Amadou
Diallo was unarmed when he was killed by police in a fusillade
of 41 bullets outside his Bronx apartment house on Feb. 4,
1999. Now the four officers are on trial for second-degree
murder. The following autopsy report was prepared by Joseph
Cohen, M.D., of the Office of Chief Medical Examiner for the
City of New York. Cohen took the stand February 8, 2000 for
the prosecution. He testified that various gunshot wounds
indicate that Diallo was shot repeatedly while already down.
FINAL
DIAGNOSES
I.
PERFORATING GUNSHOT WOUND TO ANTERIOR-CHEST (GUNSHOT WOUND
A). WITH:
A.PEFOFORATIONS
OF STERNUM, AORTA. LUNG. THIRD THORACIC VERTEBRA, SPINAL
CORD.
B.MARKED
MEDIASTINAL HEMORRHAGE.
C.HEMOTHORACES
(LEFT EQUAL 1250 CC, RIGHT EQUAL 1000 CC).
II.PERFORATING
GUNSHOT WOUND TO MID LEFT TRUNK (GUNSHOT WOUND B), WITH:
A.PERFORATIONS
OF SPLEEN, LEFT KIDNEY AND INTESTINE.
B.HEMOPERITONEUM
(250 CC).
Ill.
PERFORATING GUNSHOT WOUNDS TO LEFT PELVIC REGION/LOWER TRUNK
(GUNSHOT WOUNDS C, D, E. F), WITH:
A.PERFORATIONS
OF PELVIS AND INTESTINES.
IV.PERFORATING
GUNSHOT WOUND TO LEFT BACK (GUNSHOT WOUND G),WITH:
A.PERFORATIONS
OF TENTH THORACIC VERTEBRA, SPINAL CORD, RIGHT LUNG, LIVER
AND RIGHT NINTH RIB.
V.PERRORATING
GUNSHOT WOUND TO RIGHT ELBOW (GUNSHOT WOUND H), WITH:
A.PERFORATION
OF DISTAL RIGHT HUMERUS.
VI.PERFORATING
GUNSHOT WOUNDS TO LATERAL ASPECT OF LEFT THIGH (GUNSHOT
WOUNDS I AND J).
VII.
PENETRATING (GUNSHOT WOUND K) AND PERFORATING (GUNSHOT WOUND
L), GUNSHOT WOUNDS TO POSTEROLATERAL ASPECT OF LEFT THIGH,
WITH:
A.
PERFORATIONS OF INTESTINE AND SCROTUM.
VIII.
PERFORATING GUNSHOT WOUNDS TO LEFT LOWER EXTREMITY (GUNSHOT
WOUNDS M AND N). WITH
A.PERFORATIONS
OF TIBIA AND FIBULA.
IX.PERFORATING
(GUNSHOT WOUNDS 0, P, AND R) AND PENETRATING (GUNSHOT WOUNDS
0 AND S) GUNSHOT WOUNDS TO RIGHT LOWER EXTREMITY.
X.ABRASION,
LEFT LOWER ABDOMEN.
CAUSE
OF DEATH: MULTIPLE GUNSHOT WOUNDS TO TRUNK WITH PERFORATIONS
OF AORTA, SPINAL CORD, LUNGS, LIVER, SPLEEN, KIDNEY AND
INTESTINES.
MANNER
OF DEATH: HOMICIDE (SHOT BY POLICE OFFICERS).
OFFICE
OF CHIEF MEDICAL EXAMINER
CITY
OF NEW YORK
REPORT
OF AUTOPSY
CASE
NO. BX99O0498
I hereby
certify that I, Joseph I. Cohen, M.D., City Medical Examiner
- ll, have performed an autopsy on the body of Ahmed Diallo,
on the 4th day of February, 1999, commencing at 8:30 AM. in
the Bronx County Mortuary of the Office of Chief Medical Examiner
of the City of New York.
This
autopsy was performed in the presence of Dr. Ely.
