Diagnosis: central pulmonary embolism.Description: Parts of a layered thrombus project from the right pulmonary artery.Additional findings: Thrombus within the right atrial auricle. No deep vein thrombosis in the legs.Clinical findings: 96-year-old female patient, decompensated congestive heart failure, atrial fibrillation with tachycardia, mitral and aortic regurgitation. Chronic renal failure. Hypothyroidism. Chronic venous insufficiency. Cause of death?(Source: ©PathoPic)