All of the Autopsy Reports

DENVER CORONER 660 BANNOCK ST. DENVER, COLORADO 80204-4507

FILE # 99-1577

NAME: BERNALL, CASSIE (9-305)

DIED: 4-20-99

DATE OF AUTOPSY: 4-22-99 @ 11:00 A.M.

DOCTOR: T.E.HENRY

PATHOLOGIC DIAGNOSES:

1. Shotgun wound of head

A. Skull fractures, massive

B. Cerebral lacerations and contusions

C. Subdural and subarachnoid hemorrhage

D. Aspiration of blood

2. Shotgun wound of right hand

OPINION:

Death was due to a shotgun wound of the head.

Office of the Boulder County Coroner

AUTOPSY REPORT

Name: CURNOW, STEVEN DOB: 08/28/84

Age/Sex: 14/M

Submit Dr: MEYER, JOHN E

AUTOPSY NO: 99A 50

AUTOPSY INFORMATION:

DATE OF DEATH: 4/20/99 @ 1645

DATE OF AUTOPSY: 4/22/99 @ 0900

JEFFERSON COUNTY CORONER'S CASE [You must be registered and logged in to see this link.]

FINAL DIAGNOSIS:

I. Gunshot wound of neck

A. Entrance - tangentially shreds skin and soft tissue of lateral right shoulder and enters upper right neck

B. Path - passes through soft tissue of right neck, perforates cervical vertebral column at C1-3 level, transecting upper cervical spiral cord, and passes through soft tissue of left neck

C. Exit - Left neck

D. Direction - right to left, slightly downward, without anterior or posterior deviation

E. Spent bullet fragment retrieved from soft tissue of left neck

F. Basilar skull fracture and fracture of both orbital roofs

G. Subarachnoid hemorrhage and contusion of base of brain

CLINICOPATHOLOGIC CORRELATION:

Cause of death of this 14-year-old male is a solitary gunshot wound of the neck.

DENVER CORONER 66 0 BANNOCK ST. DENVER, COLORADO 80204-4507

FILE # 99-1581

NAME: DEPOOTER, COREY (4-313)

DIED: 4-20-99

DATE OF AUTOPSY: 4-22-99 @ 3 PM

DOCTOR: J.W.WAHE

PATHOLOGIC DIAGNOSES:

I. Multiple gunshot wounds, neck and chest

A. Penetrating gunshot wound, neck and chest

1. Indeterminant wound of entrance, posterior neck

2. Hemothorax

3. Fractures, left 5th rib

4. Mildly deformed copper jacketed bullet recovered lateral left chest wall

5. No wound of exit

B. Penetrating gunshot wound, right back and chest

1. Atypical indeterminant wound of entrance, right posterior back

2. Hemothorax

3. Mildly deformed copper jacketed bullet recovered, left lower chest wall

4. No wound of exit

C. Perforating gunshot wound, left arm

1. Indeterminant wound of entrance, lateral left arm

2. Wound of exit, medial left arm

3. No missile recovered

D. Perforating gunshot wound, left chest and neck

1. Atypical wound of entrance, anterolateral left chest

2. Laceration left subclavian vein

3. No missile recovered

4. Exit, posterior right neck

II. Blunt force injuries

A. Cutaneous abrasions, forehead and right knee

OPINION:

This teenaged male, Corey Depooter, died of multiple gunshot wounds. Gunshot wound [You must be registered and logged in to see this link.] and gunshot wound [You must be registered and logged in to see this link.] may be one wound as the wound of entrance [You must be registered and logged in to see this link.] is atypical and would be very consistent with a wound of reentrance and is in proximity but not in continuity with the gunshot wound of exit [You must be registered and logged in to see this link.].

FLEMING, KELLY

AUTOPSY REPORT

JCCO [You must be registered and logged in to see this link.]

PATHOLOGICAL DIAGNOSES:

1. Penetrating shotgun wound to the trunk with:

A. Entrance, left lower back.

B. Recovery of projectiles, within projectile path, mainly within the left upper chest and left neck.

C. Perforating lacerations of the left kidney, left adrenal, stomach, esophagus, spleen, liver, bilateral lungs, heart and thoracic aorta.

D. Associated bilateral hemothoraces, hemopericardium, hemomediastinum and hemoperitoneum.

E. Fracture of the left hip (ilium) including associated hemoretroperitoneum.

2. Recent cutaneous abraded contusion of the right knee.

3. Early postmortem decomposition.

OPINION:

This 16-year-old female sustained a shotgun wound at her high school. She was pronounced dead at the scene. Her death is attributed to multiple visceral and vascular lacerations due to a penetrating shotgun wound to the trunk. 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.

HARRIS, Eric

Dr. Galloway

FINAL ANATOMIC DIAGNOSES:

1. Through and through high energy contact gunshot wound involving the roof of the mouth associated with:

A. Extensive lacerations of the scalp and soft tissues of the face

B. Massive fracturing of the skull

C. Evacuation of the brain - cerebral cortex and brain stem

D. Extensive fracturing of the facial bones

COMMENT:

The autopsy findings in this case reveal that the cause of death is due to massive head injury secondary to a high energy gunshot wound involving the roof of the mouth, consistent with a shotgun. This wound is consistent with self-infliction.


This autopsy is performed in the Jefferson County Coroner's Office in Golden, Colorado on 04/22/99 at 2:00 p.m. The autopsy is done at the request of Dr. Nancy BodeIson, the Coroner of Jefferson County. Identification is by fingerprints. The position identification for this individual is [You must be registered and logged in to see this link.]. Members of the Jefferson County Sheriff's Department attended the autopsy. I am assisted in the autopsy by Mr. Rob Kulbacki.

HISTORY:

This is the case of an 18-year-oid, white male who was the alleged victim of a self-inflicted gunshot wound to the head that occurred in the Columbine High School library on 04/20/99. No other history is available at the time of autopsy.

EXTERNAL EXAMINATION:

The body is clothed in a blood stained white T-shirt with the inscription "Natural Selection" on the front; green plaid jockey shorts; black combat boots; white socks; and a black glove on the right hand with the fingers cut away. This is the unembalmed, well-developed, well-nourished, extensively traumatized body of a white male appearing consistent with the stated age of 18. Height is measured at 5'8-1/2"; weight is estimated at 135-140 pounds. Rigor is present in the lower extremities only. Faint reddish-purple livor is present ever the dorsal aspects of the body with appropriate blanching of the pressure points.

HEAD:

The scalp is covered by short, blood stained, black hair. The normal contour of the head is prominently distorted by extensive laceration of the scalp and associated massive fracturing of the cranium. Present in the mid-aspect of the lower forehead and extending downward to involve the bridge of the nose; the distal portion of the right side of the nose; and the medial aspects of both orbits; is an oblong configured blow-out type of laceration measuring 3" in length by 2” in width, associated with underlying multiple fracture fragments which extend outward from the wound. Present on the right lower forehead, extending upwards and across the lateral aspect of the right side of the head; extending up over the apex of the head; and then extending downward to involve the posterior aspect of the scalp to the level of the horizontal plane of the ears; is a large gaping laceration which measures 8" in length by 3” in width.

Ears - both ears are intact. There is bleed in both external auditory canals. There is blood staining of the earlobes. Present anterior to both of the ears are vertical lacerations. The one on the right measures 1-1/2" in length; the one on the left measures 3/4" in length; and these are consistent with blow-out injuries from a gunshot wound involving the mouth.

Eyes - the eyebrows are brown. The orbits are distorted by fracturing of the underlying skeleton. The sclera on the right is bluish-gray; the sclera on the left is white. The right iris is gray; the left iris is hazel. The pupils are round, measure 8 mm, and are directed anteriorly. The conjunctivae are minimally congested. No petechiae are observed. A reddish-purple periorbital contusion involves the left orbit.

Nose - there is, as previously described, injury to the external surface of the nose with extensive underlying fractures. Present adjacent to the right lateral margin of the nose are two vertical lacerations, each measuring 1/4". Present on both sides of the face are multiple linear, curvilinear, punctate lacerations and cuts, more dense on the right. Palpating the face reveals massive fracturing of the facial bones.

Mouth - there are several lacerations involving the corners of both sides of the mouth, the largest of which is on the right side, measuring 1/2" in length. There are multiple mucosal lacerations involving the mid-aspect of the lower lip. Slightly downward from the right side of the mouth is a laterally diagonal laceration measuring 1/2" in length. There is extensive laceration of the buccal mucosa. The tongue is intact, reddish-purple, with some black staining consistent with powder. There are central fractures of the upper and lower alveolar ridges. The teeth are intact with the exception that the lateral lower incisor on the right side of the jaw is absent. There is dense powder (soot) staining the mucosal surface of the hard palate. There is a large cavitary defect involving the roof of the mouth, including the hard palate, the soft palate, extending upwards involving the nasal pharynx and nasal passages, communicating directly into the base of the skull. This represents a contact entrance high energy gunshot wound. Present on the lateral surface of both sides of the face are brown whiskers.

NECK:

The external surface of the neck reveals no evidence of trauma. The neck organs are in the midline without palpable masses.

CHEST:

The chest demonstrates a mild pectus excavatum with some central decrease in the anterior-posterior diameter. Present in this area is a curvilinear, horizontally oriented scar. No external trauma involves the chest. The breasts are normal male. Palpating the chest reveals no instability. The axillae are negative to observation and palpation.

ABDOMEN:

The abdomen is flat. No external trauma is present. There is no evidence of previous surgical exploration. There is green discoloration of the lower abdomen. On deep palpation, no organomegaly or masses are noted grossly.

GENITALIA:

A normal appearing male, black, genital hair pattern is present. The penis is of normal size, shape, and position; circumcised. Both testicles are bilaterally descended in their respective scrotal sacs without palpable masses. There is a pigmented nevus in the right groin.

