Need help with interpreting Pathology report

Can someone please review this pathology report. The deceased was a friend of mines daughter. The desceased was a 32yr old female. No serious previous medical history Had a baby not even two years before she died. She went to the hospital because she became jaundiced. She was told her liver was failing and was sent home. She went back to the hospital a month later with worsening symptoms and was sent home again. A week and a half later she was found in her home disoriented and was rushed to the hospital where she had cholangitis or cholecytitis I believe. She had sepsis went into to septic shock and died 26 days later. No one is really sure what happened to her. I attached pics of the pathology report. No CNS

 

No

 

She was not an alcohol user and tested negative for viral hepatitis

 

She was not obese either she had an average build

 

When I say no previous medical history I mean she wasn't diagnosed with cirrhosis until her liver suddenly failed

 

I was saying based off here gross appearance and microscopic examination what does it sound like. There are things that can be indicative of certain disease based of these findings. Obviously she had cirrhosis and ascites anyone can figure that out.

 

For instance it shows she had thyroid disease, macronodular cirrhosis in the left lobe ect. The doctors really are
Not sure what caused it. That's what I'm asking.... Apparently this is a trend

 

Ya no one is debating whether she had advanced liver disease. But as you can see her liver had a gross appearance of red brown and smooth capsular surface and macro nodular cirrhosis in the left lobe shown in the cut surface. Along with bridging fibrosis

 

Her liver size was normal as well. There are certain characteristics of all eitologys of liver disease

 

Does anyone know anything anymore?

 

She was in septic shock for a week. She had cholecystitis and was cured by a stent placement in her cystic duct. She recovered but her kidneys failed during he sepsis. They wanted to place a permacath by her neck for dialysis in the event her kidneys didn't come back. She had a temp cath in on her thigh but they said it was more susceptible to infection a couple days after sepsis she was extubated where she regained consciousness and started eat and drinking fluids. She still had a high inr of 3.4 so they gave her 4 units of ffp to lower her inr for the surgery. The surgery got canceled that day and was to be performed the following day. They have her 4 more units of ffp the next morning.they did not have her on dialysis during these days. After the surgery she went to recover and became tachycardic and started spitting up up pink frothy sputum an X-ray was taken showing a complete whiteout of her lungs. Not even a day later her rr went up so high they had to intubated her again. It's obvious that she had a chronic liver disease its just odd that it never poked its had until it failed and at such a young age

 

thanks