Alameda County Sheriff's Office Gregory J. Ahern, Sheriff / Coroner Coroner's Bureau, 2901 Peralta Oaks Ct, Oakland, CA 94605 (510) 382-3000 / (510) 382-3033 (fax) Coroner Investigator's Report NAME OF DECEASED (LAST, FIRST MIDDLE) 0 TENTATIVE ID • LUONG , Dat Thanh LL. z REPORTED BY ..J ..J <( 0 w 0 w 0 w • 2016-03015 REFERENCE NUMBER REPORTING AGENCY R. Lopez #1592 (510) 667-3646 Alameda County Sheriffs Office-ETS INVESTIGATOR CALL DATE AND TIME CASE TYPE Adam Neils 10/11/2016 10:50 Removal Case DATE AND TIME OF DEATH DATE OF BIRTH AGE GENDER Male 10/11/2016 9:10 3/4/1960 56 Years WGT EYE COLOR HAIR COLOR OCCUPATION 140 Brown Black 64 z CASE NUMBER UNIDENTIFIED REPORTED BY PHONE NO. HGT I- I I I I I RACE Vietnamese I 16-017943 MARITAL STATUS Married I VET? EMPLOYER Preliminary Summary C LOCATION OF DEATH LOD TYPE Santa Rita Jail Other ADDRESS (STREET, CITY, STATE, ZIP) COUNTY 5325 Broder Blvd. HU 9 B Pod Dublin CA 94568 Alameda I Death Certificate Signed Manner Homicide :c I- Cause A ASPHYXIATION Interval Minutes w Cause B STRANGULATION Interval Minutes <( 0 By: Cause C Interval Cause D Interval Other Significant Conditions z LEGAL NEXT OF KIN RELATIONSHIP TELEPHONE NO. NOTIFIED BY METHOD DATE AND TIME IDENTIFICATION METHOD DATE AND TIME Other 10/11/201 0 j:: <( (.) Li: j:: 0 z 9:10 LOCATION OF INCIDENT AT WORK I- z w ADDRESS (STREET, CITY, STATE, ZIP) I COUNTY 0 I 0 z INVESTIGATING AG ENCY INV AGENCY PHONE NUMBER I Alameda County Sheriffs Office-ETS a. ~ 0 I I I OFFI CER R. Lopez FUNERAL HOME BODY RELEASED TO FUNERAL HOME ON Chapel of The Chimes - Hayward 10/22/2016 Full Autopsy Partial Aulopsy Inspection Record Review ~ • • • Inspection w/Specimen • Date Printed 8:41 EXAM BY Michael Ferenc Tuesday, February 28, 2017 • DATE AND TIME OF INCIDENT • Alameda County Shedff's Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 I (510) 382-3033 (fax) Investigator Narrative Decedent: Case Number: Investigator: LUONG, Dat Thanh 2016-03015 Adam Neils First Call Information: On Tuesday, October 11, 2016, about 1050 hours, Alameda County Sheriff's Office Homicide Detective A. Moschetti # 1808 called and reported the death of Dat Luong, an inmate at Santa Rita Jail. Detective Moschetti reported the following: At 0910 hours, Luong was found inside his cell (H/U 9-Cell Bl4) unresponsive with a towel wrapped around his neck and multiple contusions to his face. ALCO Fire Engine #17 arrivecfand life saving measures were attempted, but failed and Luong was pronounced dead, at 0910 hours. According to Detective Moschetti, Luong was the victim of a homicide. (AN#1834) Medical Summary: Luong sustained multiple contusion to his head and face, and was found with a towel wrapped around his neck. While at Santa Rita Jail, I (Neils) received a copy of Luong's medical records. I (Neils) placed the records into the case file. (AN#1834) Description of the Death/ Injury Scene: On Tuesday, October 11, 2016, Luong was pronounced dead, just outside of Cell B-12, Housing Unit 9, at the Santa Rita Jail, located at 5325 Broder Boulevard, in the City of Dublin. Luong's injuries occurred inside Cell B-14, but Luong was moved .outside the cell for life saving measures. Luong's jail cell, B14, was a small concrete room with a metal toilet, a concrete table and a concrete bunk bed. Luong shared the cell with another inmate, . I (Neils) saw some blood stains on the concrete table, the wall, and the floor. (AN#l834) Body Iclentification: While on scene, I (Neils) received a copy of Luong' s Alameda County Sheriff's Office Custody Card and I compared the photograph to the decedent and they appeared to match. (AN#l834) On Thursday, October 13, 2016, I (Neils) received a fax from the Alameda County Central Identification Bureau (CIB) confirming fingerprints taken form Dat Luong. A comparison was made between the fingerprints of Luong, Dat DOB 03/04/1960 (Case# 2016-03015) to the fingerprints associated with PFN (Person File Number) with the name Luong, Dat DOB 03/04/1960 from the records and files of the Alameda County Sheriff's Office. The fingerprints were identified to have been made