BACK:

Present on the right upper back is a horizontal area of soft tissue indentation with postmortem drying artifact. There is a small pigmented nevus on the right lower quadrant of the back. The anus is intact without any unusual dilatation or trauma.

EXTREMITIES:

The upper extremities are intact. The nails are intact, short and slightly dirty. The lateral surfaces of the hands are unremarkable. The forearms are unremarkable. The antecubital fossae reveal no evidence of recent needle puncture marks or scars. Present on the lateral aspect of the left upper am is a small cluster of punctate lacerations and cuts. Present on the lateral aspect of the right upper arm is a reddish-brown abrasion associated with purple contusion measuring 3/8” in size.

Arm spans: the right arm from the right shoulder to the tip of the right index finger is 30-1/2"; the left arm from the left shoulder to the tip of the left index finger is 31".

The lower extremities are intact without evidence of congenital abnormality or trauma. There is a small reddish-brown abrasion on the lateral aspect of the right foot.

INTERNAL EXAMINATION:

Through the usual Y-shaped incision, a thin layer of yellow subcutaneous adipose tissue and reddish-brown musculature are revealed. The diaphragms are intact and arch to the level of the 5th left intercostal space and the 4th right intercostal space. The peritoneal cavity contains no unusual accumulation of fluid. The lining is smooth, gray and glistening. The viscera and omentum are normally disposed.

PLEURAL SPACES:

The pleural spaces are without any unusual accumulation of fluid. The parietal pleurae are smooth, gray and glistening. The ribs of the chest are intact and unremarkable grossly. There is a mild pectus excavatum deformity of the sternum. The clavicles are intact. The pericardial sac is intact. The lumen contains 8 cc of clear fluid. The pericardium is smooth, gray and glistening.

THYMUS:

Five (5) grams of pink, lobular, firm, thymic tissue is present in the anterior-superior mediastinal space.

NECK:

The lumen of the upper esophagus and pharynx is patent. The mucosal surface is tan and wrinkled. The lumen of the upper respiratory tract is patent. The mucosal surface is tan and smooth. The hyoid bone and cricothyroid cartilages are intact. There are contusions involving the mucosal surface of the piriform sinus consistent with the blast impact of the contact gunshot wound to the roof of the mouth.

THYROID:

The thyroid is of normal size, shape, and position, and has a reddish-brown, lobular, firm, gross appearance. The cervical vertebrae are intact. There is no obstruction to the posterior nasopharynx or the posterior aspect of the oral cavity. I can palpate a large defect of the nasopharynx associated with multiple fracture fragments. The major vessels of the neck are intact and unremarkable grossly. There is no soft tissue hemorrhage in the neck.

HEART:

The heart is intact and weighs 290 grams. The epicarcial surface is reddish-brown, smooth, and glistening. Very little epicardial yellow fat is present. The myocardium is reddish-brown and firm without gross evidence of fibrosis or softening. The ventricular walls are of normal thickness. The endocardial surface is reddish-brown, smooth, and glistening. The cardiac valves are intact. The valve leaflets are thin and fully pliable. The valve circumferences are normal for this size heart. The chordae tendineae are tan and delicate. The papillary muscles are intact. The foramen ovale is closed. The atrial septum is intact. The coronary sinus is patent. The ventricular septum is intact. The coronary ostia are in a normal anatomic position and widely patent. The coronary arteries demonstrate a normal anatomic distribution with normal gross features.

AORTA:

The aorta is intact and of normal course and caliber throughout. The intimal surface is tan and smooth. The wall is thin and elastic. The main abdominal tributaries are intact.

RESPIRATORY SYSTEM:

The lumen of the lower respiratory tract contains a small amount of hemorrhagic fluid on the right side. The mucosal surface is hyperemic and smooth. The lings are moderately well aerated. The pleural surfaces are pink, smooth and glistening. The lungs together weigh 600 grams. Serial sections reveal moderately well aerated, soft, spongy, lung tissue. The pulmonary arteries are intact without evidence of thromboembolic disease. The pulmonary veins empty into the left atrium in a normal fashion.

GASTROINTESTINAL SYSTEM:

The esophagus is of normal course and calibre throughout. The lumen is patent. The mucosal surface is tan with longitudinal furrowing. The wall is thin. The stomach is in a normal anatomic position. The lumen contains 250 cc of brown, liquid, gastric contents. The gastric mucosa is tan with intact rugae. No peptic ulcer disease or tumor are noted grossly. The small bowel demonstrates a normal anatomic distribution with normal gross features. The appendix is present and unremarkable grossly. The large bowel demonstrates a normal anatomic distribution with normal gross features.

SPLEEN:

The spleen is intact and weighs 160 grams. The external surface is purple and smooth. Serial sections reveal a firm, reddish-purple, splenic parenchyma.

LIVER:

The liver is intact and weighs 1250 grams. The external surface is reddish-brown, smooth, and glistening. Serial sections reveal a soft, reddish-brown, lobular, normal appearing, liver tissue.

GALLBLADDER:

The gallbladder is intact. The lumen contains 10 cc of liquid, yellowish-brown bile. The mucosal surface is smooch and bile stained. The cystic duct and common bile duct are intact and patent throughout. The portal vein, splenic vein, and superior mesenteric vein are intact and patent.

PANCREAS:

The pancreas is of normal size, shape, and position, and has a tan, lobular, soft, partially autolyzed, gross appearance.

ADRENALS:

Both adrenals are identified. Serial sections reveal a thin yellow cortex and gray medulla.

KIDNEYS:

Both kidneys are identified. The capsules strip easily. The left kidney weighs 120 grams; the right kidney weighs 110 grams. The cortical surfaces are reddish-brown and smooth. Bivalving of each kidney reveals a well-demarcated, reddish-brown cortex and medulla. The renal papillae are normal. There is no calyceal scarring. There is no unusual pelvic dilatation. Both ureters are present, patent, and uniform in diameter throughout.

BLADDER:

The bladder is intact. The lumen contains 2 cc of cloudy yellow urine. The bladder mucosa is tan and wrinkled. The prostate, seminal vesicles and testicles are intact and unremarkable grossly.

MUSCULOSKELETAL SYSTEM:

Other than the injuries to be described under the observation of the head, no other injuries are observed.

LYMPHATICS:

There are reactive lower respiratory tract lymph nodes. A biopsy is taken.

VENOUS SYSTEM:

There is no evidence of hepatic vein, renal vein, or portal vein thrombosis. The superior and inferior vena cavae are intact.

CENTRAL NERVOUS SYSTEM:

As previously described, the scalp is massively lacerated. The external cranium is markedly distorted with a large area in the right lateral and posterior aspects of the head absent, having been blown away. The cranium is a mass of fracture fragments. The cerebral cortex and brain stem have been evacuated. All that remains is a small portion of medulla oblongata. Several large fragments of brain are submitted separately consisting of portions of cerebral cortex; examined and there is no evidence of any underlying disease. There is massive fracturing of the base of the skull, and there is a large cavitary defect involving the base of the skull, including the posterior aspect of the orbital plates, the temporal fossae, portion of the posterior fossae, and the sphenoid bone and clivus. This is the area that represents entry of the gunshot wound into the skull. C1 and C2 are intact. The odontoid ligament and odontoid processes are intact.

TOXICOLOGY:

Blood: I obtained two gray-stoppered test tubes of blood from the heart.

Urine: I obtained one gray-stoppered test tube of urine.

Bile: I obtained one gray-stoppered test tube of bile.

Gastric Contents: I obtained one gray-stoppered test tube and one red-stoppered test tube of gastric contents.

Vitreous Humor: I obtained one gray-stoppered test tube of vitreous humor.

I also obtained approximately 100 grams of liver and 200 grams of kidney which will be retained and frozen.

TRACE EVIDENCE:

1. Hair samples: I obtained random scalp and pubic hair.

2. I obtained left and right nail scrapings.

3. I obtained one yellow-stoppered test tube of blood, one purple-stoppered test tube of blood, and one red-stoppered test tube of blood.

The hair samples and nail scrapings are given to the Jefferson County Sheriff's Officers in attendance at the autopsy.

We will keep the blood samples with the toxicology specimens for a year for any possible evidentiary need.

X-RAY EXAMINATION:

Revealed no evidence of retained bullets.

WOUND SUMMARY:

The wound of entrance is a high energy gunshot wound to the roof of the mouth consistent with shotgun. The major force of the wound extended upward, backwards, and slightly to the right, causing large cavitary defects in the base of the skull and the right lateral posterior aspect of the skull. The characteristics of the wound are consistent with self-infliction.

04/29/99 ADDENDUM:

Additional material obtained from the scene is submitted for examination includes:

A. Skull fragments with one tooth.

B. Decomposed brain tissue - 600 grams

IMPRESSIONS:

1. Decomposing cerebral cortex and cerebellar cortex - containing bone fragments – one circular shotgun wad – one tiny piece of what appears to be metal

A. Wad and metal given to Sheriff's Office.

2. Skull fragments demonstrating circular perforations with outward beveling.

3. Separated dried blood for any future DNA testing - frozen.

4. Other specimens frozen separately - i.e. bone from decomposing brain tissue.

HARRIS, Eric

Dr. Galloway

MICROSCOPICS:

Thymus: Normal histologic features.

Adrenal: Normal histologic features.

Brain Fragments: Sections reveal early autolysis and small foci of intraparenchymal hemorrhage involving the medulla.

Liver: Sections reveal moderate autolysis.

Kidney: Sections reveal moderate autolysis.

Lymph Node: Sections reveal benign reactive lymphoid hyperplasia.