EXTERNAL
EXAMINATION:
The body
is of a well developed, well nourished. 5' 8", 150 lb, brown
skinned, Black man whose appearance is consistent with the
given age of 22 years. The scalp hair is curly, black and
1 to 1 1/2" or less. There is a 1/4" mustache and slight,
barely perceptible beard stubble. The irides are dark brown
and the conjunctivae are free of patachiae, jaundice or hemorrhage.
There is slight tache noire artifact on the left bulbar conjunctiva.
The oral cavity has natural teeth in good condition. There
are no injuries to the buccal mucosa, gingivae or franulae.
The genitalia are of a normal, circumcised, adult man. Injury
to the scrotum is described below.
There
are no tattoos. The fingernails are markedly short with slight,
focal accumulations of dirt. There are no injuries to the
hands or left foot. Injuries to the right foot are described
below. There is no edema of the extremities. There is a 1/4"
nondescript scar on the anterolateral aspect of the right
side of the neck, a 3/81" scar on the anterior aspect of the
distal right forearm, a 1 1/2" curvilinear, slender scar on
the anteromedial aspect of the distal left arm, a 3/8" circular
scar on the lateral aspect of the left arm, and a 1/4" circular
scar on the front of the right ankle. Two 1/4" scars are on
the dorsum of the left hand.
POSTMORTEM
CHANGES:
RIgor
mortis is moderate and symmetrical in the extremities. Livor
mortis is barely perceptible on the posterior portions of
the body. and the body is cool.
THERAPEUTIC PROCEDURES:
None.
CLOTHING:
The
body is received clad in gray "Hanes" undershorts, gray long
underwear and blue and black short sleeved shirts. Received
with the body are black "Tommy Hilfiger" pants, a brown belt,
a blue and white coat with a hood, two dark "Airwalk" shoes,
and a red New York Yankees cap.
There
is patchy blood staining on the inner lining of the blue and
white coat and blood staining of the undershorts and long
underwear, primarily on the left aspects. The short sleeved
shirts are blood stained and cut/torn in the front.
There
are multiple perforations of the clothing, primarily on the
lower aspects of the upper garments, and scattered about the
lower garments. There is a perforation on the front of the
upper aspect of the coat. There is no perforation on the upper
back region of the coat. The red cap has two perforations
toward the superior aspect. Both short sleeved shirts have
perforations on the front and back of the upper aspects of
the shirts. There is a perforation on the front left aspect
of the belt. There are several perforations of the right shoe
including a perforation on the medial aspect of the mid/distal
shoe, a perforation on the dorsum of the mid/distal shoe,
and a perforation on the plantar surface of the distal shoe.
The
clothing and bags from the hands are retained.
INJURIES,
EXTERNAL AND INTERNAL:
There
are multiple (I9) gunshot wounds to the body, including a
perforating gunshot wound to the anterior chest, a perforating
gunshot wound to the mid left trunk, perforating gunshot wounds
(4) to the left side of the lower trunk, a perforating gunshot
wound to the left back, a perforating gunshot wound to the
right elbow, perforating gunshot wounds (2) to the lateral
aspect of the left thigh, perforating (1) and penetrating
(1) gunshot wounds to the posterolateral aspect of the left
thigh, perforating gunshot wounds (2) to the left lower extremity,
and perforating (3) and penetrating (2) gunshot wounds to
the right lower extremity. The wounds are lettered-for descriptive
purposes only; no sequence is implied. Directions of travel
are stated with the body in the normal anatomic position.
PERFORATING
GUNSHOT WOUND TO ANTERIOR CHEST
A.
There is a perforating gunshot wound to the mid anterior
chest above the level of the nipples, 15" below the top
of the head and 3/4" to the left of midline. The 1/4" circular/oval
perforation has a 1/8" margin of abrasion which is most
prominent on the inferior aspect. There is no fouling or
stippling of the adjacent skin.