by the same subject. (AN#1834) Next of Kin Investigation: Luong was married to , making her Luong's legal next of kin. 2 Alameda County Sheriff1s Office Gregory J. Aliern, Sheriff/ Coroner Coroner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 / (510) 382-3033 (fax) On Tuesday, October 11, 2016, about 1709 hours, I (Neils) called phone number which was given to me by Detective Moschetti. I spoke to , sister, and asked if wife, , was available. stated did not speak English and she would relay the information to her. I notified ofLuong's death and stated she would translate the information to (AN#l834) Other Agency Reports: Alameda County Sheriff's Office assigned Report #16-017943 to this case. (AN#1834) On Sunday, November 20, 2016, I (Neils) received a copy of the Alameda County Sheriffs Office report and included it in the case file. (AN1834) Property and Evidence: All of Luong's clothing and any belongings on his body were processed and collected as evidence at the time of autopsy. I (Neils) issued coroner's receipt #37561 to Detective J. Armijo for Luong's body and property. (AN#1834) , Coroners Fees: Luong appeared to be an innocent victim so the outstanding coroner fees on this case were $67 for body preparation. (AN#l834) As of Sunday, January 29, 2017, all Coroner's fees were outstanding. (AN#l834) Investigative Details: On Tuesday October 11, 2016, Deputy Hovda and I (Neils) arrived at Luong's death scene. As I (Neils) walked up the stairs in B-Pod, I saw Luong lying in the supine position on the upper-tier,just outside of Cell #12. Luong had two defibrillator pads attached to his chest area. Livor mortis and Rigor mortis were both absent. Luong appeared to have been assaulted; I saw multiple contusions to Luong's face and other bruising on Luong's upper body. Luong appeared to have been assaulted inside the two man cell Luong was housed in, due to the blood on the walls and floor. I placed paper bags over Luong' s hands and zip tied the bags closed. Deputy Hovda took digital photographs to document Luong's death scene. Deputy Hovda and I (Neils) moved Luong to a gurney and into the Coroner's van for transportation to the Coroner's Bureau. About 1450 hours, Deputy Hovda and I (Neils) returned to the Coroner's Bureau and processed Luong into the morgue. Deputy Hovda took intake photographs of Luong and later downloaded them along with the other case photographs to a CD/R and placed them in the case file. On Wednesday, October 12, 2016 Coroner' s Chief Pathologist Doctor M. Ferenc perfonned a full autopsy and determined Luong's cause of death was Asphyxiation due to Strangulation. (AN#1834) On Saturday, October 22, 2016, Luong's body was released to Chapel of the Chimes Funeral Home. signed the mortuary's release form. (AN#1834) 3 Alameda County Sherifr s Office Gregory J. Ahern, Sheriff/ Coroner Coroner's Bureau, 2901 Peralta Oaks Ct., Oakland, CA 94605 (510) 382-3000 / (510) 382-3033 (fax) As of Tuesday, February 28, 2017, Luong's case indicated a Press hold. I (Neils) made multiple attempts to contact Deputy Moschetti for the removal of the press hold on Luong's case but had been unsuccessful. I (Neils) saw no reason the Press hold on Luong's case should have remained in place so I removed it. (AN#1834) Fin clings: On Sunday, January 29, 2017, I (Neils) reviewed this case for the purpose of establishing a manner of Luong's death. I (Neils) mannered this case to be a homicide based on my review of the scene, police report, Autopsy Protocol, and the physical evidence were consistent with this finding. Doctor Ferenc gave all indications Luong was intentionally asphyxiated which caused Luong's death. (AN#1834) Supervisor Review: On Monday, February 27, 2017, I (Sgt. R. Macintire) reviewed this case and found it to be complete. I concurred with the findings and approved this case for closure. (RM #1632) Alameda County Sheriff's Office Coroner's Bureau 2901 Peralta Oaks Court, 2"'1 Floor, Oak.land, CA 94605-5319 Gregory J. Ahern, Sheriff Director of Emergency Services Coroner - Marshal ME MO R A N D U M DATE: October 12, 2016 FROM: Michael Joseph Ferenc, M.D. TO: Case File 2.016-03015 SUBJECT: AUTOPSY PROTOCOL An autopsy was performed on the body of Dat Luong at the Coroner's Bureau, 2901 Peralta Oaks Court, Oakland, California, on October 12, 2016, at about 9:00 a.m. FINDINGS 1) ASPHYXIAL INJURIES: A. PETECHIAL HEMORRHAGES OF CONJUNCTIVAE B. HEMORRHAGES IN 1. ANTERIOR NECK STRAP MUSCLES 2. ANTERIOR NECK SOFT TISSUES C. RIGHT SUPERIOR THRYOID HORN FRACTURE. 