Case# 2015-1140 MEDICAL REGISTER CITY AND COUNTY OF SAN FRANCISCO - RECORD OF DEATH Name: WOODS, MARIO Alias: DOE #127, JOHN ADDRESS: 25 ESSEX STREET #710 SAN FRANCISCO CA 94105 DATE OF DEATH: 12/02/2015 TIME: 4:44 PM REPORTED BY: SFFD MEDIC 65 LOCK DATE OF REPORT 12/02/2015 TIME: 4:59 PM REPORTED PHONE: PLACE OF DEATH: IFO 2911 Keith Street ZIP: 94124 TYPE OF CASE: OFFICER INVOLV DATE AND TIME OF INCIDENT: 12/02/2015 PLACE OF INCIDENT: IFO 2911 Keith Street ZIP: 94124 NEXT OF KIN: DATE NOTIFIED 12/03/2015 BIRTHDATE: 07/22/1989 AGE: 26 608?28-3928 SEX: MALE RACE BLACK RECEIVED AT MEDICAL EXAMINER: 12l02/2015 TIME: 7:53 PM RELEASED TO: Duqqan Welch FUNERAL DIRECTOR RELEASED DATE: 12I08I2015 TIME: 16:05 RECEIVED By; CLOTHING RECEIVED: No RELEASE SIGNED BY RELATIONSHIP: PARENT POUCH: YES RESIDENCE PROPERTY LISTING INITIALS EVIDENCE LISTING INITIALS 3 US DOLLARS GW 1 GSR KIT 2 HANDBAGS 1 POUCH SEAL #21545 42 SCENE PHOTOS 1 WALLET MISC CARDS SFGH MEDICAL RECORD vav-ivv VERIFIED BY: DATE: PUBLIC ADMINISTRATOR: DATE NOTIFIED: PLACED IN BOX RECEIVED AMOUNT: 53.00 7939 RECEIVED BY: RELATIONSHIP: RECEIVED BY: RELATIONSHIP: BODY SEARCHED BY: MICHAEL HOOGASIAN AT: SCENE PREMISES SEARCHED BY: SFPD PRIOR TO ME AT: SCENE PREMISES SEALED BY: SFPD PRIOR TO MEO A DATE: EXAMINATION: AUTOPSY PERFORMED BY: HUNTER M.D. EVIDENCE DISPOSITION: INVESTIGATORS: MICHAEL HOOGASIAN #126 KENDALL FUDIM #115 EGOING I HEREBY CERTIFY THAT THE FOR OF I I AND CORRECT COP '5 A RIGINAL. I 5 I I oaseii: ,7 71 Name: [vioops i alias: #127 Police Notified YES 77 . . . if Police_0ffice: Police_At_Scene: YES Ln Police_0fficer: GUZMAN #2066 Officer: GUZMAN #2065 Station: BAYVIEW Homicide_0ffice: SFPD 151-045-235 HorniCIdo Officer: CAGNEY #341 A ?2 Notification Date: 12102/2015 Date Notification Time: 17:20 Alla?of?cer: Nature: OFFICER INVOLV Fingerprints?Ta/kgn: WES iPalmprints_Taken: YES Taken_By: Taken Date: 12/03/2015w 12/63/2015 Match: ?Matchaitz 3623354"; To__C l__Date: i' 12/03/2015 Match: J?Matchi?: i Photos_Date: ifTaken?By: SEAEE NAME: WOODS MARIO PLACE OF DEATH IFO 2911 Keith Street POLICE NOTIFIED YES SFPD HOMICIDE NOTIFIED DATE SFPD 12/02/2015 MARITAL STATUS: UNMARRIED IDENTIFIED BY: FINGERPRINT COMPARISON FINGERPRINTS TAKEN PALMPRINTS YES YES TO SFPD DATE: 12/03/2015 SFPD 8623354 TO FBI DATE: 12/03/2015 FBI MATCH: FBI POLICE AT SCENE AT SCENE OFFICER YES GUZMAN #2066 SFPD 151-045-735 AIB or HR NOTIFIED: AIB OFFICER: CASE HISTORY Case#: MEDICAL REPORT CITY AND COUNTY OF SAN FRANCISCO - RECORD OF DEATH POLICE STATION NOTIFIED 2015-1140 Date/Time of Death: 12/02/2015 4:44 PM Age: 26 Sex: MALE Ht: 5'9" Wt: 156 Race: BLACK POLICE OFFICER GUZMAN #2066 HOMICIDE OFFICER 5:20:00 PM CAGNEY #341 SFPD ID BUREAU DATE: 12/03/2015 PRINTS TAKEN BY DATE 12/03/2015 TO CII DATE: 12/03/2015 CII MATCH: CII PHOTOS DATE: TAKEN BY: POUCH SEALED POLICE STATION BAWIEW AIB DATE: NATURE: OFFICER INVOLVED The subject is a year old black male with no confirmed identification or city of residency. He was declared deceased in front of 2911 Keith Street, in San Francisco after being shot during an incident involving the San Francisco Police Department. Information for this report was received from San Francisco Police Officer Guzman #2066 (filing incident report #151-045-735) and an on scene investigation. According to the report, the subject was reportedly involved in an altercation on 12102/2015 at approximately 1500 hours on the 6600 block of 3rd Street. While San Francisco Police were patrolling the area they located the subject. At some point the subject reportedly brandished a knife. The subject was ordered multiple times to drop the knife, but he did not respond to commands. Reportedly less than lethal projectiles were initially fired at the subject. After the subject did not drop the knife, he reportedly approached a San Francisco Police Officer, and was shot an unknown number of times by an unknown number of officers. Emergency services were summoned. San Francisco Fire Department Medic 65 Locks #1297 arrived and initiated resuscitation procedures, but was unsuccessful. The subject was declared deceased at 1644 hours on 12/02/2015. This Office was notified at 1659 hours, same date. Investigation at the Fitzgerald Avenue and 3rd Street location revealed the subject lying supine clad in cutaway street attire covered by a paramedic sheet. Due to the circumstances of this case San Francisco Homicide Inspector Cagney #341 and the San Francisco Police Department Crime Case#: 2015-1140 MEDICAL EXAMINERI REPORT CITY AND COUNTY OF SAN FRANCISCO - RECORD OF DEATH Scene Investigations were present on scene. Chief Medical Examiner Dr. Michael D. Hunter was notified and responded to the scene. Multiple shell casings and less than lethal projectiles were noted about the scene. A gunshot residue kit was performed, and the subject's hands were placed in brown paper bags and secured at the wrists with zip?ties. The pouch was secured with Medical Examiner's seal #21545 and the remains were transported to the Office of the Chief Medical Examiner for further examination. An external examination revealed evidence of multiple defects noted about the body. Bilateral tourniquets were noted on both of the legs. as well as the arm. Lividity was blanchable, and rigor mortis was absent. There were no other obvious signs of external trauma noted. Due to a lack of positive identification, the subject?s name, medical history, and next of kin are pending at the time of this report. INVESTIGATOR: MICHAEL HOOGASIAN #126 KENDALL FUDIM #115 Case#: 52015-1140 5 Status: 2 Name: alias: #127 JOHN Date: 12/03/2015 Time: 8:41 Contact_Person: Contact_Phone: Comments: On the above listed date. tin-oernrint comparison comoleted by San Francisco Police Department 7 I 1 Identification Bureau has confirmed John Doe #127 as "Mario Woods" (Date of birth: 07/22/1989). 2 Investigator: #126 Date: i 12/0372015 Time: 14:30 Cantact?Person: Contact_Phone: Comments: We subject's wallet and miscellaneous cards were moved from property to evidence. Investigator: MICHAEL #126 Case#: 2015717167 7 Name: 7 777MARIO 777i alias: #127 7' 7 JOHN Date: 7777?7 12/03/2015 Time: Contact_Person: HOMICIDE SGT.7 CAGNEY Contact_Phone: 77 Comments: 7 On the above listed date and time, an email was sent reguesting any available video footage capturingthe incident from any additional angles. ACTION: Response dated 12/3/2015 at 2230 hours from Sgt. Cagney indicates collected video and what has lbeen posted online is not significantly different. Sgt. Cagney further states that "any additional footage that collects that has evidentiary value will be evaluated to determine if it may assist in your hnvestigation" #101]. Investigator: J. Date: 17:? 12/04/?o? Time: 11:30 Contactherson: SGT. CAGNEY 7 '7 . 