After
perforating the skin of the anterior chest, the bullet perforated
the left second intercostal space, grazing the lateral edge
of the sternum. Several small pieces of bones are on the
inner aspect of the sternal perforation. The bullet continued
from front to back perforating the arch of the aorta causing
a 1 1/2" defect at the junction of the left subclavian and
left common cartoid arteries. There is marked mediastinal
hemorrhage. The bullet perforated the medial aspect of the
upper lobe of the left lung prior to perforating the left
aspect of the thoracic vertebra and spinal cord causing
marked softening of the thoracic cord. There is patchy epidural
and subdural hemorrhage surrounding the spinal cord. The
bullet exited the posterior aspect of the third thoracic
vertebra before exiting the mid upper back. 1250cc of liquid
blood are in the left pleural cavity and 1000cc are in the
right pleural cavity. The bullet did not enter the pericardial
sac; however, there Is moderate hemorrhage on the superior
aspect of the pericardium. There are no injuries to the
heart.
The
exit wound on the upper back is 11" below the top of the
head and 3/4" to the left of midline. The 1/8" irregular
perforation has no margin of abrasion and microtears of
the margin.
The
direction of travel is front to back and upward.
No
bullets or fragments are recovered.
PERFORATING
GUNSHOT WOUND TO MID LEFT TRUNK:
B.
There Is a perforating gunshot wound to the lateral aspect
of the mid left trunk, 21 1/2", below the top of the head.
The 1/4" circular/oval perforation has a 1/8" margin of
abrasion. There is no fouling or stippling of the adjacent
skin.
After
perforating the skin, the bullet perforated the left tenth
intercostal space and briefly entered the inferior aspect
of the left pleural cavity without perforating the lung.
The bullet then perforated the diaphragm and spleen, causing
a 2" Irregular perforation in the spleen. The bullet grazed
the superior aspect of the left kidney causing slight, barely
perceptible subcapsular hemorrhage on the kidney. The bullet
then entered the peritoneal cavity, perforating several
loops of small intestine causing barely perceptible or slight
hemorrhage adjacent to the perforations. There is slight
perinephric hemorrhage. 250 cc of liquid blood are in the
peritoneal cavity.
The
exit wound an the lateral aspect of the right side of the
abdomen and at the level of the umbilicus is 26 1/2" below
the top of the head. The 3/8" alit-like perforation has
no margin of abrasion.
The
direction of travel is left to right with slight back to
front and slight downward deviation.
No
bullets or fragments are recovered.
PERFORATING
GUNSHOT WOUNDS (4) TO LEFT ASPECT OF THE LOWER TRUNK:
There
are four gunshot wounds (C, D, E, F) to the left aspect
of the lower trunk, three of which (C, E, F) are clustered
together. Due to their class proximity, intersection of
the wound tracks, and paucity or absence of associated hemorrhage,
the tracks (D. E, F) cannot be separated from each other.
Hence, they will be described together.
C.
There is a perforating gunshot wound to the left anterolateral
aspect of the lower trunk, 27" below the top of the head.
The 3/16" circular perforation has a 1/8" margin of abrasion
which is greatest along the anterior aspect. There is no
fouling or slippling of the adjacent skin.
After
perforating the skin, the bullet perforated the left iliac
crest at it traveled upward and front to back. The bullet
did not enter the peritoneal cavity. There is slight to
moderate hemorrhage on the mid left back associated with
the wound track.
The
exit wound and the mid left back Is 21 1/2" below the top
of the head of the head and 1 1/2" to the left of midline.
The 1/2" irregular perforation has no margin of abrasion.
The
direction of travel is left to right, upward and front to
back.
No
bullets or fragments are recovered.
D,E,F.
There are three clustered perforating gunshot wounds on
the lateral aspect of the left hip 29 to 30" below the lop
of the head. The 1/4" circular perforations have 1/16" to
1/8" abraded margins. Gunshot wound D has a margin of abrasion
which is greatest on the posterior aspect. Gunshot wounds
E and F have circumferential margins of abrasion. There
is no fouling of stippling of the adjacent skin.
Injuries
associated with these wounds are perforations of the left
pelvis and intestines, and slight-moderate intramuscular
hemorrhage within the lower back.
There
is an exit wound on the mid/lower right back 22" below the
top of the head and 2 1/4" to the right of midline. The 3/4"
slit-like/irregular perforation has no margin of abrasion.
