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1 Perforating gunshot wound to the head with:
A Entrance, left temple.
B Exit, right parietal scalp.
C Fractures of the calvarium and basilar skull.
D Perforating lacerations of the cerebral hemispheres including associated hemorrhage.
2 Perforating gunshot wound to the trunk with:
A Entrance, left lower chest.
B Exit, right upper chest.
C Perforating lacerations of the left lung, heart and right lung.
D Associated bilateral hemothoraces, hemopericardium and hemomediastinum.
E Fracture of the right fourth rib.
3 Perforating gunshot wound to the left upper extremity with:
A Entrance, left posterior arm.
B Partial exit, left anterior arm.
C Recovery of bullet fragments, within bullet track.
D Fracture of the left humerus and associated neurovascular and soft tissue injury.
4 Perforating gunshot wound to the left lower extremity with:
A Entrance, posterior left thigh.
B Exit, medial left thigh.
C Soft tissue injury only.
5 Early postmortem decomposition.
This 17-year old female sustained multiple gunshot wounds at her high school. She was
pronounced dead at the scene. Her death is attributed to severe craniocerebral trauma and
multiple visceral lacerations due to a perforating gunshot wounds to the head and trunk. Also
seen at autopsy were perforating gunshot wounds to the left upper extremity and left lower
extremity. Toxicologic analyses of body fluids obtained at the time of autopsy were negative. In
view of the scene and circumstances surrounding the death and autopsy findings, the manner
of death is classified as homicide.