In autopsy, make a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for adrenal tumors. A comprehensive approach is to remove the adrenals, trim them from excessive adherent fat, and weight them.
Adrenal cortical necrosis. Hemorrhage, fibrin thrombi and short postmortem interval indicate ante-mortem necrosis, otherwise it can be regarded as a postmortem change.
- Minimal: Adrenal glands are normal bilaterally.
- Moderate length: Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.