HomeMy WebLinkAboutCoroner Report - Gonzalez_Redacted_Part2GONZALEZ, Jessica
ORANGE COUNTY SHERIFF-CORONER
AUTOPSY REPORT
13-02615-BB
Page 10
HEPATOBILIARY SYSTEM: The liver weighs 1110 grams and is not significantly
enlarged. The intact capsule is smooth and glistening. The red-brown cut
surfaces are uniform without mass, hemorrhage, or palpable fibrosis.
The gallbladder contains 80 ml of yellowish-green bile and no stones. The
yellowish-green mucosal surfaces are glistening and unremarkable.
The pancreas appears smaller than usual, but has the usual shape. The cut
surfaces reveal the usual tan-pink, firm, lobulated parenchyma.
HEMOLYMPHATIC SYSTEM: The spleen weighs 130 grams and is not
significantly enlarged . The intact capsule is smooth and glistening. The maroon
cut surfaces are firm and uniform.
ENDOCRINE SYSTEM: The thyroid gland is not enlarged, and the lobes are
symmetrical. The red-brown cut surfaces reveal firm and uniform parenchyma.
The adrenal glands are of average size and shape, and the cut surfaces reveal
thin, uniform, yellow cortices without mass or hemorrhage. The pituitary gland is
not enlarged .
GASTROINTESTINAL SYSTEM: The esophagus is patent, and the
gastroesophageal junction is unremarkable. The stomach contains 5 ml of
pinkish-yellow mucoid fluid with no food particles. There are no medications or
pill fragments identified. The gastric and duodenal mucosa are unremarkable.
The pylorus is patent and does not appear hypertrophied. The small intestine,
large intestine, and appendix are unremarkable to inspection and palpation. The
colon contains a large amount of pasty, thick green fecal matter.
GENITOURINARY SYSTEM: The right and left kidneys weigh 100 and
120 grams, respectively. They have normal shapes and positions. The cortical
surfaces have minimal fine granularity, but no deep scars. The cut surfaces
reveal unremarkable corticomedullary junctions. The ureters and pelves are not
6/27/2013 bl (13547) Etoi M. Davenport, M.D., Forensic Pathologist
GONZALEZ, Jessica
ORANGE COUNTY SHERIFF-CORONER
AUTOPSY REPORT
13-02615-BB
Page 11
dilated or thickened. The bladder contains 5 ml of yellow urine. The bladder
mucosa is tan-pink and glistening. The bladder wall does not appear
hypertrophied or thickened.
The bilateral fallopian tubes, ovaries, and the uterus are grossly unremarkable.
Cut sections of the uterus reveal unremarkable myometrium and endometrium.
NECK: The tongue, strap muscles, and pharyngeal constrictors are grossly
unremarkable and free of hemorrhage. The hyoid bone and other bony structures
of the neck are free of palpable fractures. The airway contains an endotracheal
tube and a thin film of pink mucoid fluid. The mucosal surfaces are tan-pink and
glistening.
MUSCULOSKELETAL SYSTEM: The musculoskeletal system is well-developed.
The ribs are not palpably brittle. The skeletal muscle is dark-red and firm.
There is a gunshot defect of the lateral right 4th intercostal space. There is
another gunshot defect of the posterolateral right 4th rib (with an associated
internal beveling). There is a gunshot defect of the lateral 6th intercostal space
and ]11'1 rib (with an associated fracture and internal beveling). There are gunshot
defects of lateral right T12 bony spinal column, and lateral left L 1 bony spinal
column. There is a fracture identified of the right ulna on an x-ray of the right
forearm.
HEAD: Reflection of the scalp does not reveal subgaleal hemorrhages. The
calvarium is intact and normally configured. There are no epidural hemorrhages,
subdural hemorrhages, or basilar skull fractures.
CENTRAL NERVOUS SYSTEM: The unfixed brain weighs 1220 grams. The
leptomeninges are thin, transparent, smooth, and glistening. There are no acute
subarachnoid hemorrhages, exudates, or cortical contusions identified. There is
no evidence of herniation identified. The arteries at the base of the brain are
intact and free of significant atherosclerotic changes or aneurysms.
