8 Memorial Medical Court, Suite 1 Greenville, SC 29605 (864) 295-3492 tel (864) 295?4817 fax 11. Report of Findings NAME: HAMMOND, Zachary AUTOPSY Private AGE: 19 RACE: White SEX: Male PHYSICIAN: James Fulcher, MD. PROVISIONAL ANATOMIC DIAGNOSES TWO GUNSHOT WOUNDS OF TORSO. Upper wound enters at posterior shoulder, fractures scapula, and injures areas of the brachial plexus, subclavian artery and vein, with copious soft tissue hemorrhage. Per report, bullet ends its path under the same-sided clavicle. Second wound enters the posterior left ?ank. The projectile passes through the chest cavity, wounding the bilateral lungs and heart. The projectile exits the body at a shored exit wound on the right anterior ?ank. EVIDENCE OF PREVIOUS AUTOPSY, INCLUDING INCISION AND CURVILINEAR INCISION OF UPPER BROW. Multiple organs are sectioned, with various portions removed for stock jar purposes. HAMMOND, Zachary 84 Page 2 CAUSE OF DEATH: Gunshot wounds of torso. MANNER OF DEATH: 1? James Fulcher, 4~ 2015 Medical Examiner Michael Ward, 4. 2015 Chie Medical Examiner HAMMOND, Zachary Page 3 PROTOCOL An autopsy is performed on a body identi?ed as that of Zachary Hammond at the Greenville Memorial H05pital, Greenville County, South Carolina, on the 30th day of July 2015. EXTERNAL EXAMINATION: The body is that of a well developed, well nourished, teenage Caucasian male who weighs 121 pounds, is 69 inches in length, and appears compatible with the reported age of 19 years. The body bag is labeled with the decedent?s name; however, there is no identi?cation on the body itself. The body is received unclothed with a towel over the groin, and a blue sheet covering the entire body. The body is cold to the touch. Rigor mortis is absent. Fixed purple-red livor mortis extends over the posterior surfaces of the body, except in areas exposed to pressure. The scalp hair is brown. The irides are green. The pupils are bilaterally equal at 0.5 cm. The cornea are clear. The sclerae and conjunctivae are unremarkable. The nose and ears are not unusual. The teeth are natural. The neck is unremarkable. The thorax is well developed and symmetrical. The abdomen is ?at. The anus and back are unremarkable. The penis is circumcised. The testes are bilaterally descended within the scrotum. The upper and lower extremities are well developed and symmetrical, without absence of digits. The hands are received un?bagged, with copious ?nger print ink. No injuries are noted. Identifying marks and scars include: Tattoo, left posterior arm. There is no evidence of medical intervention. HAMMOND, Zachary 1 5?3 84 Page 4 EVIDENCE OF INJURY PENETRATING GUNSHOT WOUND OF LEFT SHOULDER On the posterior left shoulder, centered 9 inches from the top of the head, 6-1/2 inches left of posterior midline, and 4 inches superior to the same?sided axillary cleft is a rounded 3/8 inch gunshot wound of entry with a 1/ 16 inch circumferential abrasion that extends from the 6 to 12 o?clock position of the wound. The projectile penetrates skin and subcutaneous tissue, to create a large and irregular fracture of the scapula. The wound path and additional portions of bone protrude into the subclavian vein, artery, and portions of the brachial plexus, with signi?cant penetration into the musculature of the shoulder, including the deltoid. There is copious soft tissue hemorrhage throughout this wound. There appears to be no signi?cant injuries to the internal thoracic organs in this wound path. Per report, a projectile is recovered at previous autopsy, underlying the same?sided clavicle. PERFORATING GUNSHOT WOUND OF LEFT FLANK On the lateral left ?ank, centered 17 inches from the top of the head, 5-1/2 inches left of anterior midline, and 4?1/2 inches inferior and lateral to the same?sided nipple, is a 1/2 3/8 inch ovoid gunshot wound of entry, with circumferential 1/16 inch abrasion. The projectile penetrates skin and subcutaneous tissue, to enter the chest cavity between the 61h and 7th ribs. The projectile then presumably penetrates through the bilateral lungs and heart, based on residual sections of tissue identi?ed at autopsy. The projectile then exits the chest cavity between the right 6th and 7th ribs, and exits the body at a shored 1/2 1 inch gunshot wound of exit, which shows a prominent 1/4 inch abrasion from the 6 to 12 o?clock position. This abrasion shows prominent drying artifact. This wound is centered 21-1/2 inches from the top of the head, 4?1/2 inches lateral and inferior to the same? sided nipple, and 4?1/2 inches right of anterior midline. No projectile is recovered at second autopsy. Per report, this projectile was recovered in the decedent?s motor vehicle, in the passenger seat. The direction of wounding is left to right, downward, and back to front. Measuring along the curvature of the body, these wounds are located 12 inches from each other, with the second wound being more inferior and anterior to the ?rst. INTERNAL EXAMINATION BODY CAVITLES: The body is status post previous autopsy. No adhesions or abnormal collections of ?uid are in any of the body cavities. The subcutaneous fat layer measures 1 cm. HEAD (CENTRAL NERVOUS SYSTEM): The brain has been previously sectioned. The dura mater and falx cerebri are largely left inside of the skull and appear intact. The leptomeninges that cover portions of the sectioned brain are unremarkable. Portions of the brain including the cerebral hemispheres, cerebellum, and brainstem are identi?ed and appear unremarkable. The spinal cord is not examined. HAMMOND, Zachary 84 Page 5 NECK: Examination of the soft tissues of the neck, including strap muscles and large vessels, reveals no abnormalities. The larynx has been previously removed and sectioned. The hyoid bone and tongue