Autopsy and Case Reports. ISSN 2236-1960. Copyright © 2016. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the article is properly cited. a Department of Pathology and Forensic Medicine - Faculty of Medicine - Universidade Federal do Ceará, Fortaleza/CE – Brazil. b Faculty of Medicine of Sobral - Universidade Federal do Ceará, Sobral/CE – Brazil. c Cancer Institute of Ceará, Fortaleza/CE – Brazil. “Bread and butter” fibrinous pericarditis Pedro Mansueto Melo de Souza a , Adriele Machado dos Santos a , Eurides Martins Paulino b , Carlos Gustavo Hirth a,c , Conceição Aparecida Dornelas a Souza PMM, Santos AM, Paulino EM, Hirth CG, Dornelas CA. “Bread and butter” fibrinous pericarditis. Autopsy Case Rep [Internet]. 2016;6(4):5-7. http://dx.doi.org/10.4322/acr.2016.050 Image in Focus Image courtesy Dr. Pedro Mansueto Melo de Souza and Dra. Conceição Aparecida Dornelas Figure 1. Gross view of the block of the thoracic organs showing the anatomic relationship between the lungs with “beefy red consolidation” and the heart recovered by bright yellow fibrin in a “bread and butter” pattern