Postmortem examination of lungs
There is prominent scarring and cavitation, predominantly affecting the apical aspect of the right lung, along with background mild pneumonic consolidation.
These macroscopic changes are related to ongoing tissue damage at a microscopic level (caseous necrosis) with resulting parenchymal scarring and cyst formation.
The apical aspects of the lung are more commonly affected; this may be related to higher oxygen tensions or impaired tissue clearance mechanisms (1)