Stomach: Sections reveal early autolysis involving the gastric mucosa.

Heart: Normal histologic features.

Spleen: Normal histologic features.

Thyroid: Normal histologic features.

Lung: Sections reveal patchy atelectasis.

TOXICOLOGY:

Blood Alcohol - Negative

Blood Drug Screen - Gas Chromatography/Mass Spectroscopy
Only drug detected is Fluvoxamine - 390 ng/ml (therapeutic levels 50-900 ng/ml)

Urine Drug Screen - Negative

DENVER CORONER 660 BANNOCK ST. DENVER, COLORADO 80204-4507

FILE # 99-1580

NAME: KECHTER, MATTHEW (6-300)

DIED: 4-20-99

DATE OF AUTOPSY: 4-22-99 @ 5:40 P.M.

DOCTOR: T.E.HENRY

PATHOLOGIC DIAGNOSES:

1. Shotgun wound of the chest

A. Fractures of cervical spine and ribs (right)

B. Perforation, left carotid artery, jugular vein, and right upper lung

C. Hemothorax (bilateral)

2. Thermal burn, right abdomen

3. Chronic lymphocytic thyroiditis

OPINION:

Death was due to a shotgun wound of the chest.

KLEBOLD, Dylan

Dr. Galloway

FINAL ANATOMIC DIAGNOSES:

1. Through and through close contact large calibre gunshot wound involving the left side of the head (region of the left temple) associated with:

A. Brain injuries - lacerations and contusions

B. Skull fractures

C. Subdural hemorrhage

2 Aspiration blood lower airway and lungs

COMMENT:

The autopsy findings in this case reveal that the cause of death is due to brain injuries secondary to a close contact, large calibre, through and through gunshot wound involving the left side of the head. This gunshot wound is consistent with self-infliction.


This autopsy is performed in the Jefferson County Coroner’s Office in Golden, Colorado on 04/22/99 at 10:30 a.m. This autopsy is done at the request of Dr. Nancy Bodelson, the Coroner of Jefferson County. The identification was made by fingerprints. Concerning location, this body is identified as [You must be registered and logged in to see this link.]. Members of the Jefferson County Sheriff's Department attended the autopsy. I am assisted in the autopsy by Mr. Rob Kulbacki.

HISTORY:

This is the case of a 17-year-old, white male who is allegedly a victim, of a self-inflicted gunshot wound to the head. The decedent was found dead in the library at Columbine High School, and the death occurred on 04/20/99. No other history is available at the time of autopsy.

EXTERNAL EXAMINATION:

The body is clothed in a black T-shirt with the inscription “Wrath” across the front; a black glove on the left hand with the fingers cut away; blue-green plaid boxer shorts; black pants with a black belt which have been partially cut away; white socks; and black boots A large calibre, copper-jacketed bullet is present in the right boot. This is given to the Sheriff's Officer along with the clothing. Present on the left boot was a red star medallion containing a sickle and a hammer. Black suspenders were in close proximity of the body. This is the unembalmed, well-developed, well-nourished, traumatized body of a white male appearing consistent with the stated age of 17. Height is measured at 74-1/2"; weight is 143 pounds. Rigor is minimal in the neck and the right lower extremity; absent in the other areas of the body. Faint reddish-purple livor is set over the dorsal aspects of the body with appropriate blanching of the pressure points.

HEAD:

The scalp is covered by long, thick, blood-stained, brown hair which measures 6” in length at the apex. Present on the left side of the head, in the region of the temple, ¼” above and ¾” anterior to the left ear, is a circular, large calibre, entrance type of gunshot wound. The wound is surrounded by marginal abrasion, and what appears to be powder, although there is extensive drying artifact which makes this determination difficult. There are small irregular tears in the wound margins. The perforated area of the wound measures ¾” in diameter; the marginal abrasion 1-1/4” in diameter. There is no powder stippling associated with the wound. For identification purposes, this wound will be referred to as "A”. Present on the right lateral surface of the head, ½” anterior to the mid-portion of the right ear, is a generally circular exit type of gunshot wound showing irregular tearing of the margins. This wound measures ½” in diameter. No marginal abrasion or powder residue are observed. For identification purposes, this wound will be referred to as “B”.

Ears - the ears are intact. Both ears are blood stained.

Eyes - the eyebrows are brown. The sclerae are white. The irides are bluish-gray. The pupils are round, measure 7 mm, and are directed anteriorly. The conjunctivae are pale. Bilateral periorbital reddish-purple contusions are present.

Nose - the nose is externally unremarkable. The nasal passages contain bloody fluid. The septum is in the midline.

Mouth - the lips are reddish-purple with some drying artifact. There is a blond mustache on the upper lip. The oral mucous membranes are tan and moist. The tongue is reddish-brown and finely granular without evidence of lacerations or contusions. The teeth are in a good state of dental repair. There is a small amount of hemorrhagic fluid in the oral cavity.

Chin - a blond beard, fashioned in a goatee, involves the chin.

Dried blood smears the forehead; there are dried blood flow patterns extending across both sides of the face in a predominantly horizontal plane.

NECK:

The external surface of the neck reveals no evidence of injury. The neck organs are in the midline without palpable masses.

CHEST:

The chest demonstrates a normal anterior-posterior diameter. No external trauma is present. The breasts are normal male. Palpating the chest reveals no instability. The axillae are negative to observation and palpation. A moderate amount of brown hair is present in both axillae.

ABDOMEN:

The abdomen is flat. No external trauma is present. There is some green discoloration of the lower abdomen due to early decomposition. Present in the right upper quadrant of the abdomen, is a linear, horizontal scar which measures 3” in length. Palpating the abdomen reveals no organomegaly or masses.

GENITALIA:

A normal appearing male, brown, genital hair pattern is present. The penis is of normal size, shape, and position; circumcised. Both testicles are bilaterally descended in their respective scrotal sacs without palpable masses. There is postmortem drying artifact on the anterior surface of the scrotum.

BACK:

The external surface of the back reveals no evidence of trauma. The anus is intact without any unusual dilatation or trauma.

EXTREMITIES:

The upper extremities are intact. The nails are intact, short and clean. A silver-colored ring with a black stone is present on the ring finger of the left hand. There is accentuated dark purple livor involving the portions of the fingers external to the glove on the left hand. Present on the lateral aspect of the left hand involving the thumb and middle finger are several small reddish-brown abrasions, measuring 1/8” in diameter. Present overlying the proximal knuckle of the index finger of the right hand is a purple contusion which also involves a portion of the hand, and measures 1-1/4” in size. The forearms are unremarkable. The antecubital fossae reveal no evidence of recent needle puncture marks or scars. The upper arms are intact and unremarkable grossly. The lower extremities are intact. Present on the anterior aspect of the proximal portion of the right lower extremity are several tiny healing reddish-brown abrasions. There is a cluster of three yellow-brown contusions on the anterior-lateral aspect of the right lower leg, varying in size from ¼” to 1”. Present on the lateral aspect of the left knee is a cluster of three yellow-brown contusions, varying in size from ¼” to 5/8”. The soles of the feet are intact and unremarkable grossly.

Also present in close proximity to the body, in the body bag, were the following personal effects: a pierced earring, a silver-colored pocket watch, and a beaded cloth necklace.

INTERNAL EXAMINATION:

Through the usual Y-shaped incision, a thin layer of yellow subcutaneous adipose tissue and reddish-brown musculature are revealed. The diaphragms are intact and arch to the level of the 5th left intercostal space and the 4th right intercostal space. The peritoneal cavity contains no unusual accumulation of fluid. The lining is smooth, gray and glistening. The viscera and omentum are normally disposed.

PLEURAL SPACES:

The pleural spaces are without any unusual accumulation of fluid. The parietal pleurae are smooth, gray and glistening. The bony structures of the chest are intact and unremarkable grossly. The clavicles are intact. There is no soft tissue injury involving the chest wall. The pericardial sac is intact. The lumen contains 10 cc of clear fluid. The pericardium is smooth, gray and glistening.

THYMUS:

Eight [8] grams of pink, lobular, firm, thymic tissue is present in the anterior-superior mediastinal space.

NECK:

The lumen of the upper esophagus and pharynx is patent. The mucosal surface is tan and wrinkled. The lumen of the upper respiratory tract contains blood. The mucosal surface is tan and smooth. The hyoid bone and cricothyroid cartilages are intact.

THYROID:

The thyroid is of normal size, shape, and position, and has a reddish-brown, lobular, firm, gross appearance. The cervical vertebrae are intact. There is no obstruction to the posterior nasopharynx or the posterior aspect of the oral cavity. The major vessels of the neck are intact and unremarkable grossly. There is no soft tissue hemorrhage in the neck.

HEART:

The heart is intact and weighs 300 grams. The epicardial surface is reddish-brown, smooth, and glistening. Minimal amounts of epicardial yellow fat are present. The myocardium is reddish-brown and firm without gross evidence of fibrosis or softening. The ventricular walls are of normal thickness. The endocardial surface is reddish-brown, smooth, and glistening. Early subendocardial flame type hemorrhages are present in the left ventricle. The cardiac valves are intact. The valve leaflets are thin and fully pliable. The valve circumferences are normal for this size heart. The chordae tendineae are tan and delicate. The papillary muscles are intact. The foramen ovale is closed. The atrial septum is intact. The ventricular septum is intact. The coronary ostia are in a normal anatomic position and widely patent. The coronary arteries demonstrate a normal anatomic distribution with normal gross features.

AORTA:

The aorta is intact and of normal course and calibre throughout. The intimal surface is tan and smooth. The wall is thin and elastic. The main abdominal tributaries are intact.