2?1 Contact_Phone: comments: On the above listed date and time, Deputy Director Wirowek emailed Homicide Sgt. Cagney requesting any additional videographic materials and information pertaining to firearms and ammunition used during incident. The number of casings collected, number of unspent rounds, and number of officers who fired their weapons was sought. Inquiry to determine if decedent was previously shot, and if so, were they are details regarding 5any prior incident. No response received at this time. On 12/04/2015 at 1201 hours, Deputy Director Wirowek received the following response from Sgt. ECagney with the notation the information was very "preliminary and not confirmed" due to CSI still completing 5further analysis. Reportedly all firearms and ammunition used during the incident were department issued (CSI has yet to {confirm at this time), and reportedly 27 casings were found at the scene (not confirmed by CSI report as of :yet, however CSI personnel report at the scene). Unspent rounds or projectiles recovered from the scene are ;unknown at this present time pending CSI analysis. An officer's magazine holds 13 rounds. and currently it is iunderstood all magazines were at capacity prior to the incident. Presently it is reported that 5 officers utilized [lethal force per officer statements to Homicide Bureau. Lastly, no additional video footage is available at this Etime giving a more clear view of the incident and the decedent. This information was provided to Chief Medical Examiner Michael D. Hunter MD. on 12/04/2015 for evaulation ofthe associated defects during autopsys?nma?on [Clyv?lL 2,7 . . Investigator: J. Case#: 127316-1149 7 Name: woopsm inn/BEL alias: loo_E#127 Date: 7 '712/07/2015 Time: 11:20 Contact_Person: Contact_P hone: Comments: On the above listed date and time, Deputy Director Wirowek spoke to Duggan's Funeral Service (Gina on behalf of Vaughn) and explained there was a need to maintain the body for further examination. Mr. Wirowek relayed he will be calling the PARENT to explain the necessary action. Deputy Director then called the PARENT and they were informed the body will likely be held until the following afternoon of 12/08/2015. Sincere condolences were relayed during this conversation, and the PARENT did not ask any questions at this time. A follow up telephone call to Duggan's Funeral was made to inform mortuary representative contact with the PARENT was successful. Funeral home was informed they would be contacted for early release if possible. ACTION: 12/08/2015 at approximately 1300 hours, funeral home contacted and notified of decedent's availabilty for release #101]. Investigator: ic?FtiSTor?ER J. i Date: 77?02105/20163 Time: 7?1506} ContacLPerson: Contact_Phone: Comments: On the above listed date and time, I reviewed selected photographs with the Medical Division of wounds associated with impact from non-penetrating firearm rounds (non?lethal rounds), wounds associated with fragments/shrapnel, and wounds to the left thigh, as well as a secondary review with the Medical Division of photos on 2/09/2016 at 1500 hours. Investigator: HUNTER, MD. #13 Case#: [2015-1140 i Name: alias: Esau? WEJOHN Date: 9;;792/079/2015 Time: 16:30 Contact_P hone: Comments: On the above listed date and time, Homicide Division Lt. Alexa O'Brien was contacted via telephone at her request to discuss toxicology results. I if Contact_Person: LT. Investigator: MICHAEL D. H?mm? Date: (52/11/20 3?77 716 l7 Time: 1k? Contact_Person: PARENT Contact_Phone: 7 if Comments: if 7 the abovmd dateianiditlm'e, Deputy Director Christopher a message with the [requesting a return telephone call. No response received at this time. On 2/11/2016 at 1206 hours, ATTORNEY representing the PARENT contacted the Deputy Director on their behalf. The Attorney was advised that the report would become available possibly today before close of business. He confirmed the PARENT did wish to receive the Medical Examiner Business Report when available. His email address was provided for the report production. and the ATTORNEY confirms he will make the records available for the PARENT's review. Pursuant to City Administrative Code 8.14, the Chief Medical Examiner or his designee may waive associated charges for Medical Examiner business related expenses. The applicable charges pertaining to the reproduction of the work product of this business record has been waived for this family. Investigator: J. WIROWEK Case#: 2015-1140 1 Name: WOODS ?MAVerio alias: #127 JOHN Date: if 02/11/2016} Time: 77712713} Contact_Person: Contacth hone: Comments: StatuszC?OSED I [Check for moneyrin property sentrtoV mother. Investigator: 2015?1140 .- . I WOODS DOE #172]- Mi 7- MARIO JOHN Homicide .- 12/08/2015 . Firearm - AUTOPSY HUNTER 02/11/2016 CAUSE OF DEATH: MULTIPLE GUNSHOT WOUNDS ,Dta". R9P9rtm Attach Picture View Photo '1 ?View Rpm"! Print Report CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 Age: 26 Height: 5' 9" Weight: 156 lbs. PRELIMINARY EXAMINATION: The body is that of a muscular appearing young black male, received in a properly labeled and secured body bag with an attached Medical Examiner?s seal bearing 21545 and a Medical Examiner Identi?cation tag bearing the designation ?John Doe #127? and associated Medical Examiner case number, both of which are positioned within the outer securing zipper. The seal is broken at 0658 hours on 12/3/2015 for initial body processing. Paper bags are positioned about both hands for evidentiary recovery purposes, and the body is received with a gunshot residue collection kit, detached portions of incised tan slacks, and a detached baseball-style hat. The decedent is received clothed in an outer black jacket, mid-layered black T-shirt, inner layer black thermal shirt, blue boxer brief type underwear, teal and black athletic style shoes, and white socks. Numerous defects involve the slacks, underwear, and clothing of the torso corresponding with gunshot wounds which will be described below. No soot or gunpowder material is identi?ed grossly on any of the clothing. A single elastic rubber-band is present on the left wrist. There are no items of jewelry present on the body. Rigor mortis is well developed in the larger muscle groups of the upper and lower extremities, and smaller muscle groups of the neck and jaw. Blanching lividity is faint, and posterior, and the body is cold to the touch. Blood is present on the face, within the scalp hair, distributed multifocally on the clothing of the torso and lower body, and is evident on both hands. Prior to cleaning of the body, multiple items are obtained and placed in evidence including swabs from the front and back of both hands, ?ngernail clippings from both hands, bags with plastic ?zip-tie? cable straps from both hands, pulled scalp hair standards, Medical Examiner pouch seal, and the collected gunshot residue sampling kit. EVIDENCE OF MEDICAL THERAPY: - Yellow mouth guard - Pacer pads on the torso - Adhesive dressing, right upper chest/clavicular region - Adhesive dressing with gauze, lower right abdomen - Tourniquet, upper left arm - Tourniquet, upper right leg - Pressure dressings ?wrap-tuck? with associated gauze dressing on both mid to upper thighs EXTERNAL EXAMINATION: The scalp is covered by medium length curly black hair. The nasal bones and facial bones are intact on palpation. The irides are brown, the conjunctiva and sclera are white without hemorrhages and exhibits Tache Noir type drying artifact in the left eye, and