There is an exit wound on the left lower abdomen just above
the inguinal crease, 29" below the top of the head. The 11/18"
oval perforation has no margin of abrasion; however, there
is a 1 1/4" x 3/8" abrasion adjacent to the superomedial aspect
of the perforation. There is an exit perforation on the anterolateral
aspect of the proximal right thigh, 34 1/2" below the top
of the head. The 1/2" alit-like perforation has no margin
of abrasion. There are no perforations of the bladder, rectum
or prostate; however, there is slight to moderate pelvic soft
tissue hemorrhage associated with these wounds.
The
directions of travel of gunshot wounds D,E and F are left
to right.
No
bullets or fragments are recovered.
PERFORATING
GUNSHOT WOUND TO LEFT BACK:
There
is a perforating gunshot wound to the mid left back 21",
below the top of the head and 3" to the left of midline.
The 1/8" circular perforation has a 1/16" margin of abrasion
on the interolateral aspect. There is no fouling or stippling
of the adjacent skin.
After
perforating the skin, the bullet perforated the tenth thoracic
vertebra and spinal cord causing barely perceptible hemorrhage
adjacent to the lower thoracic cord. There is slight to
moderate hemorrhage within the mid left back. The bullet
then entered the right pleural cavity sequentially perforating
the medial aspect of the lower lobe of the right lung, the
diaphragm, the superior aspect (dome) of the right lobe
of the liver (causing a 3" defect), the diaphragm, and re-entered
the pleural cavity perforating the lateral aspect of the
lower lobe of the right lung. There is focal hemorrhage
adjacent to the lung perforations. The bullet then exited
the pleural cavity by perforating the lateral aspect of
the right eighth intercostal space and grazing the superior
aspect of the right ninth rib.
The
exit wound is on the lateral aspect of the right trunk,
16 1/2" below the top of the head. The 3/16" slit-like/oval,
nondescript perforation has no margin of abrasion.
The
direction of travel is left to right, upward and slightly
back to front.
No bullets
or fragments are recovered. PERFORATING GUNSHOT WOUND TO
RIGHT ELBOW:
H.
There is a perforating gunshot wound to the medial aspect
of the right elbow, 21 1/2", below the top Of the head.
The 1/1" circular perforation has a 1/8" margin of abrasion.
There Is no fouling or stippling of the adjacent skin.
After
perforating the skin, the bullet perforated the distal humerus
before exiting the posterolateral aspect of the distal right
arm. There Is slight, focal hemorrhage adjacent to the wound
track.
The
exit wound on the posterolateral aspect of the distal right
arm is a 5/8" Irregular, nondescript perforation.
The
direction of travel Is left to right, upward and slightly
front to back.
No
bullets or fragments are recovered.
PERFORATING
GUNSHOT WOUNDS (2) TO LATERAL ASPECT OF LEFT THIGH:
1.
Gunshot wound I Is a perforating gunshot wound to the lateral
aspect of the proximal left thigh. 35 " below the top of
the head. The 1/4" clrcular/oval perforation has a 1/8"
margin of abrasion which is greatest on the posterior aspect
of the perforation. There is no fouling or stippling or
the adjacent skin.
After
perforating the skin, the bullet perforated the left thigh
causing barely perceptible or no visible hemorrhage along
the wound track.
The
exit wound Is on the anteromedial aspect of the proximal
left thigh. 36 1/2" below the top of the head. The 5/8"
oval/irregular perforation has no margin of abrasion.
The
direction of travel is left to right with slight back to
front and barely perceptible downward deviation.
No
bullets or fragments are recovered.
J.
Gunshot wound J is a perforating gunshot Wound to the lateral
aspect of the proximal left thigh, 36 1/2" below the top
of the head. The 1/4" circular perforation has a barely
perceptible circumferential margin of abrasion and an Irregular
1/2" nondescript abrasion adjacent to the inferior aspect.
There Is no fouling or copping of the adjacent skin.
After
perforating the skin, the bullet perforated the left thigh
causing barely perceptible or no visible hemorrhage along
the wound track.
The
exit wound on the anterior aspect of the proximal left thigh
is 37 1/2" below the top of the head. The 3/4" oval perforation
has no margin of abrasion.