2) BLUNT INJURIES: A. HEAD INJURIES 1. CONTUSIONS OF EYELIDS 2. CONTUSION AND ABRASIONS ON FACE 3. CONTUSION OF LEFT JAW 4. CONTUSIONS AND LACERATION INSIDE LIPS 5. CONTUSION ON RIGHT TIP OF TONGUE 6. ABRASIONS AND CONTUSIONS OF FOREHEAD 7. NO SKULL FRACTURES 8. NO SIGNIFICANT INTRACRANIAL INJURIES B. NO TRAUMA TO TORSO (EXCEPT CPR-RELATED) C. CONTUSIONS TO HANDS. 3) NEPHROSCLEROSIS, SLIGHT. 4) HEPATIC FIBROSIS. 5) PROBABLE HEMOSIDERIN-LADEN MACROPHAGES IN DURA MATER. Page 2 Sheriff-Coroner Alameda County 6) NO ALCOHOL OR DRUGS DETECTED IN BLOOD (CVT-16-10568). CAUSE OF DEATH: cc: Body of DAT LUONG ASPHYXIATION DUE TO STRANGULATION. EMS District Attorney Page 3 Sheriff-Coroner Alameda County Body of DAT LUONG 1 CIRCUMSTANCES OF DEATH This 56 year-old gentleman was an inmate at the Santa Rita 2 3 Jail. He was found dead inside his locked cell with evidence of 4 injuries, 5 only other person in cell. including · asphyxia injuries. His The unembalmed body of a middle-aged to older appearing man 7 8 is in a plastic pouch, 9 labeled identification tag. 10 areas 11 green, 12 present. of is partially dressed, dried blood are striped, Paper bags are on the hands. on his face and torso. 3/8 inches long. 15 identified. The 16 (middle finger) 17 old area of nail loss. 18 right hand are contusions (described below) . 22 Small A pair of pajama-like pants and a pair of grey socks are 14 21 and has a properly The fingernails of the hands vary from very short to over 13 20 the PRELIMINARY EXAMINATION 6 19 cellmate was is No definite fingernail recent of the broken right fingernails hand's 3rd are digit irregular-shaped but this appears to be an In the moustache Fingernail clippings are taken. hair of the On the left upper lip is a small fabric pilling. On the front and back of the torso are loose rare dark straight hairs, a small green fiber, grey flecks consistent with Page 4 Sheriff-Coroner Alameda County 23 Body of DAT LUONG paint chips, and small white flecks. 24 25 Samples from a sexual assault kit are collected by me. 26 All 27 items of evidence collected are retained for police. (Please refer to separate evidence log for details.) RECENT INJURIES 28 29 Asphyxial injuries 30 Moderate red petechiae are seen in the conjunctivae. 31 rare similar petechiae are seen in the gingiva. 32 Externally, the neck shows no injuries. 33 Internally, lower foci of dark red-blue hemorrhage are 34 the 35 thyrohyoid 36 muscles, right side significant greater than left. 37 Only sternocleidomastoid and cricohyoid An over 3/4 muscles, muscles, the and seen in junction adj a cent inch in greatest dimension focus of the omohyoid of moderate 38 red-blue hemorrhage is throughout the right thyro-hyoid muscle. 39 An about 1/4 to 3/8 inch of slight hemorrhage is seen in the 40 right crico-thyroid muscle. 41 Dark blue hemorrhage is around the base of both superior 42 horns of the thyroid cartilage. 43 fractured. 44 The hyoid bone shows The base of the right horn is hemorrhage around its right wing. , I Page 5 Sheriff-Coroner Alameda County Body of DAT LUONG 45 Increased mobility in this area probably represents non-fusion 46 of the bone segments rather than an acute fracture. Blunt injuries to the head and neck: The right upper eyelid 47 48 is · swollen with a 49 lateral right upper eyelid are two, 1/8 to 1/4 inch, superficial 50 lacerations. An ill-defined, red-blue, about 3 inch contusion is 51 along the right temple area. The left upper eyelid shows a 1-1/2 52 x 1/2 inch purple-blue contusion. 53 is a 54 inch red-tan abrasions are on the nose and upper cheeks. 