the pupils are equal and intermediate in size. A short collection of hair is on the upper lip and on the inferior crease of the lower lip. Stubble is on the face and upper neck.? The oral mucosa is Page 1 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 tan, smooth, moist, and the upper and lower frenula are intact. The teeth are natural, intact, and are in good repair. The neck contents are midline. The chest and abdomen are both symmetric, without identi?able surgical scars. Striae are evident in both axillary creases. The upper and lower extremities are normally formed with a normal distribution of associated soft tissues. The ?ngernails are intact other than for that of the left thumb gunshot injury, extend on average 1 to 2 mm past the ?ngertips, and contain dark, gritty material within the nailbeds. The toenails are normal. The vertebra is in the midline of the back with a 1.5 cm oval scar on, the upper right back just below the top of the right shoulder. The anus and external genitalia are normal. IDENTIFYING MARKS AND SCARS: Tattoos include: - ?Kimberly Bochin? on right wrist. - ?Get money shit, get money click? on right forearm. - ?More? on the back of the right forearm. - ?The? on the back of the right hand. - on the back of the ?ngers of the right hand. - ?Money? on the back of the left forearm. - on the back of the ?ngers of the left hand. - on the back of the left hand. EVIDENCE OF INJURY: The following gunshot wounds are not associated with soot, stippling, or muzzle imprints and the wound paths are all described with the body in the anatomic position. The alphabetical designation of the gunshot wounds is for convenience and does not suggest sequence of sustained injuries. GUN SHOT WOUND OF THE POSTERIOR MID-LEFT ARM Gunshot wound is on the posterior mid-left arm, and consists of a 1.0 1.1 cm rounded gunshot wound with a 2 mm rim of marginal abrasion on the wound?s superior/anterior edge and a 1 mm rim of marginal abrasion on the remaining wound edges. The gunshot wound is centered 3.5 cm left of the arm?s posterior midline, and 17 cm below the top of the left Shoulder. A 0.4 0.5 cm irregular abrasion is 1.4 cm above and anterior to the nearest wound edge. The projectile perforates the soft tissues of the lateral compartment of the mid?left arm and exits as a 3.5 2.0 cm irregularly lacerated and non-abraded wound on the anterior lateral aspect of the left arm, centered 7.5 cm left of the arm?s anterior midline, 3.0 cm anterior to the left frontal plane, and 22.0 cm below the top of the left shoulder. The projectile does not involve the humerus or the arm?s major vascular structures. No projectile material was recovered. Page 2 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 Associated with the gunshot wound is perforating injury of the lateral compartment of the left arm and bleeding along the wound track. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound is from back to front, right to left, and above to below. GUNSHOT WOUND OF THE LOWER RIGHT ABDOMEN Gunshot wound is on the lower right abdomen below and lateral to the umbilicus and consists of a 1.1 cm rounded gunshot wound with a 1-2 mm rim of concentric marginal abrasion, centered 51.0 cm below the top of the right shoulder, 2.5 cm right of the abdomen?s anterior midline, and 3.5 cm below the level of the umbilicus. The projectile perforates the soft tissues of the lower right anterior abdominal wall, the right ilium, the soft tissues of the lateral and posterior compartments of the right hip including the right gluteus muscle, and a deformed partially jacketed projectile and small projectile fragments are recovered in the posterior lateral aspect of the right hip approximately 8 cm below the level of wound entrance. The partially jacketed lead projectile and associated fragments are photographed and placed into a properly labeled evidence container. Associated with the gunshot wound is bleeding along the wound track, perforating injury of the right lower abdominal wall and soft tissues of the right hip, and perforating fracture of the right ilium. PROJECTILE: Deformed partially copper jacketed lead projectile and fragments of lead core and jacket, right hip (B). TRAJECTORY: The wound path of gunshot wound is from front to back, above to below, and left to right. GUNSHOT WOUND OF THE MID TO LOWER-RIGHT BACK Gunshot wound is on the mid to lower lateral right back and consists of a 1.1 1.0 cm rounded gunshot wound with a 1 to 2 mm concentric rim of marginal abrasion centered 35 cm below the top of the right shoulder, and 14 cm right of the back?s posterior midline. The projectile perforates the soft tissues of the mid-right back, the posterior intercostal space between the right 10th and 11th ribs, the right hemidiaphragm, the superior dome of the liver; the lower, middle, and upper lobes of the right lung, the anterior right third rib, and exits in the superior aspect of the right lateral chest, just below the right clavicle. The exit wound is a 1.5 1.0 cm oval and irregularly lacerated defect with a 0.3 cm abrasion on the wound?s superior/lateral edge, centered 7.5 cm right of anterior midline, 8.0 cm below the Page 3 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 top of the right shoulder, and 4.5 cm medial to the vertical right nipple line. No projectile material was recovered. Associated with the gunshot wound is perforating injury of the soft tissues of the mid-right back and the intercostal space between the right 10th and 11th ribs, lacerated injury of the right lobe of the liver, a combined 350 cubic centimeter right hemothorax, perforating injury of the right lower, middle and upper lobes of the lung with corresponding pulmonary hemorrhage, fracture of the anterior right third rib with bony fragments extending anteriorly toward the wound exit, and bleeding within the soft tissues of the upper anterior chest in the region of the wound exit. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound is from back to front, below to above, and right to left. GUNSHOT WOUND OF THE INFERIOR MEDIAL RIGHT THIGH Gunshot wound is on the inferior medial aspect of the right thigh, just above the right knee, and consists of a 1.4 1.0 cm oval gunshot wound with a 1 mm rim of marginal abrasion on the wound?s inferior/posterior edge, centered 52.5 cm above the base of the right heel in the right frontal plane. The projectile perforates the soft tissues of the anterior medial right thigh, and exits as a 3.0 3.0 cm irregularly abraded and lacerated wound on the anterior mid to distal right thigh, centered 3.0 cm left of the thigh?s anterior midline, 12.0 cm above the top of the right knee, and 62 cm above the base of the right heel. No projectile material is recovered. Associated with the gunshot wound is a perforating injury of the anterior and medial compartments of the distal right thigh with associated soft tissue hemorrhage. The major blood vessels and the bones of the right thigh are intact. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound is from back to front, below to above, and left to right. GUNSHOT WOUND OF THE POSTERIOR MEDIAL MID-RIGHT THIGH Gunshot wound is on the posterior medial aSpect of the mid-right thigh and consists of a 1.1 cm rounded wound with a 1.0 mm concentric rim of marginal abrasion, centered 60.5 cm above the base of the right heel, and 5.0 cm posterior to the right frontal plane. The wound track is 15 cm and exits as a 2.7 3.0 cm irregularly lacerated and nonabraded wound on the Page 4 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 anterior medial mid-right thigh, centered 68 cm above the right heel and 10.0 cm left of the thigh?s anterior midline. No projectile material is recovered. Associated with the gunshot wound is a perforating injury of the soft tissues of the medial compartment of the mid right thigh with associated soft tissue hemorrhage. The major blood vessels and the femur of the right thigh are intact. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound is from back to front, below to above, and left to right. GUNSHOT WOUND OF THE MEDIAL MID TO DISTAL LEFT THIGH Gunshot wound is on the medial mid to distal left thigh, and consists of a 3.0 1.7 cm wound with a small 1.0 mm rim of marginal abrasion on the wound?s posterior edge. The entrance wound is located 56 cm above the base of the left heel, and 2.0 cm posterior to the left frontal plane. The wound track is 7.0 cm and exits as a 3.0 1.5 cm, lacerated and non-abraded wound centered 2.5 cm anterior to the left frontal plane and above the level of the wound entrance. The gunshot wound is super?cial and only involves the subcutaneous tissues in that region with minimal hemorrhage. No projectile material is recovered. Associated with the gunshot wound is perforating injury of the super?cial tissues of the medial left thigh and regional hemorrhage. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound is from back to front, below to above, and right to left. GUNSHOT WOUND OF THE LEFT THIGH Gunshot wound consists of a 2.0 1.6 cm irregularly lacerated and non-abraded wound on the medial left thigh, centered 2.0 cm posterior to the left frontal plane and 64 cm above the base of the left heel. It is in continuity with a 1.6 1.0 cm irregularly lacerated and non- abraded wound of the anterior proximal left thigh, centered 6.0 cm right of the anterior midline and 72 cm above the base of the left heel. No projectile material is recovered. The gunshot wound is associated with perforating injuries of the medial compartment of the proximal left thigh, and does not involve the deep tissues of the left thigh, the femur, or major vascular structures. Page 5 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, NIARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 PROJECTILE: None recovered. TRAJECTORY: The wound path cannot be determined. GUNSHOT WOUND OF THE LEFT BUTTOCK Gunshot wound is on the lower aspect of the left buttock below and lateral to gunshot wound and consists of a 0.8 0.7 cm rounded gunshot wound with a 1 mm rim of marginal abrasion centered 6.0 cm left of posterior midline and 65 cm below the top of the left shoulder. The projectile perforates the soft tissues of the left buttock including the gluteus muscles, and exits the anterior/medial aspect of the proximal left thigh as a 2.0 2.5, cm irregularly lacerated and nonabraded wound, centered 11.0 cm right of the thigh?s anterior midline and 76.5 cm above the base of the left heel. No projectile material is recovered. The gunshot wound is associated with perforating injury with associated hemorrhage within the soft tissues of the left buttock and upper left thigh. The left femoral vessels and left femur are intact. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound is from back to front, left to right, and above to below. GUNSHOT WOUND OF THE POSTERIOR DISTAL RIGHT ARM Gunshot wound is on the posterior distal aspect of the right arm, and consists of a 1.1 cm rounded wound with a 1 mm rim of concentric marginal abrasion, centered 21 cm belowthe top of the right shoulder, 10.0 cm above the tip of the right elbow, and in the arm?s posterior midline. The projectile perforates the soft tissues of the posterior distal right arm, the right humerus bone, and a partial exit is on the anterior lateral aspect of the distal right arm consisting of a 1.5 1.0 cm oval wound, centered 7.0 cm right of the arm?s anterior midline and 21 cm below the top of the right shoulder. Multiple portions of copper jacket and lead projectile fragments are recovered along the wound path, photographed, and placed into properly labeled evidence containers. The gunshot wound is associated with perforating injury of the posterior and lateral compartment of the distal right arm, extensive comminuted fracture of the distal portion of the right humerus bone, and generalized soft tissue laceration and hemorrhage. PROJECTILE: Copper jacket and lead core projectile fragments from lower right arm (I). Page 6 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 TRAJECTORY: The wound path of gunshot wound is from back to front, and left to right. GUNSHOT WOUND OF THE UPPER RIGHT BACK Gunshot wound is a 1.3 1.0 cm oval gunshot wound on the upper right back with a 1 mm rim of marginal abrasion on the inferior, lateral, and medial wound edges. The entrance wound is centered 7.5 cm below the top of the right shoulder and 7.5 cm right of the back?s posterior midline. The projectile perforates the soft tissues of the upper right back, the tissues just inferior to the lateral head of the right clavicle, and penetrates into the region of the anterior/lateral right shoulder 6.0 cm below the top of the right shoulder and 18.5 cm right of anterior midline where a deformed partially jacketed projectile is recovered, photographed, and placed into a properly labeled evidence container. The projectile does not perforate into the pleural cavity. Associated with the gunshot wound is perforating injury and hemorrhage of the soft tissues of the upper right back, and right shoulder, as well as fracture of the right posterior lateral 3"d rib, with associated intercostal soft tissue hemorrhage. PROJECTILE: Deformed partially copper jacketed lead projectile from upper right shoulder TRAJECTORY: The wound path of gunshot wound is from back to front, below to above, and left to right. GUNSHOT WOUND OF THE MEDIAL ASPECT OF THE MID LEFT BUTTOCK Gunshot wound is on the medial aspect of the mid left buttock centered 3.0 cm left of posterior midline and 63 cm below the top of the left shoulder and consists of a 0.7 cm rounded wound with a less than 1 mm rim of marginal abrasion on the wound?s right and inferior wound edges. The projectile perforates the soft tissues of the left buttock, the ?oor of the pelvis including the bladder, multiple segments of small bowel mesentery and small intestine, and a deformed partially jacketed projectile is recovered in the region of a defect within the proximal duodenum 3.0 cm distal to the pylorus and approximately 4.0 cm right of anterior midline. The projectile is photographed and placed into a properly labeled evidence container. Associated with the gunshot wound is a perforating injury of the soft tissues of the left