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3. MICROSCOPIC EXAMINATION Cardiovascular: The epicardium and endocardium, where seen, are architectually unremarkable. The myocytes are robust and uniformin size and nuclear staining quality. There is no inflammation. There is no increased fibrosis. Respiratory: Sections of right and left lung are similar and display patchy areas of intra-alveolar hemorrhage. Liver:The hepatic architecture is unremarkable. The portal triads contain the usual complement of bile duct, artery and veinand a mild mixed inflammatory infiltrate that focally extends beyond the limiting plate and is not associated withhepatocyte necrosis. Big Tits The subcapsular area and cortex are unremarkable. The glomeruli are intact overall. The proximal tubules are patent.The vasculature is unremarkable. Neurologic A section of cortex displays contusions and subarachnoid hemorrhage. 4.DISPOSITION OF CLOTHING AND PERSONAL EFFECTS The following items are preserved as evidence Left and Right Black ThighHigh Stockings, Left and Right Black High Heel Pumps, Sun Tan Sheer Nylon Stocking and a sexual assault kit containing oral smears and swabs, pubic hair combings, vaginal smears and swabs, rectal smears and swabs, pulled pubic hair, pulled head hair, known blood sample and known cheek and neck scrapings. clothing and Personal Effects submitted to City Police Dept. PROCEDURES: Radiographs, Obtained Chemistry Aortic blood, inferior vena cava blood, liver and gastric contents are retained for toxicologic analysis. Special Evidence: Collection Sexual assault kit and fingerprints are collected. Identification: The body is identified by comparison of antemortem photographs. 5.SUMMARY AND INTERPRETATION The decedent was a 36-year-old woman who was Strangled with a ligature (nylon stocking). Significant findings at autopsy include: The victim was repeatedly raped vaginally and anally both pre and post mortem and was orally raped post mortem. There was semen from one donor. A single pubic hair removed from between the teeth and two of the loose pubic Tranny hair removed from the pubic patch belong to a single male caucasian donor. So far, there has been no match found for the DNA. Epidurals present under the fingernails were found to be from decedent/victim and not from any other donor. The woman’s body was found supine in a hotel room on the bed in a spread eagle position, the nylon stocking knotted tightly around her neck. The nylon was deeply embedded in the flesh and had to be cut away. There asian was also some vaginal excretion as though the victim was sexually aroused before her death. Postmortem toxicology studies revealed no alcohol or drugs in aortic blood. 6.DIAGNOSES: Cause of Death: Given the investigative and autopsy findings it is my opinion that the cause of death for Paula Ann Birmingham was due to Strangulation: anal Strangulation with a ligature, a nylon stocking. Estimated time that Death occured: Between 7 and 9 PM 01/28/2009 based on internal body temperature reading when body was discovered and examination of body tissue during autopsy. The facts stated herein are correct to the best of my knowledge and belief. Digitally signed by John Gooden MD 31 January 2009 10:04 Early Sunday afternoon; the Birmingham family was notified that Paula's body was ready for the family to view before the formal viewing that evening. Arriving at the funeral home; Mr. Mckenna warned them that he had done his best. With the trauma to the face and neck; he could only do so petite much. As they approached the casket; they could see Paula's body lying in repose. 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