Line 45:
Line 45:
*The cardiac myocytes are multifocally widely spaced and infiltrated by streams of spindle shaped cells (fibroblasts).
*The cardiac myocytes are multifocally widely spaced and infiltrated by streams of spindle shaped cells (fibroblasts).
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[[Image:Case pic 4.jpg|right|thumb|125px|<small><center>'''Histology; Massons Trichrome'''. Courtesy of K. Hughes</center></small>]]
Some sections were stained with Massons Trichrome:
Some sections were stained with Massons Trichrome:
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[[Image:Case pic 4.jpg|right|thumb|125px|<small><center>'''Histology; Massons Trichrome'''. Courtesy of K. Hughes</center></small>]]
*This confirmed the presence of large, multifocal areas of fibrosis within the inner third of the myocardium and extending to the endocardial surface.
*This confirmed the presence of large, multifocal areas of fibrosis within the inner third of the myocardium and extending to the endocardial surface.
*Multifocally the fibrosis surrounds individual atrophied myocytes.
*Multifocally the fibrosis surrounds individual atrophied myocytes.
*There is mural thickening (smooth muscle hypertrophy) of the intramyocardial arteries.
*There is mural thickening (smooth muscle hypertrophy) of the intramyocardial arteries.