buttock and left pelvic gutter, perforating injury of the bladder, mild retropubic soft tissue hemorrhage, perforating injury of multiple segments of small intestine and mesentery with Page 7 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of NecrOpsy: December 3-8, 2015 AKA: JOHN DOE #127 associated minimal soft tissue hemorrhage, penetrating injury of the proximal aspect of the duodenum, and a minimal hemoperitoneum (less than 50 cc total). PROJECTILE: Deformed partially copper jacketed lead projectile from duodenum (K). TRAJECTORY: The wound path of gunshot wound is from back to front, below to above, and left to right. (see Note) Note: If this wound was sustained while the decedent was in a left lateral recumbent position, the location of the recovered projectile may have been in close proximity to the recovered projectile from the left upper abdomen (gunshot wound GUNSHOT WOUND OF THE HEAD, RIGHT POSTERIOR PARIETAL SCALP Gunshot wound is on the right posterior parietal scalp centered 8.0 cm right of the head?s posterior midline and 10 cm below the t0p of the head and consists of a 1.0 1.1 cm rounded wound with a 1 mm rim of marginal abrasion on the lateral, inferolateral and superolateral wound edgesmarginal abrasion on the wound?s medial, superior and medial/inferior wound edges. The projectile perforates the right parietal calvarium, the bilateral cerebral hemispheres including the right parietal, left parietal and left temporal lobes including the left central brain structures, and terminates in an area of depressed fracture in the left temporal calvarium approximately 8 cm below the top of the head and anterior to the left frontal plane. Multiple copper jacket and lead fragments are recovered along the wound path with the largest portion of lead core recovered in the region of wound termination in the left temporal region. Associated with the gunshot wound is perforating injury of the posterior right parietal calvarium with internal beveling, an externally depressed fracture of the left temporal calvarium with bone fragments extending into the left temporalis muscles, coronal fracture of the parietal calvarium crossing the area of diastatic fracture of the sagittal suture originating with gunshot wound pulpi?ed injury with subarachnoid and hemorrhage of both the right and left cerebral hemispheres including the central brain structures along the wound tract. There are multiple small linear fractures associated with the sites of entry as well as the site of termination of the round involving the temporal, parietal, and frontal cortex. One of the linear fractures from the area of wound entrance communicates with the entrance defect of gunshot wound described below. PROJECTILE: Copper jacket and lead core projectile fragments from Head (L). Page 8 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, Date of Necropsy: December 3-3, 2015 AKA: JOHN DOE #127 TRAJECTORY: The wound path of gunshot wound is from back to front, right to left, and below to above. Note: The wound path of gunshot wound intersects with the wound path of gunshot wound which likely results in comingling of recovered projectile fragments. GUNSHOT WOUND OF THE HEAD, OCCIPITAL SCALP Gunshot wound is on the occipital scalp and consists of a 1.0 cm rounded wound with a 1 mm concentric rim of marginal abrasion, centered in the posterior midline 13 cm below the top of the head. The projectile perforates the occipital calvarium with internal beveling, and continues anteriorly just to the right of the sagittal plane into the right frontal pole, and terminates at a site of externally depressed fracture of the right frontal calvarium approximately 8 cm below the top of the head just and 1.5 cm right of anterior midline. Multiple fragments of lead projectile including the largest core are recovered in the right frontal region and additional portions of copper jacket are associated with the area of wound entrance, and nondefmed small lead fragments are present within the brain along the wound tract. Associated with the gunshot wound is perforating injury of the occipital calvarium, linear radiating fractures of the occipital and parietal calvarium with a single fracture communicating with the entrance wound of gunshot wound diastatic fracture of the sagittal suture, pulpi?cation of the right cerebral hemisphere just to the right of the sagittal plane, pulpi?cation of the right frontal pole in the area of wound termination, patchy subarachnoid hemorrhage along the sagittal plane, and in the frontal poles bilaterally, and a deformed comminuted fracture of the frontal calvarium and associated sinuses, as well as the frontal orbital plates. None of the linear fractures appear to intersect with corresponding linear fractures of gunshot wound PROJECTILE: Projectile fragments from Head (M). TRAJECTORY: The wound path of gunshot wound is from back to front, left to right and upward. Note: The wound path of gunshot wound intersects with the wound path of gunshot wound which likely results in comingling of recovered projectile fragments. GUNSHOT WOUND OF THE POSTERIOR LEFT Gunshot wound is on the posterior aspect of the left calf and consists of a 1.3 1.1 cm oval wound with a 1 mm irregular rim of marginal abrasion, centered 1.0 cm right of the left calf?s posterior midline and 34 cm above the base of the left heel. The projectile perforates Page 9 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 the muscular tissues of the posterior compartment of the left leg, perforates the major arterial supply in the popliteal fossa, and a deformed partially copper jacketed lead projectile is recovered deep and inferior to the left patella which is photographed and placed into a properly labeled evidence container. Associated with gunshot wound is a perforating injury of the posterior compartment of the left leg with associated soft tissue hemorrhage and fracture of the tibial plateau. PROJECTILE: Deformed partially copper jacketed lead projectile from left knee (N). TRAJECTORY: The wound path of gunshot wound is from back to front, below to above and deviates right to left. GUNSHOT WOUND OF THE MID-BACK Gunshot wound is near the midline of the mid-back, and consists of a 0.9 cm rounded wound with a concentric 1 mm rim of marginal abrasion, centered 32 cm below the top of the right shoulder in the back?s posterior midline. The projectile perforates the 12th thoracic vertebra, the thoracic spinal cord, the caudate lobe of the liver, and the left lobe of the liver, where a deformed partially jacketed lead projectile is recovered along with additional fragments deeper within the liver tissues and in the region of vertebrae perforation. Associated with the gunshot wound is a comminuted fracture of the 12th thoracic vertebra, transection of the thoracic spinal cord at the level of T12, penetrating injury with associated disruption and hemorrhage of the caudate and left lobe of the liver, and a combined approximate 50 cc hemoperitoneum. PROJECTILE: Deformed copper jacket and lead core projectile fragments from liver (0). TRAJECTORY: The wound path of gunshot wound is from back to