6/27/2013 bl (13547) Et~hologist
GONZALEZ, Jessica
ORANGE COUNTY SHERIFF-CORONER
AUTOPSY REPORT
13-02615-BB
Page 12
Cut sections of the cerebral hemispheres reveal an intact, uniform cortical ribbon.
The basal ganglia, thalami, hippocampi, and other internal structures are
symmetrical without focal changes. The white matter is uniform and
unremarkable. The ventricles are not dilated, and the linings are smooth and
glistening. Cut sections of brainstem, midbrain, and cerebellum show intact
structures without focal lesions.
The spinal cord is excised from the cervical to lumbar region . There is a
moderate to marked amount of distal thoracic and lumbosacral surrounding
spinal cord hemorrhage (epidural, subdural, and subarachnoid hemorrhages).
Within this area of the lumbar spinal cord are traumatic injuries with pulpifaction
and hemorrhage of the lumbar spinal cord. The remaining length of the spinal
cord is free of significant evidence of injury.
6/27/2013 bl (13547) ~
Etoi M. Davenport, M.D., Forensic Pathologist
GONZALEZ, Jessica
ORANGE COUNTY SHERIFF-CORONER
AUTOPSY REPORT
SPECIMENS RETAINED
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Page 13
TOXICOLOGY: Samples of vitreous humor, blood, urine, gastric contents, and
brain are retained for toxicology purposes.
HISTOLOGY: Representative tissues are retained in the stock jar.
PHOTOGRAPHS: Digital photographs are taken by a forensic photographer.
Evidence is collected by a forensic criminalist.
X-RAYS: X-rays of the body reveal the bulk of the radiopaque projectile within
the left midline spinal region and small tiny fragments of the right forearm.
6/27/2013 bl (13547) Etoi.Oavenport,Mensic Patholog ist
GONZALEZ, Jessica
ORANGE COUNTY SHERIFF~CORONER
AUTOPSY REPORT
PATHOLOGIC DIAGNOSIS
I. Multiple blunt force injuries:
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Page 14
A. Minor contusions of the neck, bilateral lower extremities, and the
left forearm.
B. Minor abrasion of the right cheek.
II. Tangential gunshot wound of ventral right forearm:
A. X-ray of right forearm reveals two tiny fragments of radiopaque
projectile.
B. An indentation and fracture identified of the right ulna on x-ray.
Ill. Penetrating gunshot wound of ventral lateral right arm:
A. Entry: Ventral lateral right arm.
B. Exit: Ventral medial right arm.
C. Re-entry: Lateral right chest/axilla.
D. Perforates right lung, right hemidiaphragm, and becomes lodged
within left lumbar spine.
E. Bullet: Recovered from left lumbar spine (L 1-L2).
IV. Perforating gunshot wound of right back:
A. Entry: Upper right back.
B. Perforates right lung, grazes the heart, and perforates left lung
before exiting the left chest.
C. Exit: Inferior medial left breast.
V. Perforating gunshot wound of left back:
A. Entry: Lateral left back.
B. Perforates left lung, midline left hemidiaphragm, lumbar spinal
column and spinal cord, and exits the midline right back.
CAUSE OF DEATH: Multiple gunshot wounds.
6/27/2013 bl (13547)
GO NZALEZ, Jessica
'COUNTY OF ORANGE
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HEART:
ORANGE COUNTY SHERIFF-CORONER
HISTOLOGY REPORT
MICROSCOPIC EXAMINATION
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Page 1
Sections of the heart have mild patchy interstitial hemorrhage, but no
evidence of significant fibrosis or inflammation.
LUNGS:
Sections of the lungs have extensive patchy areas of atelectasis, and other
areas of intra-alveolar space hemorrhage. There is no evidence of
significant fibrosis, or malignancy.
LIVER:
A section of liver reveals minimal microvesicular steatosis and most portal
tracts with scattered and grouped lymphocytes and associated atypical
hyperlobated neutrophils. This inflammatory process extends to involve the
adjacent parenchyma (piecemeal necrosis or interface hepatitis}, and is
found in the centrilobular areas with associated pyknotic hepatocytes and
necrosis.