The
direction of travel Is left to right, slightly back to front
and barely perceptibly downward.
No
bullets or fragments are recovered.
There
are no Injuries to the femoral vessels associated with these
gunshot wounds.
POSTEROLATERAL
(I) AND PERFORATING (I) GUNSHOT WOUND TO POSTEROLATERAL
ASPECT OF LEFT THIGH:,
K.
Gunshot wound K Is a penetrating gunshot wound to the posterolateral
aspect of the proximal left thigh, 36 1/2" below the top
of the head, The 7/8" oval perforation has a 1/16" to 1/8"
margin of abrasion. There Is no fouling or stippling of
the adjacent skin.
After
perforating the skin, the bullet perforated the glutous
muscles and entered the pelvic/peritoneal cavity. The wound
may have contributed to perforations of the intestine, There
is barely perceptible or no visible hemorrhage adjacent
to the wound track.
The
direction of travel Is left to right upward and back to
front.
A medium
caliber, slightly deformed, jacketed bullet Is recovered
free in the right lower quadrant of the peritoneal cavity.
It is labeled 5" and retained.
L.
Gunshot wound L Is a perforating gunshot wound to the posterolateral
aspect of the proximal left thigh, 37 1/4" below the top
of the head. The 1/4" oval perforation has barely perceptible,
Irregular margin of abrasion which Is more prominent an
the inferolateral aspect of the perforation. There Is no
fouling or stippling of to adjacent skin.
After
perforating the skin, the bullet perforated the left thigh
causing barely perceptible or no visible hemorrhage along
the wound track. The bullet exited the leftside of the groin
(at the junction of the scrotum and thigh) where there is
a 1" nondescript perforation with no margin of abrasion.
The bullet them caused a superficial Perforation In the
scrotum, The superficial perforation in the scrotum has
no margin of abrasion and no visible hemorrhage. There is
no discernible wound track associated with the scrotal perforation.
The
direction of travel Is left to right, upward and back to
front.
No
bullets or fragments are recovered from the wound track.
PERFORATING
GUNSHOT WOUNDS (2) TO LEFT LOWER EXTREMITY:
M.
Gunshot wound M is a perforating gunshot wound to the anterolateral
aspect of the distal left thigh, 45 1/2" below the top of
the head. The 5/8" nondescript perforation has a 1/8 to
1/4" margin of abrasion which Is slightly more prominent
on the superolateral aspect of the perforation. There is
no fouling or rippling of the adjacent skin.
After
perforating the skin, the bullet passed a short distance
across the distal left thigh before exiting the anterior
aspect of the distal left thigh. There is no visible hemorrhage
along the wound track.
The
exit wound on the anterior aspect of the distal left thigh,
just above the knee Is 45 1/2", below the top of the hand.
The 3/8" perforation has no margin of abrasion.
The
direction of travel is left to right.
No
bullets or fragments are recovered.
N.
Gunshot wound N is a Perforating gunshot wound to the mid
left shin, 55 1/2" below the top of this head. The 1/4"
perforation has a barely perceptible margin of abrasion.
There is no fouling or stippling of the adjacent skin.
After
perforating the skin, the bullet perforated the left tibia
and fibula before exiting the posteromedial aspect of the
proximal left log. A portion of the bullet exited the mid
left shin 63" below the top of the head where there Is a
1/2" Irregular perforation with no margin of abrasion, There
is no visible hemorrhage along the wound track or adjacent
to the perforated tibia and fibula.
The
exit wound on the posteromedial aspect of the proximal left
leg is 48 1/4", below the top of the head. The 3/4" slit-like
perforation has no margin of abrasion.
The
direction Of travel is upward, front to back and slightly
left to right.
No
bullets or fragments are recovered from the wound track.
PERFORATING
(GUNSHOT) WOUNDS 0,P,R) AND PENETRATING (GUNSHOT WOUNDS Q
AND S) GUNSHOT WOUNDS TO RIGHT LOWER EXTREMITY:
0
Gunshot wound Q is a perforating gunshot wound to the anteramedial
aspect of the mid/distal right thigh, 42" below the top
of the head. The 1/2" Irregular, nondescript Perforation
has a barely Perceptible margin of abrasion which is more
prominent on the Inferior aspect. There is no fouling or
stippling of the adjacent skin.