are intact and in the anatomic position. These are removed and are unremarkable. The ?rst gunshot wound ends its path below the clavicle, and there is no injury to the musculature of the neck. CARDIOVASCULAR SYSTEM: The residual heart tissue weighs 120 grams. This includes the inferior portion of the heart, sectioned per direction of blood ?ow. A small area of hemorrhage and lacerated tissue is identi?ed at a line of dissection, at the lateral left ventricle. Large portions of the atria and some of the valves of the heart are removed and not present at second autopsy. RESPIRATORY SYSTEM: The right and left lungs weigh 200 grams each. The lungs have been previously sectioned. The pleural surfaces are smooth, glistening, and unremarkable. The pulmonary shows focal areas of hemorrhage, consistent with wound path. The pulmonary arteries appear focally wounded and show hemorrhage, also consistent with wound path. LIVER AND BILIARY SYSTEM: Residual portions of liver weigh 900 grams. The hepatic capsule is smooth, glistening, and intact, covering a red?brown Fragments of gallbladder are present and are unremarkable. ALIMENTARY TRACT: The esophagus is lined by a gray?white smooth mucosa. The esophagus is longitudinally sectioned and is unremarkable. The gastric mucosa is arranged in the usual rugal folds, and has been previously opened at the greater curve. There are approximately 5 cc?s of luminal contents present, and appear to be mostly bread?like product. The small and large bowel are unremarkable. The appendix is present. The colon contains formed stool. The pancreas has a normal gray-white lobulated appearance and the ducts are clear. GENITOURINARY TRACT: The right and left kidneys have been previously sectioned and weigh 60 grams each. Residual portions of renal capsules are smooth, thin, semitransparent and strip with case from the underlying smooth, red-brown, ?rm cortical surfaces. The cortices are sharply delineated from the medullary pyramids. The calyces, pelves, and ureters are unremarkable. The urinary bladder has been previously opened and contains no urine. The mucosa is gray~tan and smooth. The testes and prostate are unremarkable. RETICULOENDOTHELIAL SYSTEM: The spleen weighs 100 grams and has been sectioned. Residual sections show a smooth intact capsule covering a red?purple moderately ?rm The splenic follicles are unremarkable. The regional nodes appear normal. The bone marrow is red?purple and homogeneous without evidence of focal abnormality. ENDOCRINE SYSTEM: The pituitary, thyroid and adrenal glands are unremarkable. MUSCULO SKELETAL SYSTEM: The bony framework, supporting musculature, and soft tissues are not unusual. HAMMOND, Zachary A-15-3 84 Page 6 Biological ?uids and/or tissue samples have been retained as part of the aut0psy process to determine cause and manner of death. MICROSCOPIC EXAMINATION SKIN (GUNSHOT WOUND Skin, subcutaneous tissue and deep soft tissue including prominent sebaceous glands show no skin surface granular foreign material. There are multiple fragments of bone present in the wound path. Focally there are foreign polarizable materials, some which have a Maltese cross starch granule appearance, and others with a rhomboid appearance. SKIN (GUNSI-IOT WOUND Skin with no grossly Visible gunpowder residues. Section of deep skeletal muscle shows hemorrhage but no identi?able gunpowder residues. Focally there are foreign polarizable materials, some which have a Maltese cross starch granule appearance, and others with a rhomboid appearance. INSECT ACTIVITY (ANT BITES), BACK: Focal epidermal disruption. SKIN (EXIT WOUND): Skin and subcutaneous tissue showing prominent hemorrhage. HEART AT DISRUPTION: Unrernarkable myocardial tissue. Minimal chronic interstitial in?ammation. LIVER: No signi?cant histopathologic abnormality. KIDNEY: No signi?cant histopathologic abnormality. LUNG AT DISRUPTION: Prominent hemorrhage. Section of bone debris, likely secondary to projectile carry-through. TISSUE NEAR CLAVICLE: Subcutaneous fat with hemorrhage. Fibrous tissue with intervening hemorrhage. BLOCK SUMMARY #1 Skin (Gunshot Wound #2 Skin (Gunshot Wound #3 Insect Activity (Ant Bites), Back #4 Skin (Exit Wound) #5 Heart #6 Liver #7 Kidney #8 Lung #9 Tissue at Clavicle HAMMOND, Zachary Page 7 OPINION The decedent was a 19 year old white male who sustained two gunshot wounds to the left posterior shoulder and left ?ank. Per report, this occurred while the decedent was seated in a motor vehicle, and shot through an open driver?s side window. Gunshot wound #1 signi?cantly injures the subclavian artery and vein, and gunshot wound #2 causes signi?cant wounding to the heart and lungs. The general direction of wounding in both injuries is from left to right and back to front. There is no evidence of pre?existing natural disease at autopsy. in this case, it will be critical to evaluate the shirt, as to ascertain range of ?re. The foreign material present microscopically in the wound paths likely represents fragments of clothing treatments that were drug into the wound path by the projectiles. The ?ndings at autopsy are consistent with the decedent being seated in a motor vehicle and being shot from the side of the vehicle through an open driveris side window. It is not reasonable that this decedent would have suffered these injures in these anatomic locations had the decedent been shot Jfrom either the rear or the front of the vehicle. Toxicological samples including femoral blood and vitreous humor are obtained and held for potential testing. This report is pending additional investigation, including scene report from South Carolina Law Enforcement Division, and SLED toxicology and analysis of the decedent?s clothing, particularly the shirt.