Name of decedent: MATTHEW RIEHL #:

Transcription

1 , Name of decedent: MATTHEW RIEHL #: Date and time of death: DECEMBER 31, 2017; 1140 HOURS Age: 37 YEARS Date and time of autopsy: JANUARY 3, 2018; 0830 HOURS Sex: MALE DIAGNOSES I. Penetrating indeterminate-range gunshot wound to the left back. The wound course is back to front, left to right, and slightly downward. The wound involves the right lung and liver. A deformed large-caliber copperjacketed lead bullet is recovered. II. Through-and-through indeterminate-range gunshot wound to the right back. The wound course is back to front, left to right, and slightly downward. The wound involves the right lung and liver. III. Through-and-through indeterminate-range gunshot wound to the left upper arm. The wound course is front to back, left to right, and downward. No major vessels are involved. IV. Through-and-through indeterminate-range gunshot wound to the right hand. The wound course is back to front, right to left, and downward. No major vessels are involved. V. Organ pallor VI. Atherosclerotic cardiovascular disease A. Mild coronary atherosclerosis 1. Up to 30% atherosclerotic occlusion of the left anterior descending and right coronary arteries B. Mild aortic atherosclerosis

2 , TOXICOLOGY REFERENCE LABORATORY: National Medical Services, Inc. Willow Grove, PA Expanded peripheral blood (postmortem iliofemoral) panel results: Ethanol mg/dl Blood Alcohol Concentration (BAC) g/100 ml Caffeine Positive (mcg/ml) 11-Hydroxy Delta-9 THC ng/ml Delta-9 Carboxy THC ng/ml Delta-9 THC ng/ml OPINION The cause of death of this 37-year-old Caucasian male, Matthew Riehl, is due to multiple gunshot wounds. The manner of death is homicide. DBH:01/25/2018 Dawn B. Holmes, M.D. Forensic Pathologist

3 , CIRCUMSTANCES OF DEATH: The decedent is a 37-year-old (DOB: 09/09/1980) Caucasian male who reportedly sustained multiple gunshot wounds during an altercation with law enforcement on the morning of 12/31/2017. The decedent was pronounced at the scene. IDENTIFICATION: Fingerprints and digital photographs are obtained. Identification is confirmed via analysis of fingerprints. CIRCUMSTANCES OF POSTMORTEM EXAMINATION: A postmortem examination on the body of Matthew Riehl is performed at the Douglas County s Office beginning at approximately 0830 hours on January 3, Sergeant Matthew Wittner (DCSO), Andi Smith (DCSO Crime Laboratory), Ashley Simpson (PPD Crime Laboratory), Amber Urban (DA s Office and CRT), and Doreen Jokerst (PPD) are present for the entire autopsy examination. Investigator Jessica Carlos-Ray (DCCO) is assisting. The body is received in an unsealed black body bag. An identification band bearing the decedent s name is around the left ankle. CLOTHING AND EFFECTS: The body is received clothed in a green long-sleeved sweater; orange short-sleeved shirt; tan pants; black canvas belt; gray underwear; two gray socks; and two black boots. The sweater and shirt have been previously cut by medical personnel. The pants are pulled down to the level of the knees. A blue lanyard with a set of keys is around the neck. A green lanyard with a flashlight is around the neck. A pair of black metal handcuffs is intact around the left wrist. A deformed large-caliber copper-jacketed lead bullet is recovered from within the body bag present underneath the left elbow. A small fragment of copper-jacket and lead bullet is recovered from the skin of the medial left back. Accompanying the body is one black canvas tarp; one blue loose bed sheet; one broken red seal tag #045615; one set of keys; and one bullet casing.

4 , EXTERNAL EXAMINATION The body is that of an adult Caucasian male, weighing 120 pounds, measuring approximately 5 feet 9 inches in length, and appearing the reported age of 37 years. The body is cold to touch. Rigor mortis easily dissipates to an equal extent in all joints. Postmortem lividity is well developed in the posterior dependent portions of the body. The scalp hair is dark brown, short, and straight. The eyes are partially open. The corneae are slightly cloudy. The irides are brown. There are no scleral or conjunctival petechiae. The facial and nasal bones are intact to palpation. The ears are normally set. The left earlobe is pierced once. A shaven dark brown mustache and beard are present. The lips and frenula display no abnormalities. The teeth are natural and in good repair. The neck is without special note. The chest is symmetric. The abdomen is soft and flat. The external genitalia are normal adult male and circumcised. The back and buttocks are symmetric. The anus shows no evidence of injury. The upper extremities are normally formed. The fingernails are short, dirty, and free of tears. The lower extremities are normally formed. The toenails are short and slightly dirty. SCARS AND IDENTIFYING MARKS: 1. On the anteromedial right knee, there is a round scar, 0.7 x 0.5 cm. 2. On the anterior right lower leg, there are a few hyperpigmented round and linear scars, 0.5 to 2.0 cm in greatest 3. On the proximal anterolateral left thigh, there are a few faint diagonal linear scars, 2.0 to 4.0 cm in length.