1/4 inch, 2 x 1 superficial inch purple-blue contusion. On the Along the medial left eyelid laceration. Scattered, 1/16 to 1/8 On the inside of the lower lip near the midline is a 1-1/4 55 56 x 1/4 inch 57 contusion. 58 lacerations of the gingiva of the lower lip are seen as well. An 59 about 60 surrounded by 61 about 1 inch contusion is on the right tip of the tongue. 3/8 laceration Several to 1/2 with 1/8 to surrounding 1/4 inch 1-1/2 inch minimally red-blue hemorrhagic inch laceration to the midline upper lip an up to 1 inch slight red-blue contusion. is An 62 The left lateral cheek and left jaw are swollen. Near the 63 left angle of the jaw is a 1/ 4 inch red-tan abrasion. Incision 64 on the inside of the cheek shows the swelling to be due to dark 65 blue hemorrhage. 66 lower jaws. ·No fractures are palpated in the left upper or Page 6 Sheriff-Coroner Alameda County Above the medial left eyebrow is a transversely-oriented, 1 67 68 Body of DAT LUONG x 1/16 inch, red-brown abrasion. 69 On the 70 eyebrow 71 arcing, about 2-1/2 inch long, about 1/16 to 1/8 inch wide, red 72 contusion and red abrasion that extends to right upper forehead. 73 To the right of this abrasion is a very faint, 74 greatest dimension area of red contusions. 75 this injury is generally consistent with the outline of examples 76 of inmate's orange plastic shoes.) is medial a faint, Internally, 77 left the beginning discontinuous, inner just above roughly. linear, scalp of inch diameter, 1/ 8 the slightly about 2 inch in (The rough outline of the cal variurn scattered, 1/2 79 contusions most 80 area. 81 dull red-brown liquid blood is over the left cerebral hemisphere 82 (This accounts for less than 5 mL of blood.) 83 the leptomeninges or brain are identified. over the right No skull fractures are identified. dark blue frontal-temporal A very thin film of No injuries to Injuries to the torso: No significant external or internal 85 injuries 86 hemorrhage 87 resuscitation. 88 prominently inch thick, shows 78 84 to 2 forehead to and the rib torso are fractures identified consistent except with intercostal cardiopulmonary Page 7 Sheriff-Coroner Alameda County 89 Injuries Body of DAT LUONG to the hand, show purple the 3rd-5th extending from roughly the knuckle joints to almost the tips of 92 the fingers. 93 slightly swollen. red contusions The middle phalangeal joints of these fingers are Proximal No fractures are identified on palpated. to (pointer finger) the knuckle is a faint, of the left red-blue, hand's 2nd digit 1/2 inch contusion. On .the middle phalangeal joint of the left hand's 3rd digit (middle 97 finger) 98 identified on palpated. No 99 100 fingers) right 91 96 little On digits 95 to limbs: 90 94 (middle the is a limb 3/8 inch fractures similar of the contusion. long bones No are fractures are identified on palpation and range of motion. The injuries and findings described above are not repeated. 101 EXTERNAL EXAMINATION 102 The 103 body 104 complexion, 105 years. 106 moderate. 107 blue, and fixed. 108 He of a well-developed, well-nourished, fair- Asian man appears older than the stated age of 56 is 64 inches Livor mortis and 140 is minimal pounds. to slight, The head shows no significant scars. Rigor posterior, is red The hair is black and 109 grey, 110 untrimmed moustache and an untrimmed beard are seen. straight, mortis and up to 6 inches with partial balding. An Live lice Page 8 Sheriff-Coroner Alameda County Body of DAT LUONG 111 and nits are seen in the head hair and pubic hair. 112 sclerae, 113 trauma. 114 mouth show no lesions except for trauma. 115 to fair condition. The ears are intact. and conjunctivae show no other The eyelids, lesions The eyes are brown with moderate arcus. except for The nose and The teeth are in poor The neck shows no significant external trauma or scars. The 116 117 chest 118 cardioversion pads are on the torso. The breasts are of a man. 119 The abdomen shows no significant trauma or scars. The genitalia 120 are of a circumcised man. shows no significant trauma or ECG scars. and 121 The arms and forearms show no significant scars. Red-brown 122 scabbed-over small excoriations are on the shoulders and upper 123 arms, 124 on 125 intact. 