**Core Concept**
Coagulative necrosis is a type of necrosis characterized by the preservation of cell outlines and the formation of a coagulated, firm mass. This process typically occurs in tissues with a high concentration of protein, such as the liver, kidney, and heart, where cell death is often due to ischemia or infarction.

**Why the Correct Answer is Right**
Coagulative necrosis is most commonly seen in areas with a high metabolic rate, such as the heart, where ischemia or infarction leads to cell death. The liver, kidney, and heart are rich in protein and have a high concentration of organelles, which are preserved during coagulative necrosis. This type of necrosis is distinct from liquefactive necrosis, which occurs in areas with a low protein concentration, such as the brain and intestine.

**Why Each Wrong Option is Incorrect**
**Option A:** Infarction of the heart muscle, which is a common cause of coagulative necrosis, is not an exception to this rule.
**Option B:** Ischemic injury to the kidney, which can cause coagulative necrosis, is not an exception.
**Option C:** While coagulative necrosis can occur in the liver due to various causes, including ischemia and infarction, it is not an exception to the rule that coagulative necrosis is most often seen in these organs.

**Clinical Pearl / High-Yield Fact**
Coagulative necrosis is a common finding in post-mortem examinations, particularly in cases of cardiac arrest or sudden death due to coronary artery disease. Remember the acronym "KID" to associate coagulative necrosis with the kidney, intestine, and dead (heart).

**Correct Answer:** D.