EVIDENCE OF TREATMENT
The body is presented in a black body bag. At the time of examination, the body clothed in a yellow, short-sleeved, collared knit shirt, size M; blue denim jeans, size 34W, 32L; white socks and white athletic shoes, size 10. Clothing and exposed skin have a residual coating of what appears to be soil consistent with the body being buried unprotected in earth.
The body is that of a normally developed, well-nourished Caucasian male measuring 70 inches in length, weighing 170 pounds, and appearing generally consistent with the stated age of 40 years.
The body is cold to the touch following refrigeration. Preservation of the unembalmed body is poor. Permanent lividity is present on the posterior of the body.
The scalp is unremarkable and is covered by short (2-inch) gray and brown hair. The body hair is male and average.
The head is symmetric and unremarkable. The eyes are closed and the irises are blue. Pupils measure 0.5 cm. The teeth are natural and in fair repair. The neck is symmetric and unremarkable.
The anterior chest is symmetric, and there is evidence of two distant gunshot wounds (Injuries 1 and 2, described below). The abdomen is unremarkable.
The external genitalia is male, and there is evidence of a distant gunshot wound (Injury 3, described below).
The back is symmetrical. The left upper extremity is normally developed and intact. The right upper extremity is normally developed, and the hand has been amputated at the wrist (Injury 4, described below).
The lower extremities are symmetric, normally developed and intact.
There are no residual scars, markings or tattoos.
The body was identified through fingerprints and dental records as that of Andrew Fine, consistent with identification in decedent's wallet taken into evidence at the scene by YCSD CSU.
INTERNAL EXAMINATION - SUMMARY
Multiple deep lacerations transversing the left lung, heart, muscle tissue, and blood vessels of the left upper chest cavity consistent with bullet impact and surrounding bone fragment penetration, originating at the bullet points of entry (Injuries 1 and 2 below) in a classic wound channel formation at approximately a 35° vertical angle and 10° horizontal angle (Injury 1 below) and approximately a 30° vertical angle and 15° horizontal angle (Injury 2 below).
Multiple deep lacerations transversing the intestines, muscle tissue, and blood vessels of the left upper chest cavity consistent with bullet impact and surrounding bone fragment penetration, originating at the bullet point of entry (Injury 3 below) in a classic wound channel formation at approximately a 45° vertical angle and 10° horizontal angle.
All other organs are within normal limits. No underlying pathological disease conditions or congenital anomalies were observed.
DESCRIPTION OF INJURIES - SUMMARY
(1) Entry puncture wound consistent with gunshot on left chest, 2 inches to left of left nipple.
Opinion: This is a fatal injury.
(2) Entry puncture wound consistent with gunshot on left chest, 2 inches above and 1/2 inch to left of left nipple.
Opinion: This is a fatal injury.
(3) Entry puncture wound consistent with gunshot in pelvic area, 6 inches below and 1-1/2 inches to left of navel.
Opinion: This is a non-fatal injury.
(4) Traumatic distal amputation of the right hand just below the wrist.
Opinion: This is a non-fatal, post-mortem injury. Amputation was effected with a moderately sharp, non-serrated blade.
Blood Ethanol: Undetermined
Urine Drugs: Undetermined
Clinicopathologic Correlation: Undetermined
Millicent Schmid, Ph.D.
July 22, 2014
1. Samples of Blood (type O+), Bile, and Tissue (heart, lung, brain, kidney, liver, spleen)
2. Samples of soil residue from the exterior of body and clothing
3. Five (5) foreign pubic hairs
4. Ten (10) autopsy photographs
5. One (1) postmortem CT scan
6. One (1) postmortem MRI
7. Three (3) hollow-point bullet fragments
Time of Death: Given available information, estimated time of death is between 7/3/2014 - 7/8/2014.
Immediate Cause of Death: Cardiac lacerations due to gunshot wounds.
Manner of Death: Homicide
Remarks: (1) Human right hand examined in Autopsy No. 219G-2014 has been conclusively identified as belonging to this decedent, Andrew Fine. At the time of Autopsy No. 219G-2014, no conclusion could be drawn regarding the condition of the body from which the hand had been amputated.
Further review of the findings of Autopsy No. 219G-2014 in light of the results of this examination indicates the decedent had been deceased for an undetermined period of time prior to amputation of the right hand.
YCSD detectives were notified of this finding immediately upon conclusion of analysis of findings of both autopsies.
(2) Preliminary toxicology findings were inconclusive. Additional analyses are ongoing.
//Judith Fuller, M.D.
Yoknapatawpha County Coroner's Office
July 18, 2014