RESPIRATORY SYSTEM:

The lumen of the lower respiratory tract contains blood. The mucosal surface is tan, smooth and blood stained. The lungs are mildly hyperaerated. The pleural surfaces are pink, reddish-purple, smooth and glistening. The lungs together weigh 850 grams. Serial sections reveal soft, spongy, mildly hyperaerated lung tissue showing evidence of vascular congestion, early pulmonary edema, and aspirated blood. The pulmonary arteries are intact without evidence of thromboembolic disease. The pulmonary veins empty into the left atrium in a normal fashion.

GASTROINTESTINAL SYSTEM:

The esophagus is of normal course and calibre throughout. The lumen is patent. The mucosal surface is tan with longitudinal furrowing. The wall is thin. The stomach is in a normal anatomic position. The lumen contains 160 cc of yellow-orange, liquid, gastric contents containing fragments of what appears to be potato skins. The mucosal surface is tan with intact rugae. No peptic ulcer disease or tumor are noted grossly. The small bowel demonstrates a normal anatomic distribution with normal gross features. The appendix is present and unremarkable grossly. The large bowel demonstrates a normal anatomic distribution with normal gross features.

SPLEEN:

The spleen is intact and weighs 180 grams. The external surface is purple and smooth. Serial sections reveal a firm, reddish-purple, splenic parenchyma.  

LIVER:

The liver is intact and weighs 1300 grams. The external surface is reddish-brown, smooth, and glistening. Serial sections reveal a firm, reddish-brown, lobular, normal appearing, liver tissue.

GALLBLADDER:

The gallbladder is intact. The lumen contains 12 cc of cloudy yellow-brown, liquid bile. The mucosal surface is smooth and bile stained. The cystic duct and common bile duct are intact and patent throughout. The portal vein, splenic vein, and superior mesenteric vein are intact and patent.

PANCREAS:

The pancreas is of normal size, shape, and position, and has a tan, lobular, soft, partially autolyzed, gross appearance.

ADRENALS:

Both adrenals are identified. Serial sections reveal a thin yellow cortex and gray medulla.


KIDNEYS:

Both kidneys are identified. The capsules strip easily. The left kidney weighs 160 grams; the right kidney weighs 150 grans. The cortical surfaces are reddish-brown and smooth. Bivalving of each kidney reveals a well-demarcated, reddish-brown cortex and medulla. The renal papillae are normal. There is no calyceal scarring. There is no unusual pelvic dilatation. Both ureters are present, patent, and uniform in diameter throughout.

BLADDER:

The bladder is intact. The lumen contains 20 cc of clear yellow urine. The bladder mucosa is tan and wrinkled. The prostate, seminal vesicles and testicles are intact and unremarkable grossly.

MUSCULOSKELETAL SYSTEM:

Other than the injuries to be described under the head, no other significant injuries are observed.

LYMPHATICS:

No gross abnormality.

VENOUS SYSTEM:

There is no evidence of hepatic vein, renal vein, or portal vein thrombosis. The superior and inferior vena cavae are intact.

CENTRAL NERVOUS SYSTEM:

Reflection of the scalp reveals wound tracts in the soft tissues involving both the left and right side of the head in the temporal areas. There appears to be some powder staining of the soft tissues comprising the margin of the wound tract on the left side of the head. There is also a contusion measuring 1-1/2" on the apex of the scalp. There is a circular perforation which is beveled inward involving the left temporal bone. There is a circular perforation which is beveled outward involving the right temporal bone. Numerous fractures radiate from the circular perforations. Removal of a portion of the calvarium reveals no epidural hemorrhage. 40 cc of subdural hemorrhage overlies the right cerebral hemisphere and on the undersurface of this hemisphere. There is no subarachnoid hemorrhage. There are contusions on the undersurface of both temporal lobes. There is a wound tract across the undersurface of the brain, involving both cerebral hemispheres in the temporal and frontal areas. The brain demonstrates laceration and some pulverization of brain tissue involving the previously mentioned areas. The brain weighs 1500 grams. Serial sectioning the cerebral cortex, the midbrain, the pons, the medulla, the spinal cord, the cerebellum and the pituitary reveals internal injury to the brain involving the anterior aspects of both cerebral hemispheres involving the frontal and temporal areas; and there is injury to the midbrain with predominantly contusion. There is no evidence of any underlying disease of the brain. Examination of the base of the skull reveals a transverse basal skull fracture that involves both temporal fossa and interconnects across the sphenoid bone in the region of the sella turcica. C1 and C2 are intact. The odontoid ligament and odontoid processes are intact. Removal of the dura on the left side of the head reveals powder staining (soot) in the margins of the dura adjacent to the perforated area of skull.

TOXICOLOGY:

Blood: I obtained two gray-stoppered test tubes of blood from the heart.

Urine: I obtained two gray-stoppered test tubes of urine.

Gastric Contents: I obtained two gray-stoppered test tubes and one red-stoppered test tube of gastric contents.

Vitreous Humor: I obtained one gray-stoppered test tube of vitreous humor.

Bile: I obtained one gray-stoppered test tube of bile.

Approximately 100 grams of liver and kidney were also obtained and will be frozen.

TRACE EVIDENCE:

Hair: I obtained random samples of scalp hair and pubic hair. I obtained scalp hair adjacent to the wounds involving the right and left sides of the head.

Nail Scrapings: I obtained nails scrapings of both hands.

Blood: I obtained one yellow, one purple and one red-stoppered test tube of blood from the heart.

All of the trace evidence, with the exception of the blood samples, are given to the Jefferson County Sheriff's Officers upon completion of the autopsy. The blood samples for any evidentiary need are going to be stored along with the toxicology specimens for up to a year.

X-RAY EXAMINATION:

Revealed no evidence of retained bullets.

WOUND SUMMARY:

The wound of entrance is designated wound “A" in the region of the left temple. The projectile penetrated the cranium through the left temporal bone; extended across the undersurface of both cerebral hemispheres; exiting the head through the right temporal bone. The perforated area on the left side is beveled inward; the perforated area on the right side is beveled outward. Powder is associated with the wound on the left side of the head. The projectile traveled left to right slightly front to back and slightly downward. The characteristics of the wound are consistent with a large calibre weapon; with a close contact range of fire; consistent with self-infliction.

The wound is consistent with 9 mm ammunition.

KLEBOLD, Dylan

Dr. Galloway

MICROSCOPICS:

Heart: Normal histologic features.

Lung: Sections reveal intra-alveolar edema.

Liver: Sections reveal moderate autolysis.

Kidney: Sections reveal moderate autolysis.

Spleen: Normal histologic features.

Adrenal: Normal histologic features.

Thymus: Normal histologic features.

Thyroid: Normal histologic features.

Stomach: Sections reveal early autolysis involving the gastric mucosa.

Brain: Sections reveal fragmentation and intraparenchymal hemorrhage.

Entrance Wound A: Sections are of skin revealing a central deeply penetrating wound associated with a few scattered fragments of powder residue in the deeper margins of the wound.

Dura: Sections reveal scattered foci of powder residue adhering to one side of the dural surface.

TOXICOLOGY:

Blood Alcohol - Negative

Blood Drug Screen - Gas Chromatography/Mass Spectroscopy
Acid Neutral Extract - No drugs detected
Basic Extract - No drugs detected

Urine Drug Screen – Negative

MAUSER, Daniel

Dr. Galloway

FINAL ANATOMIC DIAGNOSES:

1. Through and through, large calibre gunshot wound involving the nose associated with:

A. Fractures of the nasal bones

B. Circular laceration of the posterior wall of the oropharynx

C. Neck fractures involving C2 and C5

D. Spinal cord injury

E. Concussion subarachnoid hemorrhages involving the right cerebral hemisphere

F. Concussion contusions involving the medulla oblongata

2. Through and through gunshot wound involving the right ear and associated graze wound to the soft tissues of the scalp

3. Through and through gunshot wound involving the middle finger of the right hand associated with a graze wound of the index finger of the right hand:

A. Fractures of the middle phalanx of the middle finger of the right hand

COMMENT:

The autopsy findings in this case reveal that the cause of death is due to a fractured neck at the level of C2 associated with spinal cord injury secondary to through and through, large calibre gunshot wound involving the nose.

ROHRBOUGH, Daniel

Dr. Galloway

FINAL ANATOMIC DIAGNOSES:

1. Through and through large calibre gunshot wound involving the left chest associated with:

A. Laceration left lung

B. Laceration heart

C. Laceration aorta

D. Laceration esophagus

E. Laceration right lung

F. Bilateral hemothoraces

2. Large calibre gunshot wound involving the left mid-abdomen associated with:

A. Laceration stomach

B. Laceration liver

C. Laceration right hemidiaphragm

D. Intraperitoneal hemorrhage

3. Through and through large calibre gunshot wound involving the left lower extremity just below the knee

COMMENT:

The autopsy findings in this case reveal that the cause of death is due to exsanguination secondary to extensive injuries involving the chest organs related to a through and through large calibre gunshot wound involving the left chest.


This autopsy is performed at the request of Dr. Nancy Bodelson, the Coroner of Jefferson County. The external examination is performed on April 21, 1999 at 2:30 p.m. The identification is by personal effects and clothing characteristics. Members of the Jefferson County Sheriff's Department attended the autopsy. I am assisted in the autopsy by Mr. Rob Kulbacki.

HISTORY:

This is the case of a 15-year-old, white male who was the victim of a shooting incident that occurred at Columbine High School in the late morning of 04/20/99. For location purposes, this individual is [You must be registered and logged in to see this link.], and apparently was outside of the school building when he expired. No ether history is available at the time of autopsy.

