusception with involvement of the duodenum; passage of the c©Œcum and vermiform appendix from the right into the left iliac region (card specimen)