After
Perforating the skin, the bullet perforated the right thigh
before exiting the anterolateral aspect of the mid right
thigh. There is no visible hemorrhage associated with the
wound track.
The
exit wound on the anterolateral aspect of the mid right
thigh is 40" below the top of the head. The 1/2" nondescript
perforation has no margin of abrasion.
The
direction of travel is left to right and slightly upward.
No
bullets or fragments are recovered.
P.
Gunshot wound P is a perforating gunshot wound to the right
ankle. The entrance wound is just medial to the Achilles
tendon 4" above the base of the heal and consists of a 1/8"
circular perforation with a 1/16" circumferential margin
of abrasion. There Is no fouling or stippling of the adjacent
skin.
After
perforating the skin of the heel, the bullet passed a short
distance from left to right and exited the lateral aspect
of the heel just behind and above the lateral malleolus,
4 1/2" above the bass of the heal. The 3/8" Irregular abrasion
has no margin of abrasion. There Is no visible hemorrhage
adjacent to the wound track.
The
direction of travel is left to right, slightly upward and
slightly back to front.
No
bullets or fragments are recovered.
O. Gunshot
wound Q la a penetrating gunshot wound to the medial aspect
of the mid/distal right foot. The entrance perforation is
a 5/8" nondescript perforation with a barely perceptible,
Irregular margin of abrasion. There Is no fouling or stippling
of the adjacent skin.
After
perforating the skin of the foot, the bullet passed a short
distance before lodging In the Plantar aspect of the mid
foot. There Is slight to moderate hemorrhage associated
with the short wound track.
The
direction of travel Is left to right and slightly front
to back
A
medium caliber, deformed jacket and bullet (two separate
pieces) are recovered from the right foot. The number 8"
is placed on the lead portion of the bullet, and both places
are retained.
R.
Gunshot wound R is a perforating gunshot wound of the right
third toe. The similar appearing entrance and exit wounds
are 1/4" to 3/8" Irregular perforations. one adjacent to
the front of the nail, and one on the dorsal surface of
the mid toe. (comment: the direction of travel cannot be
ascertained with certainty; however. Is likely slightly
upward and slightly front to back relative to the normal
anatomic position.) There Is no fouling or stippling of
the skin adjacent to either perforation.
S.
Gunshot wound S is a penetrating gunshot wound to the lateral
aspect of the distal right leg, 7 1/2" above the base of
the heel. The 1/2" oval/irregular perforation has a 3/4"
triangular abrasion an the interior aspect of the perforation.
There Is no fouling ot stippling of the adjacent skin.
After
perforating the skin, the bullet pawed upward through the
right leg perforating subcutaneous and Intramuscular tissue
before lodging close to the right popliteal region at the
posterolateral aspect of the proximal right leg. There Is
barely perceptible or no visable hemorrhage along the wound
track, and focal hemorrhage adjacent to the entrance perforation
and site of lodgement.
The
direction of travel Is upward and slightly front to back.
A
medium caliber, lntact, jackstad bullet recovered from the
posterolateral aspect of the proximal right leg Is labeled
7" and retained.
There
is a 1" abrasion on the left lower abdomen.
These
Injuries, having been describe, will not be repeated.
INTERNAL
EXAMINATION
BODY
CAVITIES: The organs are in the usual situs. The pleural and
paritoneal blood accumulations were noted above. There is
no pericardial accumulation. The surfaces are smooth and glistening.
HEAD: The
scalp is atraumatic. There are no skull fractures, and there
is no epidural, subdural or subarachnoid hemorrhage. The 1400
gm brain is symmetrical and has normal gyrl and suici. The
laptomeninges are smooth, delicate and transparent, and the
laptomeningeal vessels are normal. The arteries at the base
of the brain are free of atherosclerosis. The cranial nerves
have normal distributions. The surfaces of the brain stem
and cerebellum are unremarkable. The cortical gray matter,
subcortical and deep white matter, deep gray nuclei and ventricles
are normal. The cerebrospinal fluid is clear. Horizontal sections
of the brain stem and cerebellum are unremarkable.