5 , EVIDENCE OF MEDICAL TREATMENT: 1. On the upper right chest, there is a catheter. 2. On the upper left chest, there is a catheter. 3. On the lateral left chest, there is a clear adhesive bandage. 4. On the lateral right chest, there is a clear adhesive bandage. 5. On the right back, there is a clear adhesive bandage. 6. On the left back, there is a clear adhesive bandage. X-RAY EXAMINATION: 1. An x-ray of the head/neck reveals no appreciable bony or soft tissue abnormalities. 2. An x-ray of the chest reveals a single lead bullet in the right chest. 3. An x-ray of the abdomen/pelvis reveals minute lead fragments in the upper abdomen. 4. An x-ray of the upper extremities reveals minute lead fragments in the right hand. 5. An x-ray of the lower extremities reveals no appreciable bony or soft tissue abnormalities. EVIDENCE OF INJURY GUNSHOT WOUNDS: 1. On the medial left back, 22-1/4 inches beneath the top of the head and 1/4-inch to the left of the posterior midline, there is a round gunshot wound of entrance, 0.9 cm in diameter. There is no evidence of soot or stippling about the wound of entrance. There is an eccentric margin of abrasion about the wound of entrance, measuring 0.2 cm in greatest dimension located from 4 o clock to 10 o clock. The wound involves the skin and subcutaneous tissues in the area; T12 vertebra; middle lobe of the right lung; lower lobe of the right lung; right diaphragm; and right lobe of the liver. A deformed large-caliber copper-jacketed lead bullet is recovered from within the right chest cavity.

6 , The wound contributes to a right hemothorax (800 cc) and hemoperitoneum (100 cc). The wound course is back to front, left to right, and slightly downward. 2. On the right back, 22-1/2 inches beneath the top of the head and 3-1/2 inches to the right of the posterior midline, there is a round gunshot wound of entrance, 0.9 cm in diameter. There is no evidence of soot or stippling about the wound of entrance. There is an irregular margin of abrasion about the wound of entrance, measuring 0.6 cm in greatest dimension located from 8 o clock to 9 o clock. The wound involves the skin and subcutaneous tissues in the area; posterior right 11 th rib; lower lobe of the right lung; lateral right diaphragm; lateral lobe of the right liver; and lateral right 8 th rib. On the lateral right chest, 22.0 inches beneath the top of the head and 6-1/4 inches to the right of the anterior midline, there is a lacerated gunshot wound of exit, 1.7 x 1.5 cm; with a surrounding red-purple bruise, 10.0 x 6.0 cm. The wound contributes to a right hemothorax (800 cc) and hemoperitoneum (100 cc). The wound course is back to front, left to right, and slightly downward. 3. On the anterior left upper arm, 8.0 inches beneath the top of the left shoulder, there is an oval-shaped gunshot wound of entrance, 5.7 x 2.5 cm. The wound is re-approximated to reveal a round defect, 1.0 cm in diameter. There is no evidence of soot about the wound of entrance. There is an area of pseudostippling, 10.5 x 10.0 cm, involving the anterior left upper arm with associated foci of embedded minute fragments of copper jacket and lead bullet. There are also three (3) spots of pseudostippling on the anterolateral left chest. There is an eccentric margin of abrasion about the wound of entrance, measuring 0.4 cm in greatest dimension located at 2 o clock.

