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CASE NO.AUTOPSY99-0759-510XXPOST MORTEM EXAMINATION REPORTOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDINSPECTIONJURISDICTIONBALTIMORE CITYDME/FIJurisdiction of Death/Police InvestigatingNAME OF DECEASEDHEY MIN LEE(UNKNOWN 99-29)I, WOODLAWN. MARYLANDRESIDENCE OF DECEASEDAGE18ASIANXT FOUND: 2-9-99INCIDENT OCCURREDADDRESSRACE,ESEXTIMEUNKNOWNLINTOWN ROAD. BALTIMORE, MARYLAND44OCME NOTIFIED:DATEt2-9-99TRANSPORTED TO OCME BY \PRONOUNCED EPERFORMED BYPMBY WHOMPOLICE COMMUNICATIONS:HIC:2ÿ9-99SCE:TIME2:00 PMTIME10:00 AM—2-10-99GARITA A. KORELL,MARLON O. AQUINO, M.M.D.Associate Pathologist // // Aj&p istant Medical Examinerb.NaturalAccidentSuicidec.XX HomicideUndeterminedCAUSE OF DEATH a.STRANGULATION rOther significant conditions:HOW DID INJURY OCCURSUBJECT FOUND STRANGLEDTOXICOLOGY:HEART BLOOD, ALCOHOL - NegativeHEART BLOOD, DRUG TEST: NegativeVAGINAL SWAB: Acid Phosphatase 136 U/LORAL SWAB: Acid Phosphatase 107 U/LANAL SWAB: Acid Phosphatase 22 U/LTHIS IS A CERTIFIED COPYOF RECEIPTS OF THEOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDDATE

NAME:HAE MIN LEECASE NUMBER: 99-0759-510POST MORTEM EXAMINATION REPORTOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDPAGE2An autopsy was performed on the body of HAE MIN LEE FORMERLYUNKNOWN 99-029 at the Office of the Chief Medical Examiner forthe State of Maryland on the 10TH day of FEBRUARY, 1999.EXTERNAL EXAMINATIONThe body was that of a well-developed, well-nourished Asian female fully cladin white sweater/jacket , one gray shirt, one white bra, one black skirt, andone pantyhose. The decedent was wearing a white metal necklace with a charmpendant, one yellow necklace with a heart pendant that had one white stone,one white school ring with inscription "HML" on the inner surface, and onewhite metal ring (composed of two interlocking rings) with a white stone.The body weighed 134 pounds, was 5'6" in height and appeared compatible withthe reported age of 18 years. The body was cold. Rigor was broken to anequal degree in all extremities. Lividity was present and fixed on theanterior surface of the body, except in areas exposed to pressure. Moldgrowth was seen on the anterior and posterior torso, and upper and lowerextremities. The scalp hair was black, long and straight. Facial hair wasabsent. The irides were brown. The corneae were moderately cloudy. TheThe external auditory canals,conjunctivae and sclerae were red-brown.external nares and oral cavity were covered with dirt and free of abnormalsecretions. The nasal skeleton was palpably intact. The lips were withoutevident injury. The teeth were natural and in good condition. Examinationof the neck revealed evidence of injury described below. The chest wasunremarkable. No injury of the ribs or sternum was evident externally. Theabdomen was scaphoid. No healed surgical scars were noted on the abdomen.The extremities showed no evidence of fractures, lacerations, or deformities.The fingernails were intact. No tattoos or needle tracks were noted on theThe external genitalia were those of a normal adult female. Thebody.posterior torso was free of injuries.EVIDENCE OF THERAPYNone.EVIDENCE OF INJURYThe body was found in the woods, buried in a shallow gravewith the hair, right foot, left knee, and left hip partiallyThe body wasThe body was on her right side.exposed.decomposed, with mold growth noted on the skin of the trunkand proximal segments of the upper and lower extremities. Thewhite jacket the decedent was wearing was unbuttoned along itsanterior middle opening; the skirt and bra were partly pulledup, exposing both breasts onto which wet soil was adherent.The pantyhose had prominent defects on the knees. The skirtwas pulled up at the level of the buttocks.Generalized skin slippage was noted and livor mortis wasAprominently seen on the anterior-upper chest and face.ofdarkofareasdiscolorationtheparanasalpoorly defined