EXTERNAL EXAMINATION:

The body is clothed in a green, blood-stained T-shirt that shows circular tears in the left shoulder and right upper back; “Big Dog” boxer shorts; Ralph Lauren jeans; white socks; and black shoes. There are circular tears in the left lower pant leg and there is also an additional circular tear in the front left lower aspect of the T-shirt. This is the unembalmed, well-developed, well-nourished body of a white male appearing consistent with the stated age of 15. Height is measured at 5'5-1/2"; weight is 150 pounds. Rigor is absent. Reddish-purple livor is well set over the anterior aspects of the body on the right side. There is also some livor posteriorly with appropriate blanching of the pressure points.

HEAD:

The scalp is covered by short brown hair. Present in the right anterior hairline is a small area of reddish-purple contusion. There is also a small area of reddish-purple contusion just above the right eyebrow. No other external trauma involves the head. Palpating the head reveals no instability or soft tissue swelling.

Ears - the ears are externally unremarkable and purple in color.

Eyes - the eyebrows are brown. The sclerae are white with minimal congestion, greater on the right than the left. The irides are blue. The pupils are round, measure 9 mm, and are directed anteriorly. The conjunctivae are minimally congested, greater on the right than the left. Present over the right zygoma is a circumscribed area of reddish-brown abrasion which measures ¾”. There is some dirt clinging to the skin below this.

Nose - the nose is externally unremarkable. The nasal passages contain some blood, and there is some blood smeared on the external surface of the right nostril. There is a dried blood flow pattern lateral to the right nostril. The septum is in the midline.

Mouth - the lips are reddish-purple. The oral mucous membranes are tan and moist. The tongue is reddish-brown and finely granular. The teeth are in a good state of dental repair. There is some hemorrhagic fluid in the oral cavity. No injuries are observed.

NECK:

The external surface of the neck reveals no evidence of trauma. The neck organs are in the midline without palpable masses.

CHEST:

The chest demonstrates a normal anterior-posterior diameter. Present involving the left upper anterior chest, 4- 1/2" below the sternal notch, 5" lateral to the left of the mid-sternal line, 49-1/2" above heel of the left foot, slightly above and lateral to the left nipple, is a circular, deeply penetrating, gunshot wound, showing no evidence of powder residue. Circumferential marginal abrasion is observed. The perforated area measures 5/16" in diameter. The abrasion measures ½” in diameter. For identification purposes, this wound will be referred to as "A". No other external trauma involves the chest. The breasts are normal for this age. Palpating the chest reveals no instability. The axillae are negative to observation and palpation.

ABDOMEN:

The abdomen is flat. Present involving the left mid abdomen, 2-1/2" above the horizontal plane of the umbilicus, 5" lateral to the left of the midline, 42" above the heel of the left foot, is a circular, deeply penetrating gunshot wound showing marginal abrasion which is greater on the lateral and inferior surface. The perforated area of this wound measures 5/16” in diameter; the abraded area ½” in diameter. For identification purposes, this wound will be referred to as "B". No other external trauma involves the abdomen. On deep palpation, no organomegaly or masses are noted grossly.

GENITALIA:

A normal appearing male, brown, genital hair pattern is present. The penis is of normal size, shape, and position; circumcised. Both testicles are bilaterally descended in their respective scrotal sacs without palpable masses. There is some postmortem drying artifact on the anterior surface of the scrotum.

BACK:

Present involving the right upper aspect of the back, 4” below the base of the neck, 7" lateral to the right of the mid-vertebral line, 52-1/2" above the heel of the right foot, in the horizontal plane of the apex of the right axilla, is a generally circular exit type of gunshot wound showing some irregular tearing of the margins. This wound measures 3/8” in diameter. There is no evidence of powder residue or abrasion involving the margins. For identification purposes, this wound will be referred to as "E". The anus is intact without any unusual dilatation or trauma.

EXTREMITIES:

The upper extremities are intact. The nails are intact, short and clean. There is some blood staining on the anterior medial aspect of the right hand. The antecubital fossae reveal no evidence of recent needle puncture marks or scars. The upper arms are intact and unremarkable grossly. There is some blood staining on the anterior lateral aspect of the left shoulder. The lower extremities are intact. There is a small pigmented nevus on the anterior medial aspect of the right knee. There is a through and through gunshot wound involving the left lower extremity; with the entrance wound involving the lateral surface below the left knee; and the exit wound involving the medial aspect of the upper portion of the left calf. The entrance wound, for identification purposes, is designated "C". The wound shows circumferential marginal abrasion and no evidence of powder residue. The perforated area measures 5/16" in diameter; the abraded area ½”. The exit wound demonstrates no evidence of abrasion or powder residue. There is an irregular configuration that measures 5/8" in diameter. For identification purposes, this wound will be referred to as "D". The soles of the feet are intact and unremarkable grossly.

INTERNAL EXAMINATION:

This internal examination is performed on 04/22/99 at 8:30 a.m. Through the usual Y-shaped incision, a thin layer of yellow subcutaneous adipose tissue and reddish-brown musculature are revealed. Diaphragms the left hemidiaphragm is intact and arches to the level of the fifth left intercostal space; there is a circular laceration involving the right hemidiaphragm which arches to the level of the fourth right intercostal space. The peritoneal cavity contains 200 cc of blood. The peritoneum is smooth, gray and glistening. There is obvious injury to the liver. The viscera and omentum are otherwise normally disposed. The peritoneal surface is gray, smooth and glistening.

PLEURAL SPACES:

The left pleural space contains 1000 cc of blood; the right pleural space contains 1200 cc of blood, and are one well-preserved, copper-jacketed, large calibre bullet. The parietal pleurae are smooth, gray and glistening. There is a circular laceration involving the parietal pleura of the left anterior chest wall associated with the third interspace. There is a circular laceration of the right parietal pleurae associated with the fourth interspace posterior-laterally. The bony structures of the chest are intact. There is a soft tissue wound tract involving the left mid-chest, overlying the third interspace. There is a soft tissue wound tract involving the right posterior chest wall adjacent to the fourth interspace. There are lacerations of the pericardial sac posteriorly. The pericardium is smooth, gray and glistening.

THYMUS:

Ten (10) grams of pink, lobular, firm, thymic tissue is present in the anterior superior mediastinal space.

NECK:

The lumen of the upper esophagus and pharynx is patent. The mucosal surface is tan and wrinkled. The lumen of the upper respiratory tract is patent. The mucosal surface is tan and smooth. The hyoid bone and cricothyroid cartilages are intact.

THYROID:

The thyroid is of normal size, shape, and position/ and has a reddish-purple, lobular, firm, gross appearance. The cervical vertebrae are intact. There is no obstruction to the posterior nasopharynx or the posterior aspect of the oral cavity. The major vessels of the neck are intact and unremarkable grossly. There is no soft tissue hemorrhage in the neck.

HEART:

There is a large gaping laceration involving the posterior wall of the left ventricle. The heart weighs 300 grams. The epicardial surface is reddish-brown, smooth, glistening, and blood stained. Minimal epicardial yellow fat is present. The myocardium is reddish-brown and firm without gross evidence of fibrosis or softening. The ventricular walls are of normal thickness. The endocardial surface is reddish-brown, smooth, and glistening. The cardiac valves - the posterior cusp of the mitral valve is lacerated; otherwise, the valves are intact. The valve leaflets are thin, delicate and fully pliable. The valve circumferences are normal for this size heart. The chordae tendineae are tan and delicate. The papillary muscles are intact. The foramen ovale is closed. The atrial septum is intact. The ventricular septum is intact. The coronary ostia are in a normal anatomic position and widely patent. The coronary arteries demonstrate a normal anatomic distribution with normal gross features.

AORTA:

There is a through and through laceration involving the mid-aspect of the descending thoracic aorta. Otherwise, the aorta is intact and structurally unremarkable. The main abdominal tributaries are intact.

RESPIRATORY SYSTEM:

The lumen of the lower respiratory tract contains hemorrhagic fluid. The mucosal surface is tan and smooth. The lungs are moderately well aerated. There are through and through circular lacerations involving the upper lobes of both lungs. Hemorrhage is observed in the margins of the injuries. The lungs together weigh 650 grams. The pleural surfaces are gray, reddish-purple, smooth and glistening. Serial sections reveal soft, spongy, lung tissue showing internal injury to the upper lobes of both lungs. The pulmonary arteries are intact without evidence of thromboembolic disease. The pulmonary veins empty into the left atrium in a normal fashion.

GASTROINTESTINAL SYSTEM:

The esophagus is of normal course and calibre throughout. There is a laceration involving the posterior surface of the mid-portion of the esophagus. The lumen is patent. The mucosal surface is tan with longitudinal furrowing. The wall is thin. The stomach is in a normal anatomic position. There is a through and through laceration involving the anterior and superior margins of the stomach. The lumen contains 250 cc of thick, tan, liquid, gastric contents in which I can identify fragments of white meat, and some tan formed material which I am unable to further specify. The gastric mucosa is tan with intact rugae. No peptic ulcer disease or tumor are noted grossly. The small bowel demonstrates a normal anatomic distribution with normal gross features. The appendix is present and unremarkable grossly. The large bowel demonstrates a normal anatomic distribution with normal gross features.

SPLEEN:

The spleen is intact and weighs 170 grams. The external surface is purple and smooth. Serial sections reveal a firm, reddish-purple, splenic parenchyma.

LIVER:

There is a through and through, large laceration involving the upper portion of the left lobe of the liver. The liver weighs 1450 grams. Intact portions are reddish-brown, smooth and glistening. Serial sections reveal firm, reddish- brown lobular liver tissue.

GALLBLADDER:

The gallbladder is intact. The lumen contains 8 cc of liquid, yellowish-brown bile. The mucosal surface is smooth and bile stained. The cystic duct and common bile duct are intact and patent throughout. The portal vein, splenic vein, and superior mesenteric vein are intact and patent.