7 , The wound involves the skin, subcutaneous tissues, and muscles in the area. No major vessels are involved. On the distal posteromedial left upper arm, 9-1/2 inches beneath the top of the left shoulder, there is a lacerated gunshot wound of exit, 4.5 x 1.8 cm. The wound course is front to back, left to right, and downward. 4. On the posterior right hand, 25-1/2 inches beneath the top of the right shoulder, there is a stellate-shaped gunshot wound of entrance, 7.6 x 4.1 cm. The wound is re-approximated to reveal a round defect, 0.5 cm in diameter. There is no evidence of soot or stippling about the wound of entrance. There is an irregular margin about the wound of entrance, measuring 1.1 cm in greatest dimension located at 11 o clock. The wound involves the skin, subcutaneous tissues, muscles, and bones in the area. No major vessels are involved. On the anterior left hand, 27.0 inches beneath the top of the right shoulder, there is a lacerated gunshot wound of exit, 5.7 x 5.2 cm. The wound course is back to front, right to left, and downward. OTHER EXTERNAL EVIDENCE OF INJURY: 1. On the right forehead, there is a red-purple bruise, 3.0 x 1.5 cm. 2. On the nose, left chin, left forehead, left cheek, left jaw, and left ear, there are multiple red-orange abrasions, 0.1 to 5.5 cm in greatest Some of the abrasions are linear. 3. On the medial right chest, there is a red-purple bruise, 1.5 x 1.0 cm. 4. On the lateral right hip, there is a pink-orange abrasion, 1.5 x 1.5 cm. 5. On the lateral left abdomen, there are two redpurple bruises, 2.0 cm and 4.0 cm in greatest 6. On the lateral left hip, there is a pink-orange abrasion, 1.5 x 1.0 cm.

8 , 7. On the midline of the superior buttocks, there are multiple red-brown, crusted, linear, healing abrasions, 1.0 to 3.0 cm in length. 8. On the posterolateral right upper arm, there are a few red-purple bruises, 0.7 cm in greatest dimension, each. 9. On the anterior right forearm, there is a redpurple bruise, 1.5 x 1.0 cm. 10. On the anterior right forearm, there are a few red-orange abrasions, less than 0.1 to 0.2 cm in greatest 11. On the posterior right forearm, there are a few red-purple bruises, 0.5 to 2.0 cm in greatest 12. On the anterior left shoulder, there is a bluegreen bruise, 11.5 x 4.5 cm. 13. On the posterior left forearm, there are a few red-purple bruises, 0.5 to 1.5 cm in greatest 14. On the posterior left hand, there are multiple red-purple bruises, 0.7 to 3.5 cm in greatest 15. On the posterior left hand and posterior left 1 st through 3 rd digits, there are a few red-orange and pink-tan abrasions, less than 0.1 to 1.5 cm in greatest 16. On the anteromedial right thigh, there is a pinkorange abrasion, 1.5 x 0.5 cm. 17. On the anteromedial right thigh, there are a few red-purple bruises, 0.7 to 2.0 cm in greatest 18. On the anterior right knee, there is a red-brown, crusted, linear, healing abrasion, 0.5 cm in length. 19. On the anterior, medial, and lateral right lower leg, there are multiple red-purple bruises, 0.7 to 7.5 cm in greatest 20. On the anterior right lower leg, there are a few red-pink abrasions, 0.3 to 0.5 cm in greatest 21. On the dorsomedial right foot, there are a few red-purple bruises, 1.5 to 2.5 cm in greatest

9 , 22. On the anterior left thigh, there are a few redpurple and blue-purple bruises, 1.0 to 2.0 cm in greatest 23. On the anterior, medial, and lateral left lower leg, there are multiple red-purple bruises, 1.0 to 5.5 cm in greatest 24. On the anterior left lower leg, there are a few red-orange and brown abrasions, 0.7 cm in greatest dimension, each. 25. On the lateral left lower leg, there are a few dried red-orange abrasions, 2.0 to 3.0 cm in greatest 26. On the posterolateral left knee, there is a pinkorange abrasion, 0.5 x 0.3 cm. 27. On the proximal medial left calf, there is a pink-orange abrasion, 1.0 to 0.3 cm. 28. On the right calf, there are a few pink-orange abrasions, 1.0 to 2.0 cm in greatest INTERNAL EXAMINATION BODY CAVITIES: The body is entered by a Y-shaped incision. All organs are present in their usual anatomic positions and present their usual anatomic relationships. The bilateral parietal pleurae are stripped and reveal no additional bony or soft abnormalities. The right chest cavity and abdominal cavity are remarkable for hemorrhage, as previously described. The left chest cavity and pericardial sac are without special note. TONGUE AND NECK ORGANS: An anterior neck dissection reveals no evidence of muscular hemorrhage. A posterior neck dissection reveals no evidence of bony or soft tissue abnormalities. The underlying cervical spinal cord is intact. The cartilages of the larynx and epiglottis display no abnormalities. The hyoid bone is intact. Examination of the tongue reveals no evidence of injury. RESPIRATORY SYSTEM: The right lung weighs 310 grams and is remarkable for injuries, as previously described. The left lung weighs 430 grams. The lungs are soft, pale pink-tan anteriorly, and red-purple posteriorly. No thromboemboli are present in the pulmonary arteries.

