A 35-Year-Old Woman, Gravida 1 Para 0, at 40 Weeks

A 35-year-old woman, gravida 1 para 0, at 40 weeks gestation has a protracted labor course for which a cesarean delivery is performed under epidural anesthesia.  Shortly after delivery, the patient has chest pain and difficulty breathing.  She becomes hypotensive, bradycardic, hypoxic, and unresponsive, and undergoes emergency intubation.  The surgical incisions begin to bleed profusely and the patient goes into cardiorespiratory arrest.  She is declared dead after 30 minutes of cardiopulmonary resuscitation.  The family agrees to an autopsy.  Which of the following is the most likely finding during histologic evaluation of her lungs?

A) Alveolar ducts lined with hyaline membranes
B) Enlargement of air spaces and alveolar septal destruction
C) Giant cell foreign body response in the lower lobe of the right lung
D) Pulmonary arterioles with lipid globules
E) Pulmonary artery branch with swirls of fetal squamous cells

Correct Answer:

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