PANCREAS:

The pancreas is of normal size, shape, and position, and has a tan, lobular, partially autolyzed, gross appearance.

ADRENALS:

Both adrenals are identified. Serial sections reveal a thin yellow cortex and gray medulla.

KIDNEYS:

Both kidneys are identified. The capsules strip easily. The left kidney weighs 165 grams; the right kidney weighs 160 grams. The cortical surfaces are pale, reddish-brown and smooth. Bivalving of each kidney reveals a well-demarcated, pale, reddish-brown cortex and medulla. The renal papillae are normal. There is no calyceal scarring. There is no unusual pelvic dilatation. Both ureters are present, patent, and uniform in diameter throughout.

BLADDER:

The bladder is intact. The lumen contains 30 cc of clear yellow urine. The bladder mucosa is tan and wrinkled. The prostate, seminal vesicles and testicles are intact and unremarkable grossly.

MUSCULOSKELETAL SYSTEM:

There is a graze wound involving the anterior surface of the vertebral body of T4.

LYMPHATICS:

No gross abnormality.

VENOUS SYSTEM:

There is no evidence of hepatic vein, renal vein, or portal vein thrombosis. The superior and inferior vena cavae are intact.

CENTRAL NERVOUS SYSTEM:

Reflection of the scalp reveals a small recent contusion involving the top of the head. The external cranium is intact. Removal of a portion of the calvarium reveals no evidence of epidural, subdural, or subarachnoid hemorrhage. The major cerebral vessels are intact. The brain weighs 1460 grams. The external convolutions are unremarkable. Serial sectioning the cerebral cortex, the midbrain, the pons, the medulla, the spinal cord, the cerebellum and the pituitary reveals diffusely soft brain tissue with otherwise normal gross features. The base of the skull is intact and unremarkable grossly. C1 and C2 are intact. The odontoid ligament and odontoid processes are intact.

TOXICOLOGY:

Blood: I obtained one gray-stoppered test tube of blood from the pectoral pool. I obtained one gray-stoppered test tube of blood from the right chest.

Urine: I obtained one gray-stoppered test tube of urine.

Vitreous Humor: I obtained one gray-stoppered test tube of vitreous humor.

Gastric Contents: I obtained one gray-stoppered test tube of gastric contents.

These will be submitted for routine toxicologic evaluation.

TRACE EVIDENCE:

The following trace evidence is obtained at the time of autopsy and given to the Jefferson County Sheriff's Officers in attendance at the autopsy:

1. Random samples of scalp and pubic hair.

2. Nail scrapings from both hands.

3. One bullet right chest cavity. This bullet, on close examination, is a copper-jacketed, large calibre bullet which is well preserved, and measures 5/8" in length and 5/16” in diameter.

4. Blood Samples: I obtained one yellow-stoppered test tube of blood, one purple-stoppered test tube of blood, and one red- stoppered test tube of blood, all from the right chest cavity.

X-RAY EXAMINATION:

X rays of the victim's head, neck, chest, abdomen and pelvis reveal a well-preserved, large calibre, apparently jacketed, bullet in the lower right chest cavity.

WOUND SUMMARIES:

Wound 1: Involves the entrance wound "A" observed in the left upper anterior chest. The projectile transected the anterior chest wall; entered the chest cavity through the third interspace; transected the upper lobe of the left lung; passed through the mediastinum; lacerating the heart, aorta, esophagus, and then transected the upper lobe of the right lung; exited the chest cavity through the fourth right posterior interspace; and exited the body through the wound designated "E" in the right upper back. The projectile traveled anteriorly-posteriorly, left to right at an angle of approximately 25 degrees in the horizontal plane, and traveled upward approximately 20 degrees in the vertical plane.

Wound 2: Involves entrance wound designated "B" in the left mid abdomen. This projectile transected the abdominal wall; passed through the stomach; left lobe of the liver; the right hemidiaphragm; and came to rest in the right pleural space. This projectile traveled anteriorly-posteriorly, left to right, in an upward direction.

Wound 3: Is a through and through large calibre gunshot wound involving the left lower leg (wounds "C" and "E").

The wounds are consistent with 9 mm type of ammunition.


ROHRBOUGH, Daniel

Dr. Galloway

MICROSCOPICS:

Thyroid: Normal histologic features.

Brain: Normal histologic features.

Liver: Normal histologic features.

Wound A: Sections are of skin demonstrating a central deeply penetrating wound without significant powder residue.

Pancreas: Autolyzed.

Kidney: Sections reveal early autolysis.

Thymus: Normal histologic features.

Heart: Normal histologic features.

Lungs: Sections reveal patchy atelectasis and foci of intra-alveolar hemorrhage.

Adrenal Gland: Normal histologic features.

Wound B: Sections are of skin showing a central deeply penetrating wound without significant powder residue.

TOXICOLOGY:

Blood Alcohol - Negative

Urine Drug Screen - Negative

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SANDERS, WILLIAM DAVID

AUTOPSY REPORT

JCCO [You must be registered and logged in to see this link.]

PATHOLOGICAL DIAGNOSES:

1. Perforating gunshot wound to the neck and head with:

A. Entrance, left lower neck.

B. Exit, right upper lip.

C. Partial transection of the left internal carotid artery.

D. Laceration of the tongue and avulsion of multiple teeth.

E. Associated hemorrhages.

2. Perforating gunshot wound to the trunk with:

A. Entrance, right upper back

B. Exit, right upper chest.

C. Fracture of the right clavicle.

D. Partial transection of the right subclavian vein.

E. Associated hemorrhage.

OPINION:

This 48-year old man sustained gunshot wounds at the high school in which he was a teacher. He died a short time later at the scene. His death is attributed to multiple vascular lacerations due to perforating gunshot wounds to the neck/head and trunk. Toxicology analysis 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.

SCOTT, RACHEL

AUTOPSY REPORT

JCCO [You must be registered and logged in to see this link.]

PATHOLOGICAL DIAGNOSES:

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.

OPINION:

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.

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Office of the Boulder County Coroner

AUTOPSY REPORT

Name: SHOELS, ISAIAH DOB: 08/04/80

Age/Sex: 18/M

Submit Dr: MEYER, JOHN E

AUTOPSY NO: 99A 51

AUTOPSY INFORMATION:

DATE OF DEATH: 4/20/99 @ 1645

DATE OF AUTOPSY: 4/22/99 @ 1300

JEFFERSON COUNTY CORONER'S CASE [You must be registered and logged in to see this link.]

FINAL DIAGNOSIS:

I. Shotgun wound of left arm and chest

A. Entrance - posterior left arm with perforation of soft tissue of arm

B. Re-entry - left axilla

C. Path - perforates left pectoral musculature, penetrates left hemithorax through first rib, perforates sternum, disrupting anterior mediastinum with laceration of pulmonary artery and right atrium, perforates anterior right hemithorax, fractures right first and second ribs, perforates right pectoralis musculature, and exits right chest, impacting inner right arm

D. Direction - left to right, slightly downward, and slightly posterior to anterior

E. Spent shotgun slug and wadding retrieved from clothing

F. Right and left hemothoraces

II. Status post Fontan procedure for tricuspid atresia and hypoplastic right ventricle (remote)

A. Intact Fontan anastomosis

B. Pericardial adhesions

C. Dilated right atrium

D. Micronodular cirrhosis, liver

CLINICOPATHOLOGIC CORRELATION:

Cause of death of this 18-year-old male is a solitary shotgun wound of the chest.


EXTERNAL EXAMINATION:

The autopsy is performed at the request of the Jefferson County Coroner's office. The identification has been previously made by the Jefferson County Coroner's office. Also submitted with the body are AP X-rays of the head, chest, abdomen. In attendance at the autopsy are Investigator Lonnie Lock from the Jefferson County Sheriff's office, Detective Kelly Quinones from the Denver Police Department, Detective Jim Sewell from the Denver Police Department, Detective Chuck Martinez from the Denver Policy Department, and Tom Faure from the Boulder County Coroner's office. The autopsy is performed on 4/22/99 at 1300.

CLOTHING:

The decedent is clothed in ankle-length white and blue athletic shoes which contain spotty areas of blood-stain. The shoes overlie white, above the ankle length cotton socks with gray toes and heels. There are dark green long corduroy pants secured by a brown belt. The pockets are empty. There are gray boxer-brief- type underwear which exhibit fecal incontinence. There is a short-sleeved black polo shirt which is extensively blood-soaked. Located on the posterior aspect of the left sleeve, 9 cm below the shoulder seam and 3 cm anterior to the arm seam is an irregular round to slightly oval ragged defect measuring 3 x 2.5 cm. On the anterior right chest area of the shirt, 9 cm below the inferior portion of the button placket and 8 cm to the left of the midline is a round to oval, 4 mm in diameter defect. Situated more laterally on the anterior left chest area of the shirt, 15 cm below the inferior border of the button placket and 20.5 cm to the left of the midline is a slightly oblong, 6 x 3 mm defect. The edges of these defects are rather ragged. Twenty-seven centimeters below the inferior border of the button placket and 9 cm to the right of the midline is another 1 to 2 mm defect with ragged edges. When the polo shirt is removed a dull gray metal deformed slug drops from within the shirt. This deformed slug measures 2.2 x 1.7 x 1.1 cm. Beneath the polo shirt is a short-sleeved white T-shirt which is extensively blood-soaked anteriorly and over both sleeves. Located in the posterior aspect of the left sleeve, 11.5 cm below the shoulder seam and 8 cm anterior to the sleeve seam is an irregularly-shaped, round to oval 2.5 x 2.4 cm defect with ragged, irregular edges. No definitely identifiable scot is present around this defect. On the anterior lower aspect of the right sleeve, 18 cm below the shoulder seam and immediately adjacent to the sleeve seam is a 2.4 x 1.5 cm irregular ragged defect. No soot or stippling surround the wound. Located within the right sleeve and adherent to the inner surface of the cloth via dried blood is a fragment of plastic wadding measuring 1.9 x 1.8 x 1.7 cm. When the shirt is manipulated a second fragment of plastic wadding falls from the sleeve of the shirt. It measures 2.2 x 1.5 x 0.7 cm. On the left anterior chest area of the white T-shirt, 13 cm below the inferior border of the collar yoke and 13 cm to the left of the midline is an irregular, 1.7 x 1.1 cm defect with ragged edges. Two smaller defects are located adjacent to this larger defect in roughly the 4:00 to 6:00 positions. These measure 2 to 3 mm in diameter.