front and deviates from right to left. GUNSHOT WOUND OF THE RIGHT INDEX FINGER Gunshot wound is a 1.0 cm in width and 4.0 cm in length irregularly abraded and lacerated wound with associated underlying comminuted fracture of the mid to distal right index ?nger, with skin tags appearing to extend toward the tip of the ?nger. PROJECTILE: None recovered. TRAJECTORY: The probable wound path of gunshot wound with the hand in the anatomic position is from below to above and back to front. Page 10 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 GUNSHOT WOUND OF THE LEFT THUMB Gunshot wound is a 1.8 cm in width 7.0 cm in length gunshot wound which involves the right thumb, which has marginal abrasion on the base of the palm just proximal to the left thumb?s superior/medial edge, with skin tags pointing toward the area of marginal abrasion. The wound is associated with lacerating injury and fracture of the tissues of the anterior portion of the palm, just proximal to the right thumb, and the majority of the right thumb. PROJECTILE: None recovered. TRAJECTORY: The wound path of gunshot wound with the left hand in the anatomic position is from above to below, and left to right. GUNSHOT WOUND OF THE MID-LEFT BACK Gunshot wound is on the mid-left back and consists of a 1.4 1.2 cm oval wound, centered 17.0 cm below the top of the left shoulder and 10.5 cm left of the back?s posterior midlinemarginal abrasion ison the wound?s superior, left lateral, and inferior wound edges, and a 1.9 0.4 cm abrasion extends off the wound?s lateral to superior/lateral edge. The projectile perforates the skin and soft tissues of the mid to upper left back, the left scapula, and soft tissues deep and inferior to the most lateral aspect of the left clavicle where a deformed partially jacketed lead projectile and multiple additional projectile fragments are recovered approximately 3.0 cm anterior to the left frontal plane and 15.0 cm left of the back?s posterior midline. The fragments are photographed and placed into properly labeled evidence containers. There is no perforation of the chest cavity. Associated with the gunshot wound is a perforating injury of the soft tissues of the mid-left back, comminuted fracture of the left scapula, and perforating injury of the soft tissues in the lateral aspect of the left clavicle which are associated with regional soft tissue hemorrhage. PROJECTILE: Copper and lead projectile fragments from left clavicle (R). TRAJECTORY: The wound path of the gunshot wound is from below to above, back to front, and right to left. The abrasion extending lateral to the entrance wound edge suggests that the left arm was extended upward when the injury occurred in order to correlate with the documented wound path. Note: The wound path of gunshot wound intersects with the wound path of gunshot wound which may result in comingling of recovered projectile fragments. Page 11 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 GUNSHOT WOUND OF THE UPPER LATERAL LEFT BACK Gunshot wound is on the upper lateral aspect of the left side of the back and consists of a 1.0 cm in diameter rounded wound, with a 2 mm rim of marginal abrasion on the superior wound edge, and 1 mm rim of marginal abrasion on the interior, medial, and lateral wound edges. The wound is centered 16.5 cm left of the posterior midline and 4.0 cm below the top of the left shoulder. The projectile perforates the soft tissues of the upper lateral left back, the left lateral aspect of the left 6th rib, the left upper and lower lobes of the lung, the left hemidiaphragm, the colon at the junction of the transverse and descending region, and a deformed partially copper jacketed lead projectile is recovered 34 cm below the top of the left shoulder and 9.0 cm left of anterior midline within the upper left anterior abdominal wall. Associated with gunshot wound are perforating injuries of the soft tissues of the upper left back, comminuted fracture of the left sixth rib with bone fragments extending into the left upper lobe of the lung, perforating injury of the left lung, a measured 750 cc ?uid left hemothorax, perforating injury of the left hemidiaphragm, perforating injury of the transverse/proximal descending colon, bleeding within the soft tissues of the anterior abdominal wall and along the wound track, and a combined approximate 50 cc hemoperitoneum. PROJECTILE: Deformed partially copper jacketed lead projectile from left upper abdomen TRAJECTORY: The wound path of gunshot wound is from markedly above to below, back to front, and left to right. GUNSHOT WOUND OF THE UPPER LATERAL LEFT BACK Gunshot wound is on the upper lateral aspect of the left back, below and medial to gunshot wound and consists of a 1.0 cm rounded wound with a 0.3 cm rim of marginal abrasion on the superior, medial, and lateral wound edges and a 0.5 cm rim of marginal abrasion on the wound?s inferior and inferomedial edges, all of which is centered 12.0 cm left of the back?s posterior midline, and 9.2 cm below the top of the left shoulder. The projectile perforates the soft tissues of the upper left back, the left scapula, the soft tissues of the left axilla and the posterior compartment of the left arm, where deformed lead core and copper jacket fragments are recovered. Associated with gunshot wound is a perforating injury of the soft tissues of the upper left back, comminuted fracture of the left scapula, perforating injury and hemorrhage of the soft tissues of the left axilla and upper to mid left arm, and generalized soft tissue hemorrhage along the entirety of the wound track. Page 12 CITY AND COUNTY OF SAN FRANCISCO Office of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 PROJECTILE: Projectile fragments from mid left arm and left axilla (T). (Initial photograph designates it as ?projectile mid-left arm and aXilla which was corrected to read on evidence envelope.) TRAJECTORY: The wound path of gunshot wound is from right to left, back to front, and above to below. Note: The wound path of gunshot wound intersects with the wound path of gunshot wound which may result in comingling of recovered projectile fragments. PROBABLE GUNSHOT GRAZE WOUND OF THE RIGHT CHEEK Probable gunshot graze wound is on the right cheek and consists of a 1.1 0.6 cm irregularly abraded and super?cially lacerated wound centered 5.0 cm below the horizontal level of the right auditory canal and 3.0 cm anterior to the right frontal plane. The wound is consistent with that of a graze but may represent a fragment injury (shrapnel) and directionality cannot be determined. The wound is associated with minimal laceration of the subcutaneous tissues of the right cheek with minimal soft tissue hemorrhage. IMPACT INJURIES CONSISTENT WITH NON-PENETRATING FIREARM ROUNDS. ALSO KNOWN AS THAN LETHAL - A 4.0 3.5 cm rounded targetoid contusion with central clearing of the posterior ?ank of the left chest centered 27.0 cm below the top of the left shoulder and 4.5 cm posterior to the left frontal plane. - A 4.5 3.0 cm oval targetoid contusion with central clearing on the posterior medial aspect of the mid-left forearm, 16 cm below the top