126 127 and are consistent with chronic scratcl).ing. the The upper arms. The hands, fingers, and ECG pads are fingernails are The legs and feet show no significant trauma or scars. back shows no significant trauma. Small irregular- shaped scars are on the lower back. The anus is unremarkable. INTERNAL EXAMINATION 128 129 BODY WALLS AND CAVITIES: 130 3/4 131 unremarkable. 132 have inches. no The The subumbilical fat pad is about subcutaneous and breast tissues are The pleural cavities are smooth and glistening, significant adhesions, and contain minimal serous Page 9 Sheriff-Coroner Alameda County Body of DAT LUONG 133 liquid. 134 unremarkable. 135 scattered adhesions. 136 The pericardial sac is The diaphragm is CARDIOVASCULAR intact. intact. The mediastinum is The peritoneal cavity The major organs are normally positioned. SYSTEM: The epicardium is smooth and 137 glistening. a right predominant 138 distribution and show minimal atherosclerosis. The heart is 300 139 grams. 140 uniform. 141 significant increased fatty tissue or increased fibrous tissue. 142 The left and right ventricles are normal thickness. The chambers 143 are 144 muscles are intact. 145 The forameri ovale is closed. 146 valves are normally formed, 147 are 148 The venae cavae and great vessels show no thrombi or emboli. 149 The coronary arteries The myocardium The not right is The 151 uniform with 152 significant 153 aspirated 154 thrombi or embol i. normal wall texture, does chordae, not and show any and papillary The coronary sinus ostium is widely patent. PULMONARY SYSTEM: grams. free endocardium, appropriate for age. 150 red-brown, ventricular dilated. follow The atrioventricular and semilunar show no lesions or vegetations, and The aorta shows no atherosclerosis. The right and left lungs are 320 and 300 The lungs are partially aerated, soft, pink to red, and smooth glistening ,surfaces. lesions. blood is The seen. mucosa The is The tan vessels to show bronchi red no show no tan. No significant Page 10 Sheriff-Coroner Alameda County 155 Body of DAT LUONG HEPATOBILIARY SYSTEM: The liver is slightly firmer than 156 normal, 157 glistening surfaces. The 158 gallbladder contains about 159 bile. 160 lesions, and tan. 161 red brown, 1740 and grams, biliary 25 mL uniform tract of is intact, thin~ smooth and dark green the opaque The pancreas is lobulated, normal texture, without focal HEMATOPOIETIC SYSTEM: . The spleen is 162 uniform with a 163 thymus gland is unremarkable for age. 164 significantly enlarged and show no lesions. 165 the ribs and calvarium is unremarkable for age. 166 with smooth capsule, GASTROINTESTINAL SYSTEM: dark red, The normal texture, and 290 grams. The The lymph nodes are not The bone marrow of oropharynx, esophagus, and 167 stomach show no lesions. 168 tan thick partially digested food material including chunks of 169 potato. The duodenum, 170 mucosal, mural, 171 The appendix is very small and short. 172 jejunum, or serosal GENITOURINARY SYSTEM: renal 173 The capsule 174 Each kidney is 160 grams. 175 finely 176 glistening surfaces. granular, The stomach contains over 300 mL of strips normal ileum, lesions. and large bowel show no The mesentery is intact. The adrenal glands are unremarkable. with slight to moderate difficulty. The cortices are red-brown, thickness, and uniform with slightly smooth The calyces and collecting systems are not Page 11 Sheriff-Coroner Alameda County Body of DAT LUONG 177 dilated and 178 intact. 179 bladder mucosa and wall are unremarkable. 180 shows 181 unremarkable for age. 182 show no lesions. The ureters slight are tan-white MUSCULOSKELETAL The pyramids patent nodular SYSTEM: to and papillae t;:.he empty bladder. muscles findings. 184 fractures 185 consistent with cardiopulmonary resuscitation. 186. well developed and appropriate for age. 187 HEAD of AND the slight hemorrhage anterior-medial NERVOUS is ribs testes no are diffuse associated bilaterally The SYSTEM: The show 183 Focally The The prostate gland enlargement .. The are and with is The skeleton is scalp is otherwise 188 unremarkable. The skull shows no fractures, The dura mater and 189 leptomeninges are The 190 skull and dural sinuses are intact. 