EXTERNAL EVIDENCE OF INJURY:

Located in the posterior aspect of the left upper triceps area is an irregular, oval defect in the skin which measures 4.3 x 4 cm. The skin margins are ragged and irregular skin tags caused by small secondary lacerations are identified. No stippling surrounds the wound. No definite abrasion is seen on the surrounding skin. The wound of the upper left triceps area is located 9 cm below the tip of the left shoulder, and 11 cm posterior to the anterior midline of the right upper arm. This defect is in line with a gaping defect of the left axilla which measures 12 x 7.5 cm. In the depths of this wound there is abundant hemorrhagic soft tissue including muscle and connective tissue. Embedded in this soft Issue are particles of black fiber material consistent with the shirt. Irregular jagged skin edges surround the central defect. Some of the edges contain secondary lacerations which are somewhat triangular in configuration and point laterally. At the medial aspect of this defect is a 6 x 1.5 cm area of skin abrasion. Located in the right lateral chest, 33 cm below the top of the head and 17 cm to the right of the midline of the anterior chest is an oblong defect in the skin measuring 2.7 x 1.2 cm. The margins of this wound are irregular and nonabraded. No soot or stippling surround the wound. On the medial aspect of the right upper triceps area, immediately juxtaposed to the right chest wound is an irregular area of linear and nonpatterned abrasion/contusion. The linear component of the abrasion is horizontally oriented and the area encompassed by the abrasion measures 4 x 2 cm. Soft tissue subcutaneous swelling is identified in this area. Dried blood is noted in both nostrils and around the mouth as well as on the right side of the face and over the anterior chest. Examination of the extremities and remainder of the body discloses no evidence of defense-type wounds.

REMAINDER OF EXTERNAL EXAMINATION:

The unembalmed, well-developed and well nourished black male body measures 56 inches in length and weighs 111 pounds. There is early decomposition with a small amount of bloody purge in the mouth and nostrils and early blistering of the skin of the torso and extremities with early skin slippage. The scalp is covered by short black hair and no scalp trauma is identified. Both external auditory canals are patent and free of blood. The eyes are brown and the pupils equally dilated. Tardieu spots are present on the sclerae bilaterally and there is congestion of the conjunctival surfaces. Four cosmetic piercings are present in the left earlobe and two similar piercings are present in the right earlobe. The teeth are native and in good repair. The tongue is smooth, pink-tan and granular. No buccal mucosal trauma is seen. The neck contains no palpable adenopathy or masses and the trachea and larynx are midline. The chest is symmetrical and contains no hair. In the midline of the chest and upper abdomen is a 30 cm in length well-healed linear scar. In the left upper quadrant is a scar in the form of an "x". It measures 2 x 2 cm. Just above the umbilicus and to the left of the midline is a well-healed 18 x 15 mm scar. The pubic hair is black and has a normal male distribution. The penis is circumcised. The scrotum and skin of the penis are distended by postmortem gas production. On the medial aspect of the left inner thigh are two vertically oriented scars, the most superior measuring 17 cm in length and the more inferior measuring 13 cm in length. The inferior scar extends from the medial midthigh to the lower border of the knee and the upper scar from the left inguinal area to the midthigh area. On the medial aspect of the left tibial area is a 6.5 x 1.2 cm well-healed scar. On the outer aspect of the left lower anterior tibial area is a 4 x 1 cm scar. In the left anterior antecubital fossa is a linear, 1 x 0.2 cm scarred area. On the dorsum of the distal forearm is a 1 x 0.5 cm well-healed scar.

INTERNAL EXAMINATION AND SHOTGUN WOUND PATH:

The anterior chest musculature is well-preserved. The sternum is irregularly transected at a point 4.5 cm below the sternal notch. This complete transection exhibits ragged bone edges. The right first and second ribs are fractured adjacent to the sternum and the left first rib is fractured. The anterior mediastinum is extensively hemorrhagic and the soft tissue has a shredded appearance. The gunshot wound enters the left side of the chest through the wound described in the left axilla. It traverses through the pectoralis musculature, and enters the left hemithorax through a fracture of the first rib. The wound tract then extends across the anterior mediastinum. The anterior aspect of the pulmonary artery is lacerated as is the anterior aspect of the right atrium. The defect in the pulmonary artery measures 2 cm in maximum dimension and the defect in the atrium 4 cm. The wound tract then proceeds to exit the mediastinum after passing through the anterior aspect of the right hemithorax. It exits in the first intercostal space, fracturing the right first and second ribs. The wound tract then tunnels through the right pectoralis musculature and exits the body through the previously described defect in the right chest. The overall direction of the wound is left to right, slightly downward, and slightly posterior to anterior.

MEDIASTINUM:

The remainder of the mediastinal structures are characterized by marked fibrous adhesions between the epicardium and pericardium. The pericardial sac is essentially obliterated. There is approximately 100 cc of clotted and nonclotted blood in the right hemithorax and 150 cc in the left hemithorax. The abdominal contents are normally distributed and covered by smooth glistening serosa. No intra-abdominal accumulation of fluid or blood is seen. The pleural surfaces of the chest cavities are unremarkable.

THYROID:

The 14 gram thyroid gland has a normal configuration. The cut sections are finely lobular and purple-red. No nodules are identified.

TRACHEOBRONCHIAL TREE:

The tracheobronchial tree is lined by purple-gray mucosa. A small amount of hemorrhagic mucinous material is present in the lumen of the trachea.

LUNGS:

The lingula of the left lobe is adherent to the pericardial surface via fibrous adhesions. The left lung weighs 150 grams, the right lung 150 grams. Cut sections of the pulmonary parenchyma disclose an intact spongy alveolar architecture. The intrapulmonary bronchi and vasculature are unremarkable.

HEART:

The 425 gram heart exhibits extensive pericardial adhesion over all surfaces of the heart. The entire base of the heart is extensively shredded with shredding of the anterior right atrium and base of the right ventricle. The coronary arteries appear to be normally distributed. The left ventricular myocardium is homogeneous and tan-pink. The aortic valve contains three cusps and is unremarkable. The architecture of the right side of the heart is quite distorted. A fragment of synthetic graft material is present in the wall of the right atrium. The right atrium is markedly dilated. The anterior wall of the right atrium is shredded by the bullet tract as is the base of the left ventricle at the level of the aortic valve. The left atrium is dilated. The superior vena cava appears to empty into the coronary sinus. What appears to be the pulmonary outflow tract has been macerated by the gunshot wound as has the apparent anastomosis between the right atrium and the pulmonary artery. No definitely identifiable pulmonary valve is seen. The ventricular myocardium is brown-tan and is without obvious infarction or fibrosis. The left atrial endocardium is grey-white and thickened in appearance. There is calcification of the right atrium in the area where the synthetic patch is located. The aorta leaves the heart in the normal fashion. There is no evidence of a patent ductus arteriosus. The mitral and aortic valves contain no evidence of vegetation or thrombosis.

SPLEEN:

The 125 gram spleen has a finely wrinkled purple capsule. The cut sections are purple and exhibit both white and red pulp. No intrinsic abnormality is seen.

PANCREAS:

The pancreas is of normal size and shape. Cut sections are soft and finely lobular with a pink-tan color. The softening is consistent with decomposition.

ADRENALS:

The adrenal glands are small but probably appropriate for the decedent's size. The golden yellow cortex surmounts a brown medullary area. No intrinsic abnormality is seen.

KIDNEYS:

The 90 gram right kidney and 95 gram left kidney have a normal external appearance. The surfaces are smooth. The cut sections are pale tan. The corticomedullary junction is well demarcated and the renal papillae are sharply demarcated. The pelvocaliceal system is lined by gray-white mucosa which is unremarkable. The ureters are patent throughout their course to the bladder.

LIVER:

The 850 gram liver has an abnormal external appearance. The surface is yellow-tan. Cut sections of the liver disclose a somewhat micronodular yellow-tan cross section. The cut sections are firm and suggest fibrosis.

GALLBLADDER:

The gallbladder contains 5 cc of green-yellow bile. The gallbladder mucosa is smooth and velvety. No stones are identified. The cystic duct, right and left hepatic duct and common bile duct are patent throughout their course to the duodenum.

BLADDER:

The bladder is empty. It is lined by gray-white mucosa which is unremarkable.

PROSTATE:

The prostate gland is of normal size and shape. Cut sections are finely lobular and pink-tan with no nodularity. The seminal vesicles are unremarkable.

TESTES:

The testes are of normal size and shape. The cut sections are spongy and tan. The adnexal structures are unremarkable.

G.I. TRACT:

The esophagus is empty. It is lined by gray-white mucosa which is unremarkable. The stomach is essentially empty with the exception of several milliliters of cloudy tan material without particulate matter. The gastric mucosa is somewhat autolyzed. No evidence of hemorrhage or ulceration is seen. The small and large intestine are unremarkable and the appendix is present.

LYMPHATIC SYSTEM:

Unremarkable.

