Office of the Yoknapatawpha County Coroner

04/17/2011 1:20 P.M. by

Manish Agarwal, M.D.
555 Jackson Avenue
Oxford, MS 38655
662-234-XXXX (FAX 662-234-XXXX)

Victoria Witte, M.D.

Full Autopsy Performed



Coroner's Case #:

Date of Birth:




Date of Death:

Body Identified by:
fingerprint records

Case #

Investigative Agency:
Yoknapatawpha County Sheriff's Department




The autopsy is begun at 1:20 P.M. on April 17, 2011. The body is presented in a black body bag. The victim is wearing a gray long-sleeved shirt, black pants, black socks and black athletic shoes. Both hands are bagged, which was done at the crime scene by the Coroner's Inspector to preserve evidence.

The body is that of a normally developed white male measuring 71 inches and weighing 179 pounds, and appearing generally consistent with the stated age of fifty-six years. The body is cold and unembalmed. Lividity is fixed in the posterior of the torso and extremities.

The hair is gray and approximately 2 inches in length. The body hair is male and average. The head is symmetric and the eyes are open. The irises are blue and the pupils measure 0.2 cm. The teeth are natural and well-maintained.

The anterior chest and abdomen are symmetric and there is evidence of a distant gunshot wound in the thoracic region (Injury #1). The back is symmetrical and there is evidence of a gunshot exit wound (Injury #2). The genitalia are that of an adult male and there is no evidence of injury. The upper and lower extremities are equal, symmetrically developed and show no evidence of injury. Atomic Absorption GSR tests were performed on both hands with negative results.

There are no residual scars, markings or tattoos.


Multiple lacerations are observed penetrating the left lung, heart, muscle tissue, and blood vessels of the upper chest cavity consistent with bullet impact and surrounding bone fragment penetration, originating at the bullet point of entry (Injury #1) in a classic wound channel formation and terminating at the bullet point of exit.

CENTRAL NERVOUS SYSTEM: The brain weighs 1,326 grams and has unremarkable meninges. The vasculature of the basilar and cerebral arterial circulatory systems are unremarkable. With the dura removed, the base of the skull is free of fractures.

CARDIOVASCULAR SYSTEM: The heart weighs 278 grams, and has a normal size and configuration. No evidence of atherosclerosis is present.

RESPIRATORY SYSTEM: The oral cavity shows no lesions. The mucosa is intact and there are no injuries to the lips, teeth or gums. There is no obstruction of the airway. The mucosa of the epiglottis, glottis, piriform sinuses, trachea and major bronchi are anatomic. No injuries and no mucosal lesions are seen. The lungs are unremarkable. The visceral pleura are unremarkable. The lungs weigh: right, 354 grams; left 360 grams.

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 53 ml of partially digested semisolid food is found in the stomach. The pancreas on section is uniform, gray-pink and moderately firm. The mucosa of the duodenum, jejunum, ileum, colon and rectum are intact. Externally the small intestine, appendix and colon are unremarkable.

URINARY SYSTEM: The kidneys weigh: left, 122 grams; right, 123 grams. The kidneys are anatomic in size, shape and location and are without lesions. The pelvic calyceal system and ureters are unremarkable. The bladder contains 13 cc of urine. With this removed, the bladder wall is unremarkable.

MALE GENITAL SYSTEM: The testes and the penis are anatomic to dissection. The prostate gland is enlarged. There is no evidence of recent sexual activity.

TOXICOLOGY: Samples of right pleural blood 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.


(1) Entry puncture wound consistent with gunshot to the anterior thorax, penetrating the left lung, heart, muscle tissue, and blood vessels of the upper chest cavity

Opinion: This is a fatal injury.

(2) Exit puncture wound consistent with gunshot to the posterior thorax

Opinion: This is a non-fatal injury.


Cerebrospinal fluid culture and sensitivity:

Gram stain: Unremarkable
Culture: No growth after 72 hours

Cerebrospinal fluid bacterial antigens:

Hemophilus influenza B: Negative
Streptococcus pneumoniae: Negative
N. Meningitidis: Negative
Neiserria meningitidis B/E. Coli K1: Negative

Drug Screen Results:

Urine screen {Immunoassay} was NEGATIVE.
Ethanol: 0.04 gm/dl, Blood (Heart)
Ethanol: 0.02 gm/dl, Vitreous

Millicent Schmid, Ph.D.
Chief Toxicologist
April 26, 2011


1. One (1) men's pullover shirt, gray, long-sleeved, size L

2. One (1) pair men's pants, black, size 34W 32L

3. One (1) pair men's socks, black, size L

4. One (1) pair men's athletic shoes, black, size 11

5. One (1) pair men's jockey-style underwear, white, size L

6. Samples of Hair, Blood (type A+), Bile, and Tissue (heart, lung, brain, kidney, liver, spleen).

7. Two (2) Standard Fingerprint Cards

8. Six (6) autopsy photographs.

9. One postmortem CT scan.

10. One postmortem MRI.

Clothing and pocket contents, bullet, hair sample, blood sample and one of the fingerprint cards transferred to Crime Lab for further analysis and comparison.


Time of Death: Body temperature, rigor and livor mortis, and stomach contents approximate the time of death between 8:00 and 10:00 P.M. on 04/15/2011.

Immediate Cause of Death: Gunshot wound

Manner of Death: Homicide

Remarks: Deceased presented as John Doe #4-2011, and subsequently identified by fingerprints taken during autopsy as Wayne Fisher.

//Manish Agarwal, M.D.
Yoknapatawpha County Coroner's Office
April 29, 2011

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