Coroner's report
Office of the Yoknapatawpha County Coroner |
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DATE and HOUR AUTOPSY PERFORMED: Manish Agarwal, M.D.
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Assistant: Victoria Witte, M.D. Full Autopsy Performed |
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SUMMARY PRELIMINARY REPORT OF AUTOPSY |
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EVIDENCE OF TREATMENT N/A EXTERNAL EXAMINATION The autopsy is begun at 8:30 a.m. on April 20, 2020. The body is presented in a black body bag. The victim is wearing blue boxer-style men's underwear, size L. The body is that of a normally developed, well-nourished white male measuring 72 inches in length, weighing 164 pounds, and appearing generally consistent with the stated age of 27 years. The body is cold following refrigeration and preservation is good on the unembalmed body. Lividity is fixed in the distal portions of the limbs. Scalp hair is brown and approximately 18 cm in length. Closely cropped facial hair is present on the chin. The body hair is male and average. The eyes are open. The irides are brown and the pulis measure 0.4 cm. There are abrasions and contusions to the right cheek area (Injury 4). The nose and ears are unremarkable, except for the incised wound on the right ear (Injury 4). The teeth are natural with some amalgam restorations. Multiple penetrating wounds (Injuries 1–3) are visible on the head. The anterior chest is of normal contour with an incised wound on the right shoulder (Injury 5) and on the abdomen (Injury 6). The breasts are male and contain no palpable masses. The abdomen is flat. The back is straight and symmetrical. The external genitalia is that of a male adult, and there is no evidence of injury. The anus is not dilated and has no evidence of injury. The upper and lower extremities are symmetric and normally developed with no significant deforming injuries. There is a tattoo of a compass on the left breast, and a tattoo of a bar code on the right buttock. There are no additional residual scars or markings. INTERNAL EXAMINATION HEAD--CENTRAL NERVOUS SYSTEM: The skull has multiple fractures and other damage described below. The brain weighs 1,360 grams and is within normal limits. MUSCULOSKELETAL SYSTEM: The musculoskeletal system is intact, unremarkable, and within normal limits. RESPIRATORY SYSTEM: The oral cavity shows no lesions, and there are no injuries to the lips, teeth, or gums. The cervical spine is in the midline and essentially unremarkable. The mucosa of the oral cavity, epiglottis, glottis, piriform sinuses, trachea, and major bronchi are anatomic. No injuries are seen and there are no mucosal lesions. The hyoid bone, the thyroid, and the cricoid cartilages are intact. The lungs are unremarkable and weigh: right, 409 grams; left 397 grams. CARDIOVASCULAR SYSTEM: The heart weighs 281 grams. It appears to have a normal size and configuration. No evidence of atherosclerosis or gross ischemic changes of recent or remote origin is present. GASTROINTESTINAL SYSTEM: The mucosa and wall of the esophagus are intact and gray-pink without lesions or injuries. The gastric mucosa is intact and pink without injury. Approximately 110 ml of partially digested semisolid food is found in the stomach. The mucosa of the duodenum, jejunum, ileum, colon, and rectum are intact. Externally the small intestine, appendix, and colon are unremarkable to inspection and palpation. HEPATOBILIARY SYSTEM: The liver weighs 1,233 grams. The gallbladder contains 26 ml of dark green bile, no stones, and is grossly normal. The extrahepatic biliary system is unremarkable. The pancreas shows the usual lobular architecture, mild autolysis, and is otherwise normal. URINARY SYSTEM: The kidneys weigh: left, 128 grams; right, 133 grams. The kidneys are anatomic in size, shape, and location and are without lesions. The pelvic calyceal system and ureters are unremarkable. The urinary bladder contains 8 ml of clear yellow urine. MALE GENITAL SYSTEM: The penis and the prostate gland are anatomic to dissection and their structures are within normal limits. Only one testicle is present, possibly a genetic trait as there is no evidence of surgery, radiation, or accident. The extant testicle is anatomic to dissection and within normal structural limits. TOXICOLOGY: Samples of central and peripheral blood, vitreous humor, gastric contents, urine, liver, and bile are submitted for toxicologic analysis. Stomach contents are saved. SEROLOGY: A sample of right pleural blood is submitted in the EDTA tube. Routine toxicologic studies were ordered. DESCRIPTION OF INJURIES - SUMMARY
(1) A short-range gunshot wound of the parietal area of the head with extensive craniocerebral injuries. The exit wound is 2.5 cm above the right eye. The entrance point measures 8 cm from the top of the head and 8 cm from the right ear. The entrance wound measures 1.2 cm in diameter surrounded by a 1 cm abrasion. Bullet exit is through a 1.6 cm lacerated exit wound. Opinion: This is a fatal injury. (2) A short-range gunshot wound of the parietal area of the head with extensive Craniocerebral injuries. Exit through the right eye. The entrance point measures 10 cm from the top of the head and 9 cm from the right ear. The entrance wound measures 1.1 cm in diameter surrounded by a 1 cm abrasion. Bullet exit is through the right ocular socket, with a 2.0 cm lacerated exit wound. Opinion: This is a fatal injury. (3) A short- to close-range gunshot wound to the lower occipital area of the head at a point approximately 1 cm above the base of the neck. The wound track in the head continues downward causing tissue damage to the brain stem and exiting through the mandible. There is also a defect in the tissues of the soft palate and some of these fragments contain probable powder debris. Bullet exit is through a 1.6 cm lacerated exit wound. Opinion: This is a fatal injury. (4) Abrasion/contusion of the right cheek area and bottom of the right ear with evidence of sharp force trauma. The right ear lobe is partially divorced from the ear. The cut is vertically-oriented, and after approximation of the edges, measures 11.0 cm in length. Subsequent dissection discloses that the wound path is from right to left, in the horizontal plane for approximately 2.75 cm. There is a fresh hemorrhage along the wound path. The wound path terminates in the left temporal bone and does not penetrate the cranial cavity. Opinion: This is a non-fatal perimortem injury. (5) An incised or cutting wound on the right shoulder. This is a diagonally-oriented wound measuring 20 cm in length and involves the skin and subcutaneous tissue without penetrating the chest wall or abdominal wall. No square or dull edges are evident. Both ends are rounded or tapered. Opinion: This is a non-fatal perimortem injury. (6) An incised or cutting wound, 10 cm in length, 2 cm deep on the abdomen. Opinion: This is a non-fatal perimortem injury. LABORATORY DATA Cerebrospinal fluid culture and sensitivity: Gram stain: Unremarkable Cerebrospinal fluid bacterial antigens: Hemophilus influenza B: Negative Drug Screen Results: Urine screen {Immunoassay} was positive for Cocaine, Marijuana, Caffeine, Prozac. CLINICOPATHOLOGIC CORRELATION: None. Millicent Schmid, Ph.D. EVIDENCE COLLECTED 1. One (1) pair blue men's boxer-style underwear, size Large 2. One (1) Samples of Blood (type B+), Bile, and Tissue (heart, lung, brain, kidney, liver, spleen) 3. Fourteen (14) autopsy photographs 4. One postmortem CT scan 5. One postmortem MRI 6. Two (2) postmortem x-rays OPINION Time of Death: Body temperature, rigor and livor mortis, and stomach contents approximate the time of death between 4:00 a.m. and 6:00 a.m. on April 19, 2020. Immediate Cause of Death: Multiple gunshot wounds to the head Manner of Death: Homicide //Manish Agarwal, M.D. |
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