191 no aneurysms and no significant atherosclerosis. 192 1430 193 stem show no significant focal or diffuse lesions. 194 white matter, deep nuclei, cerebellar folia, 195 no significant diffuse or focal lesions. 196 intact. 197 198 grams. The othe~wise cerebral unremarkable. otherwise unremarkable. of the The circle of Willis shows hemispheres, ANTERIOR NECK STRUCTURES: floor The brain is cerebellum, and brain The grey and and brain stem show The pituitary gland is The anterior neck muscles are The thyroid gland is symmetrical, not Page 12 Sheriff-Coroner Alameda County Body of DAT LUONG 199 enlarged, normal texture, and red brown. 200 are 201 cartilage 202 cartilaginous right tip of the hypoid bone is not fused to the 203 remainder of the bone. 204 finding, 205 an 206 tracheal, 207 unremarkable. 208 prevertebral 209 intact. 210 not identified. are .The otherwise laryngeal The and still cricoid partially No hemorrhage is associated with this and it appears to be a normal anatomic. variant and not injury. The hyoid laryngeal, SPECIMENS The fascia bone and shows femoral 212 screen is requested. tissue no unremarkable. mucosa other are vein and liver. sections are The vertebrae blood, The otherwise lesions. The· cervical intact. RETAINED: Representative otherwise epiglottic tongue is is vitreous humor, gastric contents, 214 cartilages unremarkable. 211 213 The parathyroid glands heart are blood, A full toxicology retained in formalin. Selected sections are submitted for processing. 215 OTHER STUDIES: 216 Any items of evidence collected are retained for police. 217 218 219 220 221 None. (Please refer to separate evidence log for details.) t Ml CENTRAL VALLEY TOXICOLOGY, INC. 6 10568 TOXICOLOGY NUMBER: CVT-l - Case Name: Luong, Specimen Description: Delivered by Dat T. 30 ml femoral blood & 5.5 ml vitreous humor each labeled 11 Luong, Dat; 2016-03015; 101121201611 Tricor Date 13-Oct-16 Received by Bill Posey Request: Complete Drug Screen Agency Case# 2016-03015 Requesting Agency Alameda Co. Coroner's Office Attn: Acct's Payable 2901 Peralta Oaks Ct., 2nd Floor Oakland CA 94605 Report To Alameda Co. Coroner's Office Attn: Dr. Ferenc 2901 Peralta Oaks Ct., 2nd Floor Oakland CA 94605 Specimen: Femoral Blood Sample Date 13-Oct-16 RESULTS Complete Drug Screen: No common acidic, neutral or basic drugs detected. No Ethyl Alcohol detected. B.L. POSEY S.N.Kli\/ill!ILE Directors 1580 Tollhouse Road Clovis, California 93611 October 18, 2016 Phone (559) 323-9940 Fax (559) 323-7502 Alameda County Sheriff's Office Coroner's Bureau 2901 Peralta Oaks C ourt, 2 nd Floor, O akland, CA 94605-53 19 Gregory J. Ahern, Sheriff Director of Emergency Servi ces Cnrn ner - Marshal CASE NUMBER: CASE NAME: DAT THANH LUONG 2016-03015 PATHOLOGIST: Michael Joseph Ferenc HISTOLOGICAL EXAMINATION BRAIN: Section of hippocampus shows no neoplasia, inflammatory infiltrates, degenerative diseases, or trauma. A section of dura mater shows minimal hemorrhage over a very thin cellular layer. Cluster 0f- br0wn~ - pigmented mononuclear cells are seen consistent with hemosiderin. HEART: Sections of left and right ventricle show intact myocytes and no significant inflammatory infiltrates. Endocardial and epicardial surfaces and vessels are umemarkable. LUNGS: Sections show slightly emphysematous parenchyma and no acute significant inflammatory infiltrates. Bronchial elements are umemarkable. No significant polarizable foreign material is seen. LIVER: Section shows umemarkable hepatocytes and sinusoids. Portal triads are intact. fibrous tissue is seen between central veins and portal areas. Increased KIDNEY: Section shows intact glomeruli, tubules, interstitium, and vessels. No significant polarizable foreign material is seen. THYROID GLAND: cuboidal epithelium. Section shows variable-sized, pink colloid-filled follicles lined by flattened to SKIN AND GINGIV A: Sections of skin from the head and gingiva of the lips show scattered areas of variable acute hemorrhage in the soft tissue and muscle. Date Signatme M.D.