of the left shoulder and 2.0 cm right of the forearm?s posterior midline. - A 3.0 2.9 cm rounded targetoid abraded contusion with central clearing on the lateral aspect of the left hip, centered 76 cm below the top of the head, 51 cm below the top of the left shoulder, and in the frontal plane. - A 4.0 3.5 cm rounded targetoid contusion with central clearing on the posterior lateral left thigh centered 54 cm above the base of the left heal, 5.5 cm left of the thigh?s posterior midline, and 10 cm above the crease of the left popliteal fossa. - 6.0 4.0 cm oval abrasion on the posterior mid right calf centered 30.5 cm above the base of the right heel and 7.0 cm right of the calf posterior midline. This injury may be secondary to a tangential impact from a non-penetrating firearm round, also known as a ?less than lethal round?. Page 13 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 FRAGMENT INJURIES (SUPERFICIAL CUTANEOUS INJURIES SUSTAINED BY PROBABLE SHRAPNEL) - A 5.0 2.3 cm irregular abrasion with skin piling toward the inferior edge on the distal lateral left leg, centered 6.0 cm left of the leg?s posterior midline and 14 cm above the base of the left heel. - Two small lacerating injuries of the lateral mid to distal left leg measuring 0.7 and 1.0 cm, both above and posterior to the abrasion on the distal lateral left leg described above. - A 0.9 cm abrasion on the mid to superior lateral left back. - A 1.5 0.7 cm abrasion on the posterior proximal left arm, 10 cm right of the arm?s posterior midline and 17 cm below the t0p of the left shoulder. - A 1.0 1.5 cm abrasion on the posterior lateral distal left arm, just above the left elbow. - A 0.8 cm rounded contusion, 3.7 cm lateral and inferior to gunshot wound on the upper left back. INTERNAL EXAMINATION: The internal injuries associated with the gunshot wounds are described above. The pectoralis muscles are brown and moist. The pleural, pericardial, and peritoneal spaces are all lined by smooth mesothelium, and the pericardial cavity contains neither blood nor excessive ?uids. The body cavities have no peculiar or aromatic odors. CARDIOVASCULAR SYSTEM: The intact 300-gram heart has a smooth epicardial surface, with a normal distribution of epicardial adipose tissues. The coronary blood vessels are subepicardial, and arise in their normal locations from the aorta. The myocardium is maroon, without ?brosis or necrosis, and the valve lea?ets and cusps are all thin and delicate, without vegetations or calci?cations. The intact aorta, inferior vena cava, superior vena cava, pulmonary arteries, and pulmonary veins are all intact, with only a minimal adventitional hemorrhage in the abdominal segment of the aorta at the level of T1 2. NECK ORGANS: Strap muscles of the anterior neck are free of injury or in?ltrates, and the hyoid bone, thyroid cartilage, and cricoid cartilage are intact. The thyroid gland is maroon and symmetric, and the cervical nodes and parathyroid glands are inconspicuous. Page 14 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 RESPIRATORY SYSTEM: The traumatized right and left lungs are 290 and 220 grams respectively, and have smooth pleural surfaces, and the areas distant to the associated gunshot wounds are crepitant and air- ?lled. There is no purulence, granulomas or neoplasms. The larynx, trachea, and primary bronchi are lined by smooth, tan mucosa, and their lumens are unobstructed. GASTROINTESTINAL SYSTEM: The injuries to the descending colon and small intestine are described above. The esophagus is lined by smooth, tan mucosa, and the stomach contains a measured 10 cc of turbid brown ?uid without intermixed masticated food-like materials or pharmaceutical material identi?ed. There are no external abnormalities of the small intestine or colon other than from trauma. HEPATOBILIARY SYSTEM: The traumatized 1,150-gram liver has a smooth capsule and the anterior margin is sharp. The hepatic is brown, soft, and free of ?brosis. The gallbladder is intact and contains a measured 10 cc of bile. GENITOURINARY SYSTEM: The uninjured right and left kidneys are 110 grams and 130 grams, respectively. The cortical surfaces are smooth and the corticomedullary junctions are well-demarcated. The collecting systems are lined by smooth, tan mucosa, and the ureters are normal in course and caliber to the urinary bladder, which has perforating injuries from gunshot wounds, and therefore contains no urine. The prostate gland is of normal size and is symmetric. ENDOCRINE SYSTEM: The adrenal glands and thyroid gland are normal. The pancreas has minimal surrounding soft tissue hemorrhage associated with gunshot wounds as described above. SCALP, SKULL, AND CENTRAL NERVOUS SYSTEM: . The re?ected scalp, other than from the injuries associated with the gunshot wounds, are free of additional traumas. There is no accumulated blood within the epidural or subdural spaces. The 1,290 gram brain is covered by thin, transparent leptomeninges. The injuries to the cerebral hemispheres are described above. The cerebellum, midbrain, pens, and medulla oblongata are free of any internal or external abnormalities other than for some trauma associated with the gunshot wound to the occipital calvarium impacting the cerebellum. Page 15 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 MICROSCOPIC DESCRIPTION: HEART: The section from the left ventricle shows normally oriented cardiac ?bers without necrosis, in?ammation, or ?brosis. LUNG: The section from the lung shows blood extravasation. There are no in?ammatory cell in?ltrates. KIDNEY: The section from the kidney shows no histopathologic abnormalities. LIVER: The section shows a normal lobular architecture With focal disruption with blood extravasation that corresponds to a wound tract. There are no in?ammatory cell in?ltrates or Viral-cytopathic changes. BRAIN: The sections show focal disruption and minimal blood present within the subarachnoid Space. SUMMARY OF AUTOPSY FINDINGS: I. GUNSHOT WOUNDs A. PERFORATING GUNSHOT WOUND OF THE POSTERIOR MID LEFT ARM B. PENETRATING GUNSHOT WOUND OF LOWER RIGHT 1. PERFORATING PELVIC FRACTURE (RIGHT ILIUM) C. PERFORATING GUNSHOT WOUND OF THE RIGHT MID-BACK 1. LACERATED INJURY OF THE RIGHT LOBE OF THE LIVER 2. PERFORATING INJURY OF THE RIGHT LUNG 3. RIGHT HEMOTHORAX (350 CC) 4. COMMINUTED FRACTURE OF THE ANTERIOR RIGHT 3RD RIB D. PERFORATING GUNSHOT WOUND OF THE INFERIOR MEDIAL RIGHT THIGH E. PERFORATING GUNSHOT WOUND OF THE POSTERIOR MEDIAL RIGHT THIGH FERFORATING GUNSHOT WOUND OF THE MEDIAL MID TO DISTAL LEFT THIGH PERFORATING GUNSHOT WOUND OF THE LEFT THIGH PERFORATING GUNSHOT WOUND OF THE LEFT BUTTOCK PERFORATING GUNSHOT WOUND OF THE POSTERIOR DISTAL RIGHT ARM l. COMMINUTED FRACTURE OF THE RIGHT HUMERUs BONE Page 16 Name: WOODS, MARIO CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Date Of Necropsy: December 3?8, 2015 AKA: JOHN DOE #127 wow .m PENETRATING GUNSHOT WOUND OF THE UPPER RIGHT BACK 1. FRACTURE OF THE RIGHT 3RD RIB PENETRATING GUNSHOT WOUND OF THE MEDIAL MID LEFT BUTTOCK 1. PERFORATING INJURY OF THE BLADDER 2. PERFORATING INJURY OF SMALL INTESTINE AND MESENTERY 3. PENETRATING