Short Study File #38
Note: Translation of document following scanned page
Note from Christina Masewicz: Translation of the above document as I read it to be
The part marked above is bold in the translated copy
Note: The above document is taken in part from the autopsy of Colette MacDonald
right chest approximately 3 cm from the midline over the 4th intercostal space. This measures approximately 1.5 cm in length. There are 21 small puncture wounds present on the anterior chest, most extensive over the left precordium. There are small, measuring approximately 1 cm and are surrounded by a small ecchymotic discoloration. Three similar puncture wounds are noted on the left anterior upper area. The breast
LUNGS: The right and left lungs weigh 210 and 175 grams respectively. The right lung reveals a small defect in its anterior surface measuring 1 cm in length and approximately 1.5 cm in depth. The edges are sharp and surrounding parenchyma hemorrhage is seen. The dependent portions of this lung reveal some congestion, however no other lesions are identifiable. The pulmonary arteries are free of thrombo-emboli and the bronchial system contains a thin, bloody fluid. Examination of the left lung reveals two incisional defects located on the anterior medial surface of the upper lobe approximately 1 cm and 2.5 cm from the margin. These measure approximately 1.5 cm in length and the lateral wound is about 1.5 cm in depth. There are four round defects with underlying parenchyma hemorrhage immediately superior to the laceration. Each measures approximately 3 cm in greatest diameter. Sections through the parenchyma reveal a smooth gray-tan, homogeneous appearance without evidence of infiltrate or extensive parenchyma hemorrhage. The small bronchi contains a frothy, bloody material
THORACIC CAVITY: The body is opened with the usual Y-shaped incision. The external rib cage reveals several penetrating incisional wounds extending down into the underlying tissues. The largest defect is present on the left precordium and the second rib is completely transected at its cartilaginous junction. A second defect is noted on the right precordium over the 4th anterior rib extending through this cartilaginous portion. The left thoracic cavity contains approximately 1000 cc of liquid blood and approximately 500 cc is present in the right pleural cavity. The superficial parietal pleura covering the anterior lung surface reveals several penetrating wounds which extends approximately 2.5 cm into the lung parenchyma. The right lung has one penetrating wound and the left lung has three penetrating wounds. All are directly beneath the skin wounds. Several superficial ecchymotic areas are clustered over the anterior left lung, near the midline at the level of the second and third ribs, representing the puncture wounds.