NECK: The
cervical vertebrae, hyold, tracheal and laryngeal cartilages,
and paratracheal soft issues are normal. The upper airway
is not obstructed.
A
posterior neck dissection is unremarkable.
CARDIOVASCULAR
SYSTEM: The aorta and branches are free of atherosclerosis.
The venae cavae and pulmonary arteries have no thrombus or
embolus.
The
250 gm heart has a normal distribution of patent, right dominant
coronary arteries. The myocardium is uniformly red brown without
hemorrhage, softening or pallor. The left ventricle wall is
1.3 cm. The endrocardial surfaces, heart valves, chordae tendineae
and papillary muscles are normal.
RESPIRATORY
SYSTEM: The right lung weighs 226 gm, and-the left lung, 150
gm. The lungs are moderately atelectatic and the visceral
pleural surfaces are smooth and glistening. The bronchi are
not obstructed. The vessels have no thrombus or embolus. The
parenchyma is soft and spongy without consolidation.
LIVER,
GALLBLADDER, PANCREAS: The 1025 gm liver has a smooth capsule.
The parenchyma is diffusely red brown, moderately pale and
wet; the bile ducts are unremarkable. The small and moderately
collapsed gallbladder contains several cc of dark green viscid
bile without stones. The pancreas is uniformly tan/gray and
has a normal lobular appearance,
HEMIC
AND LYMPHATIC SYSTEMS: The 15O gm spleen has a smooth capsule.
The paranchyma is firm with slightly diatinct follicles. There
are no lymph node enlargements.
The
thymus is atrophic. The bone marrow of the ribs and claviciles
is unremarkable.
GENITOURINARY
SYSTEM: The kidneys weigh 100 gm each. The cortices are smooth
and markedly pale. The vessels are free of atherosclerosis.
The calyces and pelves are empty, opening into ureters which
maintain uniform caliber and open into an unremarkable bladder
containing approximately 50 cc of slightly red tinged urine.
The
prostate is unremarkable. There is barely perceptible hemorrhage
within the right
testis
and within the epididyml associated with gunshot wound L noted
above; however, there is no visible testicular perforation.
ENDOCRINE
SYSTEM.- The pituitary is unremarkable. The adrenals are normal.
The thyroid is markedly pale, small and symmetrical.
DIGESTIVE
SYSTEM: The esophagus is unremarkable. The stomach comains
200 cc of beige/green liquid/semisolid material with moderate,
nondescript, partially digested food including apparent pieces
of carrots and green vegetable. The small and large intestines,
and appendix are unremarkable, except where noted previously.
MUSCULOSKELETAL
SYSTEM: The musculature is well developed normally distributed.
Perforations of the skeleton were noted above.
ADDITIONAL
STUDIES
Radiographs
and photographs are obtained.
Examination
of the anterior and posterior aspects of the extremities,
the posterior neck, back, and buttocks are unremarkable except
where noted above in association with the gunshot wound injuries.
Gunpowder
residue swabs of the palmar and dorsal surfaces of both hands
are obtained. BALLISTICS
Three
bullets recovered from the body were noted above. Five additional
bullets are recovered from the clothing and gurney as follows:
a medium caliber, slightly deformed, jacketed bullet from
the posterior aspect of the undershorts is labeled "X" and
retained; a medium caliber, intact, jacketed bullet from the
posterior undershorts is labeled "4" and retained; three fragments
from the long underwear including a jacket are retained with
the number "3" placed on the base portion; a medium caliber,
slightly deformed, jacketed bullet from the long underwear
adjacent to the ankles Is labeled "2" and retained a medium
caliber,
slightly deformed, jacketed bullet from the gurney is labeled
"1" and retained. .GENE
A small
black and silver colored circular, foreign object is recovered
from the gurney and retained. Multiple small and minute pieces
of foreign material from the small right pant change pocket
are retained.
Joseph
I. Cohen, M.D.
City
Medical Examiner - II
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