INJURY OF THE PROXIMAL DUODENUM PENETRATING GUNSHOT WOUND OF THE HEAD, RIGHT POSTERIOR PARIETAL SCALP 1. PERFORATING AND LINEAR FRACTURES OF THE POSTERIOR RIGHT PARIETAL CALVARIUM 2. DEPRESSED AND LINEAR FRACTUREs OF THE LEFT TEMPORAL AND BILATERAL PARIETAL CALVARIUM 3. PULPIFICATION OF THE BRAIN ALONG THE WOUND TRACT PENETRATING GUNSHOT WOUND OF THE HEAD, OCCIPITAL SCALP .M, 1. PERFORATING FRACTURE OF THE OCCIPITAL CALVARIUM 2. LINEAR AND DISPLACED FRACTURES OF THE OCCIPITAL AND PARIETAL CALVARIUM 3. DEPRESSED FRACTURE OF THE RIGHT FRONTAL CALVARIUM 4. BILATERAL ORBITAL PLATE FRACTURES 5. PULPIFICATION OF THE BRAIN ALONG THE WOUND TRACT PENETRATING GUNSHOT WOUND OF THE POSTERIOR LEFT CALF 1. FRACTURE OF THE LEFT TIBIA PENETRATING GUNSHOT WOUND OF THE 1. COMMINUTED FRACTURE OF THE 12TH THORACIC VERTEBRA 2. TRANSECTION OF THE THORACIC SPINAL CORD 3. PENETRATING INJURY OF THE LIVER PERFORATING GUNSHOT WOUND OF THE RIGHT INDEX FINGER PERFORATING GUNSHOT WOUND OF THE LEFT THUMB PENETRATING GUNSHOT WOUND OF THE MID-LEFT BACK 1. COMMINUTED FRACTURE OF THE LEFT SCAPULA PENETRATING GUNSHOT WOUND OF THE UPPER LATERAL LEFT BACK COMMINUTED FRACTURE OF THE LEFT 6TH RIB PERFORATING INJURY OF THE LEFT LUNG LEFT HEMOTHORAX (750 CC) PERFORATING INJURY OF THE LEFT HEMIDIAPHRAGM PERFORATING INJURY OF THE TRANSVERSE COLON Page 17 Name: WOODS, MARIO II. IV. CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 6. PENETRATING INJURY OF THE UPPER LEFT ANTERIOR ABDOMINAL WALL T. PENETRATING GUNSHOT WOUND OF THE UPPER LATERAL LEFT BACK 1. COMMINUTED FRACTURE OF THE LEFT SCAPULA U. PROBABLE GUNSHOT GRAZE WOUND OF THE FACE, RIGHT CHEEK cUa IMPACT INJURIES CONSISTENT WITH FIREARM ROUNDS ALSO KNOWN AS THAN LETHAL A. CUTANEOUS ABRADED CONTUSION OF THE LATERAL LEFT HIP B. CUTANEOUS CONTUSION OF THE LEFT FOREARM C. CUTANEOUS CONTUSION OF THE LEFT CHEST FLANK D. CUTANEOUS CONTUSION OF THE POSTERIOR LEFT THIGH CUTANEOUS ABRASION, RIGHT CALF (THIS MAY REPRESENT A TANGENTIAL INJURY FROM AN IMPACT OF A NON-PENETRATING FIREARM ROUND) FRAGMENT INJURIES (SHRAPNEL) A. TWO SUPERFICIAL LACERATING INJURIES OF THE MID TO DISTAL LEFT LEG B. CUTANEOUS ABRASION OF THE DISTAL LEFT LEG (THIS MAY REPRESENT A TANGENTIAL INJURY FROM AN IMPACT OF A NON- PENETRATING FIREARM ROUND) CUTANEOUS ABRASION ON THE LEFT BACK CUTANEOUS ABRASION ON THE DISTAL LEFT ARM CUTANEOUS ABRASION ON THE POSTERIOR PROXIMAL LEFT ARM CONTUSION ON THE UPPER LATERAL LEFT BACK $17.0 BLOOD TOXICOLOGY POSITIVE FOR METHAMPHETAMINE (0.37 AMPHETAMINE (0.02 DELTA-9-THC (2 DELTA-9-CARBOXY THC (50 AMITRIPTYLINE (0.07 NORTRIPTYLINE (0.10 DEXTROMETHORPHAN (0.25 NICOTINE, AND CAFFEINE Page 18 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2015-1140 Name: WOODS, MARIO Date of Necropsy: December 3-8, 2015 AKA: JOHN DOE #127 CAUSE OF DEATH: MULTIPLE GUNSHOT WOUNDS MANNER: HOMICIDE Forensic Techs: D. Etheredge, A. Aparicio, O. Jimenez Physicians Present: 7 H. Narula., E.G. Moffatt, M.D., M.D., A.P. Hart, M.D. Spec. to Pathology: Heart, lung, spleen, liver, kidney, brain, thyroid gland. Spec. to Histology: Heart, lung (right and left upper lobes), liver, kidney. Spec. to Toxicology: Left chest cavity and right chest cavity blood, vitreous ?uid, liver tissue, stomach contents, bile, and brain tissue are retained. A vitreous chemistry and a toxicology report have been issued separately. Radiology: Numerous x?rays are obtained by D. Etheredge under the supervision of Michael D. Hunter, MD. Chief Medical Examiner. Photographer: Michael D. Hunter, MD. Chief Medical Examiner. Evidence: - Blood spot on ?lter paper (x 2) - Fingernail clippings from both hands - Swabs from the front and back of both hands - Medical Examiner?s seal (#21545) - Bags and plastic straps from-both hands - Gunshot residue sampling kit - Pulled scalp hair standards - Portion of proj ectile jacket, free ?oating on skin - Portion of proj ectile jacket, free ?oating inner jacket/coat - Projectile (jacket and lead core), midline of inner pants 8.5 cm below button - Portion of lead projectile, free ?oating inner shirt/ skin - Wood fragment, upper left back of outer jacket/ coat - Portion of projectile jacket, upper left back of jacket/coat - Lighter right front pocket of slacks - Plastic cap, right rear pocket of slacks - Plastic cigarette packaging intermixed with clothing Page 19 Name: WOODS, MARIO AKA: JOHN DOE #127 MD. Hunter, M.D. A.P. Hart, M.D. E.G. Moffatt, M.D. H. Narula MD. CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief MediCal Examiner Medical Division Case No. 2015-1140 Date of Necropsy: December 3-8, 2015 Portions of jacket and lead core from clothing of crease of left shoulder Projectile fragments from right hip (B) Projectile from Duodenum (K) Projectile fragments from left clavicle (R) Projectile ?agments from Head (L) Projectile fragments from Liver (O) Projectile fragments from Head (M) Projectile from upper right shoulder (J) Projectile fragments from mid left arm and left axilla (T) Projectile fragments from lower right arm (I) Projectile from left knee (N) 7 Additional projectile fragments from central brain (L M) Projectile ?om left upper abdomen (S) Clothing and recovered wallet with contents 2/!th Michael D. Hunter, MD. Chief Medical Examiner - Page 20 Office of the Chief City and County of FORENSIC LABORATORY DIVISION Med'CaI Exammer San Francisco TOXICOLOGY REPORT NAME: WOODS. MARIO SUBMISSION DATE: 12/07/2015 M. E.: MH CASE NO: 2015-114OT REPORT DATE: 01/26/2016 ANALYTICAL RESULTS: SPECIMEN TYPE COMPOUND RESULT UNITS ANALYSIS BY Blood (Left Chest) Methamphetamie 0.37 mg/L GC-MS Blood (Left Chest) Amphetamine 0.02 - mg/L . Blood (Left Chest) 2 - ng/mL Blood (Left Chest) Ag?Carboxy THC 50 ng/mL Blood (Left Chest) Amitriptyline 0.07 mg/L GC-MS Blood (Left Chest) 0.10 mg/L GC-MS Blood (Left Chest) Dextromethophan 0.25 mg/L Blood (Left Chest) Nicotine/Cotinine Detected GC-MS Blood (Left Chest) Caffeine Detected .s COMMENTS This case was ?rst submitted to this Division under the name ?Doe #127, John.? Report prepared by MM. MM Nikolas P, L-emos, FRSC, Director Chief Forensic Toxicologist ANALYTICAL PROTOCOL: Specimens submitted were subjected to Analytical Panels A and B. Analytical Panel A employs HS-GC-FID to detect and quantify ethanol, methanol, isopropanol and acetone and may also detect other volatile compounds which would require additional analyses for confirmation and/or quantitation. Analytical Panel employs Biochip Array Technology, (30, GC-IVIS and/or to detect ,con?rm and/or quantify mphetamines-, Barbiturates, Bath Salts I a ll', Benzodiazepines, Cannabinoids, WCocaine, Ethyl Glucuronide Fentanyl, Haloperidol, Ibuprofeqagld?eiimirte I?iysergic Acid Diethylamide (L- mtg. Mescaline, Methadone, Opiates, Opioids, qucipdb (PCP), Phenylpiperazine Salvinorin, Cannabinoids I, ll;'lII', IV V, Tricyclic Antid??pfe?fsants, Zaleplon, Zolp ,andlofver undred drugs and metabolites. Please contactthe FofenSipLa?bo??atory Division if you hav 15?: in substances. i4. 57 NJEEJIH - Hall of Justice - 850 Bryant Street - San 94103-4603 Telephone: (415) 553?9009 - Fax: (415) 553-9815 ACCREDITED AMERICAN BOARD OF FORENSIC TOXICOLOGY