07-26-04, 09:42 PM (EST)

"Helgoth's autopsy - details"

The Autopsy
Age 26
Sex M
Death D/T 02/14/97 @2230
autopsy D/T 2/15/97 @ 1220

Final Diagnosis:

I. Single gunshot wound to chest
A. Entrance wound: Central chest, between the 2nd and 3rd ribs, immediately to the left of
the sternum
B. Exit wound: Back, 8 cm to right of vertebral column, between ribs 8 and 9
C. Trajectory path; Anterior to posterior, superior to inferior, left to right
D. Perforations of:
1. left anterior chest wall
2. right upper lobe
a. pulmonary hemmorrhage, extensive
3. Anterior pericardial sac
4. Right auricle
a. Hemothorax, right, 1350cc
5. Posterior pericardial sac
6. right posterior chest wall
E. Congestion; Renal, adrenal, pulmonary and CNS

II Mild fatty metamorphosis, hepatic

Toxicologic studies: A sample of postmortem urine was positive for benzodiazepines and
propoxyphene.

Clinicopathologic Correlation: Death in this 26-year-old male is secondary to a single wound
to the chest.

Page 2
External exam - autopsy noted that there were paper bags on his hands and went on...

"The decedent is wearing a black t-shirt labeled "Morning Person Not". In the "R" of morning there is a 6 mm in diameter defect surrounded by some blood stains. After the shirt is removed, the back is examined revealing a 10 x 7 mm defect in the back along with a second 3 mm in length laceration immediately adjacent to this defect. A copper-colored metallic fragmentcna be seen partially protruding from this defect. The defect is enlarged and the metallic fragment is removed. A circular portion on one side appears relatively unscathed and measures about 9mm in diameter. The opposite side is folded back upon itself with the size of the cylinder somewhat filleted. The length is about 9 mm and the overall dimentions are 22x14x13 mm. The legs are covered in grey sweatpants and the feet by white socks. Under the sweatpants
is a pair of purple and yellow boxer shorts.

Head: The head is covered by short blond hair in a normal distribution. Eyes blue-gray, sclerae
white, no petechiae. Blood from left nostril and left side of mouth. Teeth in moderate repair. pierced
tongue - silver post with ball cap. Neck normal.

Tatoos -
left chest - woman with two wolves
right outer arm - Grim Reaper labeled "NEXT?"
left outer arm - skeleton climbing arm - bloody extremities.

abdomen, flat, no scars
genitalia are normal male circumsized
back unremarkable

Extremities - unremarkable - other than some bloody material on left palm there is, "no significant
blood spattering noted."

Internal exam:
chest cavity filled with blood - - I won't restate the path of the bullet - it is on first page...

Thyroid: the thyroid is of usual size and position and weighs 20 gm. Cut sections show a
beefy parenchyma with no nodules.

Heart - -unremarkable except for the defect previously described

Lungs - - described wound, hemmorrage and congestion - otherwise unremarkable

Liver, gallbladder, spleen, pancreas, adrenal glands, kidney, bladder, prostrate, esophogus, stomach,
intestines, appendix and colon are ALL noted as "unremarkable"

Brain: Sections are unremarkable except for congestion.

Microscopic Description:
Entrance wound: A section of skin from the chest shows one margin to exhibit coagulative
necrosis and deposition of black sooty material on the surface. A small amount of similar
oreign material is noted in the deeper dermal elements.