Coroner Report - Gonzalez_Redacted_Part1

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GONZALEZ, Jessica ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT 13-02615-BB Page9 epicardial fat. There is patchy epicardial hemorrhage surrounding the gunshot defect of the inferior lateral left ventricle. This defect measures 4.5 x 3.5 cm and has multiple lacerations that extend full thickness into the left ventricular cavity. The coronary arteries have normal origins and distribution with right dominance. They have no significant atherosclerotic changes and are all widely patent. There is hemorrhage with patchy pulpifaction of the anterolateral left ventricle , but otherwise the intact endocardium is smooth and glistening. The ventricles do not appear dilated. The cardiac valves are of normal numbers, intact, and free of vegetations. The tricuspid valve measures 10.6 cm, the pulmonic valve measures 5.6 cm, the mitral valve measures 8 cm, and the aortic valve measures 6.1 cm in circumference. The right ventricular wall measures 0.4 cm, the left ventricular wall measures 1.8 cm, and the septum measures 1.8 cm in average thickness. The intervening red-brown myocardium is uniform without gross evidence of fibrosis or hemorrhage (with the exception of the area of the gunshot defect described above). The aorta follows its usual course, and has no significant atherosclerotic changes throughout its length. There are no vascular anomalies or aneurysms identified. The pulmonary arteries and venae cavae are free of thrombi or emboli. RESPIRATORY SYSTEM: The right and left lungs weigh 280 and 220 grams, respectively. They have normal lobation, and the pleural surfaces are smooth and glistening (with the exception of the gunshot defects), with mild anthracotic changes. There are gunshot defects of the right upper lobe, the right middle lobe and the inferior edge of the left lung lingula. There is surrounding associated parenchymal hemorrhage and a subpleural hematoma of the superior aspect of the right lower lobe. The lungs appear collapsed (hypoexpanded) with decreased crepitus throughout all lobes (left greater than right side). Cut sections of the bilateral lungs reveal pink parenchyma with areas of dark-red hemorrhage (within the areas of the gunshot defects and subpleural hematoma described above). The lungs do not exude any significant amount of fluid. There are no consolidations or enlargement of the air spaces identified. The bronchi contain a thin film of pink mucoid fluid. The mucosa! surfaces are tan-pink and glistening. 6/27/2013 bl (13547) Etoi ~athologist