Gross lesions of Marek's disease can vary depending on the affected organ system (visceral, neural, ocular, skin). In some cases, no gross lesions may be observed. Here are some potential lesions:
Visceral: Lymphomatosis (lymphosarcoma) with tumors in the liver, spleen, kidney, lungs, ovary, muscles, or other tissues. General organ enlargement (hepatomegaly, splenomegaly) due to diffuse proliferation of white blood cells. Livers may have light grey to white nodules (tumors with soft centers).
Neural: Non-suppurative encephalitis (inflammation of the brain) and neuritis (inflammation of nerves). Neurolymphomatosis with swollen lumbosacral plexus and sciatic nerve. Involvement of the gizzard nerve can lead to a very small gizzard and intestine, causing the bird to waste away.
Ocular: Inflammatory and degenerative changes of the optic nerve.
Skin: Skin neoplasia (tumors).