MUSCULOSKELETAL SYSTEM:

Unremarkable.

AORTA AND VENA CAVA:

The aorta and vena cava are patent throughout their course. Only minimal atherosclerotic streaking is present in the aorta. The vena cava is unremarkable.

SKULL AND BRAIN:

The scalp contains no evidence of hemorrhage or traumatic injury. No skull fracture is identified. There is no evidence of subdural, subarachnoid, or epidural hemorrhage. The 1150 gram brain has a normal external appearance. The cerebral vasculature is unremarkable. Multiple coronal sections of the cerebral hemispheres, brain stem and cerebellum are unremarkable. The cut sections of the brain are quite soft, consistent with decomposition change. No intrinsic abnormalities are identified.

EVIDENCE:

Items turned over to the Jefferson County Sheriff's Department include samples of head and pubic hair, fingernail clippings, axillary hair, shotgun slug, two fragments of plastic shotgun wadding, metallic fragment from left axilla, one tube of blood, and all of the items of clothing.

MICROSCOPIC DESCRIPTION:

All sections stained with H&E.

Heart: Sections of the ventricular myocardium contain intact cardiac muscle fibers. In some areas there is fatty infiltration of the myocardium. No evidence of infarction is seen. Sections from the right atrial wall contain intact muscle fibers.

Lungs: The lungs contain an intact alveolar architecture. Some of the larger pulmonary arteries contain intimal fibroplasia and an increased amount of connective tissue around the blood vessels. The smaller branches of the pulmonary arterial system contain no definite evidence of hypertensive change. No thrombosis or inflammation are seen in the lung.

Spleen: There is mild autolysis of the spleen. White pulp is identified. No intrinsic abnormality is identified.

Thyroid: The thyroid gland contains autolyzed follicles which vary somewhat in size and shape. Vascular congestion is identified.

Testes: Examination of the testes discloses active spermatogenesis.

Liver: Sections of the liver contain autolysis. The overall architecture of the liver is altered by a proliferation of fibrous tissue which separates nodules of liver parenchyma. No inflammation is seen in the connective tissue.

Pancreas: There is extensive autolysis of the pancreas.

Kidney: There is autolysis of the renal tubular epithelium as well as the glomeruli. No intrinsic abnormalities seen.

Prostate: The prostate contains the usual gland structures with autolysis of the glandular epithelium.

Adrenal: The adrenal gland is mildly autolyzed. No intrinsic abnormalities are identified.

Brain: Unremarkable.

Wounds: Sections from the wound of the inner right arm disclose fresh hemorrhage in the subcutaneous tissue. No foreign material is seen. Sections from the entrance wound of the left posterior arm exhibit foreign material consistent with synthetic fiber within the subcutaneous connective tissue. The skin of the right chest contains intact skin. In the subcutaneous tissue there is fragmented bone material as well as unidentified foreign material. Sections from the left axillary skin contain fresh subcutaneous hemorrhage. The tissue from the deep portion of this wound is composed of fibroadipose tissue with foreign material consistent with synthetic fiber. No definite soot is seen in any of the specimens.

DENVER CORONER 660 BANNOCK ST. DENVER, COLORADO 80204-4507

FILE # 99-1579

NAME: TOMLIN, JOHN (3-310)

DIED: 4-20-99

DATE OF AUTOPSY: 4-22-99 @ 2:40 P.M.

DOCTOR: T.E.HENRY

PATHOLOGIC DIAGNOSES:

1. Multiple gunshot wounds

A. Fractures of skull and cervical spine

B. Lacerations and contusions of the brain and cervical cord

C. Subdural and subarachnoid hemorrhage

D. Pulmonary congestion and edema, mild

E. Perforation, left eye

OPINION:

Death was due to multiple gunshot wounds.

TOWNSEND, LAUREN DAWN

AUTOPSY REPORT

JCCO [You must be registered and logged in to see this link.]

PATHOLOGICAL DIAGNOSES:

1. Penetrating shotgun (pellet) wound to the trunk with:

A. Entrance, lower chest.

B. Recovery of pellets (2 in number), spine at the level of the third thoracic vertebral body and subcutaneous tissue of the left back.

C. Fractures of the lower sternum and spine (as above) without injury to the spinal cord.

D. Perforating lacerations of the pericardium, heart and upper lobe of the left lung.

E. Associated hemopericardium, hemomediastinum and bilateral hemothoraces.

2. Penetrating gunshot wounds (2 in number, overlapping paths) to the trunk with:

A. Entrances, left back.

B. Recovery of bullets, right pelvic region.

C. Perforating lacerations of the upper and middle lobes of the left lung, left hemidiaphragm, liver, small and large intestines.

D. Fracture of the right ilium of the pelvis.

E. Associated left hemothorax and hemoperitoneum.

3. Penetrating shotgun (pellet) wound to the head with:

A. Entrance, right ear and underlying occipital scalp.

B. Recovery of pellet, right mastoid process.

C. Fracture of the mastoid process and minimal associated hemorrhage.

4. Perforating gunshot wound to the right lower extremity with:

A. Entrance, posterolateral right thigh.

B. Exit, anterolateral right thigh.

C. Soft tissue injury only.

5. Perforating gunshot wound to the right upper extremity with:

A. Entrance, anterolateral right arm.

B. Exit, anterior right arm.

C. Soft tissue injury only.

6. Perforating gunshot wound to the trunk with:

A. Entrance, upper left hip.

B. Exit, left medial buttock.

C. Soft tissue injury only.

7. Perforating gunshot wound to the trunk with:

A. Entrance, lower left hip.

B. Exit, left lateral buttock.

C. Soft tissue injury only.

8. Penetrating gunshot wound to the trunk with:

A. Entrance, lower abdomen/pubic region.

B. Recovery of bullet, subcutaneous tissue of the lower abdomen/pubic region.

C. Soft tissue injury only.

9. Superficial shotgun (pellet) wound to the head with:

A. Entrance/exit, top of the head.

B. Scalp injury only without fracture of the skull or injury

This 18-year-old female sustained multiple firearm wounds at her high school. She was pronounced dead at the scene. Her death is attributed to multiple visceral lacerations due to multiple gunshot and shotgun wounds to the trunk. Other wounds to the head and extremities were also seen at autopsy. 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.

DENVER CORONER 660 BANNOCK ST. DENVER, COLORADO 80204-4507

FILE # 99-1578

NAME: VELASQUEZ, KYLE (10-306)

DIED: 4-20-99

DATE OF AUTOPSY: 4-22-99 @ 11:00 A.M.

DOCTOR: J.W.WAHE

PATHOLOGIC DIAGNOSES:

I. Perforating shotgun wound, left frontoparietal scalp and left shoulder

A. Seven perforating wounds, left frontal and parietal scalp

1. Cutaneous lacerations, left frontal and parietal scalp

2. Fragment of shot cuff and eight fragments of grey metal shot present within the cranial vault and associated scalp.

3. Fragment of the shot found in the upper back with associated intramuscular hemorrhage

II. Shotgun pellet wounds, three, back

A. Three wounds of entrance, back

B. Three fragments of orange metal gilded lead shot found within the back

C. No wound of exit

III. Exogenous obesity, 230 pounds

OPINION:

This teenage boy, Kyle Velasquez, died of perforating shotgun wounds to the head and upper back.

Thank you so much.

And this is too sad.

I had not seen the diagrams.

Thank you for this information and the diagrams. Those poor kids. It is so sad.

Terrible realization; Lauren was shot from both sides. She was shot in the left hip and left back coming from the left and in the right ear, coming from the right. I don't know she was alive for all of these shots but it's an awful thought all the same.

I apologize because I don't have the links but according to what I read, witness reports Lauren was dead when she was shot the second time around I think that is what made Val start yelling at Dylan.

I hate to sound ignorant but why were the full reports of Eric and Dylan released while the other 13 were not? There seems to be a lot more info on E and D.

Screamingophelia wrote:

I hate to sound ignorant but why were the full reports of Eric and Dylan released while the other 13 were not? There seems to be a lot more info on E and D.

There's a substantial amount of information in some and very little in others. I would guess that reflects the specific wishes of the families.

Why did they all experience early decomposition? Because they were left laying in a presumably heated+climate controlled environment inside the school?

Wumselito wrote:

Why did they all experience early decomposition? Because they were left laying in a presumably heated+climate controlled environment inside the school?

They were left laying for hours, so I assume that did have a huge impact in regard to the decomposition.

This is also why their exact times of death were/is hard to pinpoint. The medical examiners likely guesstimated as close as they could to the actual time.

Going through these autopsies is tough considering how young they all were

Wumselito wrote:

Why did they all experience early decomposition? Because they were left laying in a presumably heated+climate controlled environment inside the school?

I am no medical expert but decomposition starts pretty much immediately after ones heart stops, so even if they were lying there for few hours that's enough already for ones cells to start loosing structural integrity (no bloodstream, carbon dioxide in cells builds-up as it is not carried away). I don't think this early decomposition despite how horrendous it sounds is pretty much anything else than change in color of your skin, stiffness of muscles (rigor mortis) and possibly appearance of some spots on your skin as the cells start to decompose. All of this can take place in several hours (somewhere between 3-6) depending on humidity, temperature and god knows what else.

Ericklebold99 wrote:

Going through these autopsies is tough considering how young they all were

Yea it is, I was surprised to find full reports on some of the victims here as previously I had thought that only full autopsies of Dylan and Eric were available. Some of those full reports are quite gruesome, like Eric's when you realized he had shot pretty much all of his brain out of his own head, Full autopsies of Cassie and Kyle would have been probably equally disturbing given the fact Kyle was hit in head repeatedly and Cassie was hit from point blank into head by shotgun. :/