Gross cardiomegaly associated with thoracic aortic dissection involving the distal ascending aorta extending into the arch and descending aorta with poor filling of the false lumen. Aortic arch branches are intact and there is no evidence of recent rupture into either the pericardium or pleural space.
Features of gross cirrhosis and portal hypertension with enlargement of the IVC and hepatic veins suggestive of right heart failure. Bibasal lung atelectasis and probable interstitial oedema.