BRAIN:
A section of brain has leptomeningeal edema with foci of red blood cells and
lymphocytes (meningitis). There is also minimal to mild patchy areas of
subarachnoid hemorrhage, and evidence of cerebral edema with vacuolated
spaces within the parenchyma, surrounding individual cells, and surrounding
vessels.
8/5/2013 bl Etoi M. Davenport, M.D., Forensic Pathologist
CLIENT INFORMATION
450
Orange County Sheriff-Coroner
Attn: Lesley Trejo
1071 W Santa Ana Blvd
County of Orange Health Care Agency
PUBLIC HEALTH LABORATORY
PATIENT INFORMATION
NAME: Gonzalez, Jessica
BIRTHDATE:
AGE: 35 years
RICHARD C. ALEXANDER
Laboratory Director
ORDER INFORMATION . ·-
MAN: 1000-13-2724
OPI: 13-02615-BB
PHYSICIAN:
Santa Ana, CA•Califomia 92703 GENDER: Female ACCESSION #: 13-1n-01ss
S E R O L O G Y
Hepatitis B Surface Antigen Testing
Collection Date: June 26, 2013
Procedure
Hepatitis C Testing
Collection Date: June 26, 2013
Procedure
1729 W 171h Street > Santa Ana o California o 92706 v MAIN (714) 834-8385 v FAX (714) 834-7968 1/3JI ~JI..
Printed: 6/28/2013 3:10·50 PM '-..L)
·---
OC CRIME LAB
County Executive omcc • District Auomc) • Sheriff • CRIME LAB REPORT OF POST MORTEM PHOTOGRAPHY
•••••• •••~n·, 1u11., .......
VICTIM: Gonzalez, Jessica
SUSPECT:
CRIME: OIS DATE: 06/23/2013 DEPT: DA
FR#: 13-48764
CORONER: 13-0261 SBB
DR#:SA 13-0015
On 6/26/13, at 0900 hours, I took 80 autopsy photographs of the above named deceased at the Coroner·s
Division Facility. The photographs were taken at the request of Dr. Davenport. Labeled images are
available upon request.
Aide Sahagun,~nsic Specialist
cc: Coroner JUL O 1 2013 LXB
DA
JUL O 1 2013 LXB
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An ASCLD , LAB-/111ematio11a/ accredited labm·atory
Date
Date
Page I of I
HERi FF-CORONER FACILITY HISTORY COUNTY OF ORANGE
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Name DOE Elo~ Jane Jes\cA
(LAST) (FIRST)
Ht.ls_
(INITIA11
3S-Wt. 7 !13-02615! Age Sex Female Race Hispanic
How Identified V \ 'SU Q.\ By CDL Date 13-02615-BB
Date of Death 06/23/2013 Time 08:55:00 0 EST 0 FD
PLACE OF DEA TH ' I '
UCI Medical Center \
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(Include hospital admission date and time when applicable) 06/23/2013 08:50 :00 ,
PROBABLE
CLASSIFICATION: 0 NATURAL □ACCIDENT ~ HOMICIDE 0 SUICIDE D TRAFFIC 0 010 0 INCUSTODY
COMMENTS ~&~ -o-.c..s
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LAW ENFORCEMENT AGENCY
Primary Agency Santa Ana Police Deeartment Report# 13-R-lfq,S-Det/lnv
Other Agency 1)~ Report# 15 -(J)/ ~ Det/lnv
INSTRUCTIONS ~PROCESS PER PROTOCOL 0 HOLD POST 0 POSSIBLE CHARGES PENDING 0 Do Not Undress
0 Do Not Print/pend GSR 0 GSR completed Kit 0 Take Tox O Embalm after post/per
Speclal Instructions:
D Contamlnated/Contaalous
EVIDENCE RECEIVED BY FSC:
D Ante-mortem blood sample By: From Date Time
□ By: From Date Time
AUTOPSY NOTIFICATIONS:
t ·Co,:iference Date Time Pathologlat
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f D/S0 DeUlnv Phone By Date / Time
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CSD/Jall Doctor Phone By Date /Time
D other Phone By Date/Time
O other Phone By Date /Time A