10 , The trachea and bronchial tree are without special note. On cut section, the pulmonary parenchyma shows congestion in the posterior dependent portions, compatible with postmortem body positioning. CARDIOVASCULAR SYSTEM: The heart weighs 290 grams. The coronary arteries pursue their usual anatomic course and are serially sectioned to display evidence of mild atherosclerosis. The left anterior descending and right coronary arteries each display up to 30% atherosclerotic occlusion. The left circumflex coronary artery displays no evidence of atherosclerosis or thrombosis. Serial sections of the myocardium reveal no focal areas of pathologic change. The right ventricle measures 0.3 cm, the interventricular septum measures 1.1 cm, and the left ventricle measures 1.0 to 1.2 cm. The valves of the heart are without special note. The aorta and its major branches arise normally and follow their usual course. The descending aorta displays mild atherosclerosis with widespread thin fatty streaks. HEPATOBILIARY SYSTEM: The liver weighs 1150 grams and is remarkable for injuries, as previously described. The liver is pale red-tan with smooth surfaces and sharp margins. On cut section, the hepatic parenchyma is pale red-tan, soft, and smooth. The gallbladder and biliary tract pursue their usual anatomic course and display no abnormalities. HEMOLYMPHATIC SYSTEM: The spleen weighs 110 grams. The spleen is pale red-purple and soft with smooth surfaces. On cut section, the splenic parenchyma is pale red-brown with the usual follicular pattern. No abnormal lymphadenopathy is noted. GASTROINTESTINAL SYSTEM: The esophagus is without special note. The stomach contains 10 cc of tan fluid. The external surfaces of the small and large intestines are without special note. The appendix is present. GENITOURINARY SYSTEM: The right kidney weighs 100 grams. The left kidney weighs 110 grams. The kidneys are pale redtan with smooth surfaces. On cut section, the renal parenchyma is without special note.

11 , The renal pelves, ureters, and urinary bladder display no abnormalities. The urinary bladder is empty. The prostate gland and testes are without special note. ENDOCRINE SYSTEM: The pancreas is soft with a tan cut surface, consistent with postmortem autolysis. The pituitary gland, thyroid gland, and adrenal glands are without special note. MUSCULOSKELETAL SYSTEM: The ribs and vertebrae are remarkable for injuries, as previously described. The long bones and pelvis are intact to palpation. A subcutaneous bilateral wrist dissection reveals no evidence of underlying hemorrhage. A posterior subcutaneous dissection reveals no evidence of additional bony or soft tissue abnormalities. CENTRAL NERVOUS SYSTEM: The scalp displays no lacerations or hematomas. On reflecting the scalp, there is no subgaleal hemorrhage. The skull is intact. On entering the cranial cavity, there is no evidence of intracranial hemorrhage. The leptomeninges are without special note. The brain weighs 1470 grams. The brain displays moderate cerebral edema manifested by flattening of the cortical convolutions and narrowing of the sulci. Serial coronal sections of the brain reveal no focal areas of pathologic change. The cranial nerves are intact. The arteries at the base of the brain display no abnormalities. The dural sinuses are without special note. The base of the skull is intact. SPECIMENS EVIDENCE: A deoxyribonucleic acid (DNA) blood card is retained. The following items are submitted to the Crime Laboratory: DNA blood card; pulled head hair; pulled pubic hair; combed pubic hair with comb; bilateral fingernail scrapings; all of the recovered projectiles; and all of the decedent s clothing and personal effects. SAMPLES: Samples of peripheral blood (iliofemoral) are submitted to the toxicology laboratory for analysis.

12 , Samples of vitreous humour and chest cavity blood are collected and retained. STOCK: Samples of organs are collected and retained in formalin. -END OF REPORT-