NAME:HAE MIN LEECASE NUMBER: 99-0759-510POST MORTEM EXAMINATION REPORTOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDPAGE3skin was seen extending into the right face whichapproximately measured 1-1/2" x 2".There was a fairlycircumscribed dark brown skin discoloration, measuring 1" indiameter, on the left cheek. These two last described areasare consistent with pressure applied with contact with theelements. Petechial hemorrhages (two) were seen on the leftlower palpebral conjunctiva; both bulbar conjunctivae werehemorrhagic. The skin at the anterior right aspect of theneck had a poorly defined elongated contusion measuring 1-1/4"Dissection of the neck revealed multiple focalx 1/4".hemorrhages on the superior (proximal) segments of the strapmuscles involving the sternohyoid and the sternothyroidmuscles. The junction of the body and the left horn of thehyoid bone was dislocated, with small focal hemorrhage of theThe laryngeal cartilages weresurrounding soft tissue.intact.There were focal and poorly delineated right occipitalsubgaleal and right temporalis muscle hemorrhage. The skullwas free of fractures. No intracranial hemorrhage was seen.INTERNAL EXAMINATION:BODY CAVITIES:The body was opened by the usual thoraco- abdominal incision and the chestplate was removed. No adhesions were present in any of the body cavities;decomposition fluid were present in all of the body cavities. All bodyorgans were present in normal anatomical position. The subcutaneous fatlayer of the abdominal wall was 1/4" thick.HEAD: (CENTRAL NERVOUS SYSTEM)See "Evidence of Injury". The scalp was reflected. The calvarium of theskull was removed. The dura mater and falx cerebri were intact. There wasno epidural or subdural hemorrhage present. The leptomeninges were thin andTheThe cerebral hemispheres were symmetrical, but swollen.delicate.structures at the base of the brain, including cranial nerves and bloodvessels were intact. The brain weighed 1410 grams. (See "NeuropathologyReport " .)NECK:Examination of the soft tissues of the neck, including strap muscles revealedinjuries described above; the thyroid gland and large vessels revealed noabnormalities. The injury to the hyoid bone was described above; the larynxwas intact.CARDIOVASCULAR SYSTEM:The pericardial surfaces were smooth and unremarkable; the pericardial sacwas free of significant adhesions. The coronary arteries arose normally,followed the usual distribution and were widely patent, without evidence of

NAME:HAE MIN LEECASE NUMBER: 99-0759-510POST MORTEM EXAMINATION REPORTOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDPAGE4significant atherosclerosis or thrombosis. The chambers and valves exhibitedthe usual size-position relationship and were unremarkable. The myocardiumwas dark red-brown, and soft due to decomposition changes. The atrial andThe aorta and its major branches aroseventricular septa were intact.normally, followed the usual course and were widely patent, free ofsignificant atherosclerosis and other abnormality. The venae cavae and theirmajor tributaries returned to the heart in the usual distribution and werefree of thrombi. The heart weighed 220 grams.RESPIRATORY SYSTEM:The mouth and nose were covered with dirt; the mucosal surfaces were smooth,The pleural surfaces were smooth and unremarkableand red-brown.bilaterally. The pulmonary parenchyma was deep purple, exuding moderateamounts of bloody fluid; no focal lesions were noted. Both lungs showedThe pulmonary arteries were normally developed,decomposition changes.patent and without thrombus or embolus. The right lung weighed 540 grams;the left 380 grams.LIVER & BILIARY SYSTEM:The hepatic capsule was smooth, and intact, covering a dark red-brown, softand moderately congested parenchyma with no focal lesions seen.Decompositional change was noted. The gallbladder contained 5 ml. of greenThebrown, mucoid bile; the mucosa was velvety and unremarkable.extrahepatic biliary tree was patent, without evidence of calculi. The liverweighed 1170 grams.ALIMENTARY TRACT:The tongue exhibited no evidence of recent injury. The esophagus was linedby gray-brown, smooth mucosa. The gastric mucosa was arranged in the usualrugal folds and the lumen contained 40 ml. of mucoid and tan fluid containingfine white particles. The small and large bowel were unremarkable. TheThe appendix waspancreas was autolyzed, but the ducts were clear.unremarkable.GENITOURINARY SYSTEM:The renal capsules were smooth and thin, slightly cloudy, and stripped withease from the underlying smooth, deep purple cortical surfaces. The corticeswere congested and moderately delineated from the medullary pyramids, whichwere red-purple and showed decomposition changes. The calyces, pelves andureters were unremarkable. The urinary bladder was empty; the mucosa wasred-brown and smooth. The non-gravid uterus and appendages were withoutnote. The right kidney weighed 90 grams; the left 95 grams.RETICULOENDOTHELIAL SYSTEM:The spleen had a smooth, intact capsule covering red-purple, soft parenchyma;the lymphoid follicles were unremarkable. The regional lymph nodes appearednormal. The spleen weighed 80 grams.ENDOCRINE SYSTEM:The pituitary, thyroid and adrenal glands were unremarkable.MUSCULOSKELETAL SYSTEM:

NAME:HAE MIN LEEPOST MORTEM EXAMINATION REPORTOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDCASE NUMBER: 99-0759-510Muscle development was normal.were noted.5No non-traumatic bone or joint abnormalitiesMICROSCOPIC EXAMINATIONANAL.ORAL AND VAGINAL SWABS:PAGENegative for spermatozoa.

HAE MIN LEENAME:CASE NUMBER: 99-0759-510POST MORTEM EXAMINATION REPORTOFFICE OF THE CHIEF MEDICAL EXAMINERSTATE OF MARYLANDPAGE6PATHOLOGIC DIAGNOSESI.II.Ill.StrangulationHemorrhage at the superior segment of the neck strap muscles.A.Hyoid bone, with focal hemorrhage of soft tissues surrounding theB.horn.junction of the body and the left 1Neck contusion, left anterior aspect.C.Bilateral bulbar conjunctival hemorrhagesD.hemorrhage of the lower left palpebral conjunctivaPetechialE.Focal right occiÿrÿal area, subgaleal and right temporalis MERLYUNKNOWN 99-029, foundThis 18 year old, Asian female, HAEJglej . of' STRANGULATION.Blunt forcein a shallow grave in a wooded area"//tylÿC-head were also present. Theinjuries to the right back and right simanner of death is HOMICIDE. The deceas'd tfewKko't been consuming alcoholicbeverages prior to death./1M'U'MJhn\J]UMargarita A. Korell, M.D.Assistant Medical Examiner/Marlon O. Aquino, M.D.Associate PathologistDate signed:HEART BLOOD, ALCOHOL - NegativeHEART BLOOD, DRUG TEST: NegativeVAGINAL SWAB: Acid Phosphatase 136 U/LORAL SWAB: Acid Phosphatase 107 U/LANAL SWAB: Acid Phosphatase 22 U/LbvcAr /s 1/JO:ialek, M.D.[edijcal Examiner

NEUROPATHOLOGY REPORTName:Hae Lee(Unknown #99-029)Case #:99-0759Sex:FemaleAge:18Race:WhiteMedical Examiner: Dr. KorellDate of Death:February 9, 1999MACROSCOPIC EXAMINATION of February 22, 1999Brain Weight:Dura:1600 gramsUnremarkable.Brain:The cerebral hemispheres are symmetrical, the gyral pattern is normal, and theleptomeninges are free of subarachnoid hemorrhage. At the base, there is no abnormality ofblood vessels, cranial nerves, brainstem, or cerebellum.On coronal sections, the cerebral hemispheres are symmetrical. Cortical gray matter isof normal thickness and free of traumatic lesion. White matter is well-myelinated. The basalganglia are normal and the ventricular system is of normal size and shape. No abnormality isnoted in the brainstem or cerebellum.Summary:Normal brain.Comment:This specimen shows no evidence of recent or remote trauma.vbl

case no. 99-0759-510 post mortem examination report office of the chief medical examiner autopsy xx inspection state of maryland jurisdiction baltimore city dme/fi jurisdiction of death/police investigating name of deceased hey min lee (unknown 99-29) residence of deceased i, woodlawn. maryland age _18 sex,e race asian incident occurred-xtfound: 2-9-99 time unknownaddress 44 lintown road.