Courtesy of chris/DR
Images from the JonBenét Ramsey Autopsy and Criminal Offense Scene. There is also an excerpt from the report listed below.
JonBenet Ramsey was six-year-old American lady who was killed in her house in Boulder, Colorado in1996 Cops discovered her body in the basement of the household house about eight hours after she was reported missing out on. She had actually been struck on the head and strangled.
The case remains unsolved, even after a number of grand jury hearings, and it continues to generate public and media interest.
Colorado police at first believed Ramsey’s parents and her older bro, Burke. The household was partly exonerated in 2003 when DNA taken from the victim’s clothes recommended they were not included. Her parents were not completely cleared till July2008 In February 2009, the Boulder Police Department took the case back from the district attorney and reopened the investigation.
Media coverage of the case has often focused on the decedent’s participation in child charm pageants, her parents’ wealth, and the unusual evidence found in the event. Media reports have actually likewise questioned the authorities’s general handling of the case. A number of disparagement suits have been filed against a number of media companies by Ramsey family members and their buddies.
On October 25, 2013, formerly sealed court files were launched, showing that a Colorado grand jury had voted in 1999 to indict the parents, John and Patricia Ramsey, for the girl’s murder. The indictment declared kid abuse leading to death and being accessories to a criminal offense. Then– District Attorney Alex Hunter declined to sign the indictment, stating the evidence was insufficient.
Listen to Patsy’s 911 call:
Here’s a comparison in between the ransom letter and Patsy’s handwriting sample, what do you believe?:
- NAME: RAMSEY, JONBENET AUTOPSY NO. 96 A-155
- DOB: 08/06/90 DEATH D/T: 12/26/96 @ 1323
- AGE: 6Y AUTOPSY D/T: 12/27/96 @ 0815
- SEX: F ID NO: 137712
- PATH MD: MEYER COR/MEDREC #: 1714-96- A
- TYPE: COR
- LAST DIAGNOSIS:
- I. Ligature strangulation
- A. Circumferential ligature with associated ligature furrow of neck
- B. Abrasions and petechial hemorrhages, neck
- C. Petechial hemorrhages, conjunctival surfaces of eyes and skin of face
- II. Craniocerebral injuries
- A. Scalp contusion
- B. Linear, comminuted fracture of right side of skull
- C. Linear pattern of contusions of ideal cerebral hemisphere
- D. subarachnoid and subdural hemorrhage
- E. Small contusions, ideas of temporal lobes
- III. Abrasion of ideal cheek
- IV. Abrasion/contusion, posterior ideal shoulder
- V. Abrasions of left lower back and posterior left lower leg
- VI. Abrasion and vancular blockage of vaginal mucosa
- VII. Ligature of ideal wrist
- Toxicologic Research Studies
- blood ethanol – none discovered
- blood drug screen – no drugs identified
Full autopsy report at end of post for those interested.
REST OF AUTOPSY REPORT:
Cause of death of this 6 years of age female is asphyxia by strangulation associated with craniocerebral trauma.
John E. Meyer M.D.
The body of this 6 years of age female was first seen by me after I was called to an address determined as 755 – 15 th street in Stone, Colorado, on 12/26/96 I arrived at the scene around 8 PM on 12/26 and got in your home where the decedent’s body was located at roughly 8: 20 PM.
A brief examination of the body divulged a ligature around the neck and a ligature around the right wrist. Noted was a little location of abrasion or contusion below the best ear on the lateral element of the right cheek. A prominent dried abrasion existed on the lower left neck. After analyzing the body, I left the residence at roughly 8: 30 PM.
EXTERNAL EVIDENCE OF INJURY: Located just below the ideal ear at the right angle of the mandible, 1.5 inches below the best external auditory canal is a 3/8 x 1/4 inch location of rust colored abrasion. In the lateral element of the left lower eyelid on the inner conjunctival surface is a 1 mm in optimum measurement petechial hemorrhage. Extremely fine, less than 1 mm petechial hemorrhages exist on the skin of the upper eyelids bilaterally as well as on the lateral left cheek. On everything the left upper eyelid there are much smaller sized, less than 1 mm petechial hemorrhages located on the conjunctival surface. Possible petechial hemorrhages are also seen on the conjunctival surfaces of the best upper and lower eyelids, however liver mortis on this side of the face makes certain identification challenging.
A deep ligature furrow encircles the whole neck. The width of the furrow differs from one-eight of an inch to five/sixteenths of an inch and is horizontal in orientation, with little upward variance. The skin of the anterior neck above and below the ligature furrow consists of locations of petechial hemorrhage and abrasion including a location determining around 3 x 2 inches. The ligature furrow crosses the anterior midline of the neck just below the laryngeal prominence, roughly at the level of the cricoid cartilage. It is practically completely horizontal with slight upward deviation from the horizontal towards the back of the neck. The midline of the furrow mark on the anterior neck is 8 inches below the top of the head. The midline of the furrow mark on the posterior neck is 6.75 inches listed below the top of the head.
The location of abrasion and petechial hemorrhage of the skin of the anterior neck consists of on the lower left neck, just to the left of the midline, an approximately triangular, parchment-like rust colored abrasion which measures 1.5 inches in length with a maximum width of 0.75 inches. This roughly triangular shaped abrasion is obliquely oriented with the peak remarkable and lateral. The remainder of the abrasions and petechial hemorrhages of the skin above and listed below the anterior forecast of the ligature furrow are nonpatterned, purple to rust colored, and present in the midline, right, and left areas of the anterior neck. The skin simply above the ligature furrow along the ideal side of the neck consists of petechial hemorrhage made up of multiple confluent really small petechial hemorrhages along with numerous bigger petechial hemorrhages determining up to one-sixteenth and one-eight of an inch in maximum measurement. Similar smaller petechial hemorrhages are present on the skin below the ligature furrow on the left lateral element of the neck. Located on the best side of the chin is a three-sixteenths by one-eight of an inch area of shallow abrasion. On the posterior element of the best shoulder is a poorly demarcated, very superficial focus of abrasion/contusion which is pale purple in color and determines up to three-quarters by one-half inch in optimum dimension. Numerous linear aggregates of petechial hemorrhages are present in the anterior left shoulder just above deltopectoral groove. These determine up to one inch in length by one-sixteenth to one-eight of an inch in width. On the left lateral element of the lower back, approximately sixteen and one-quarter inches and seventeen and one-half inches listed below the level of the top of the head are two dried rust colored to somewhat purple abrasions. The more exceptional of the two procedures one-eight by one-sixteenth of an inch and the more inferior procedures three-sixteenths by one-eight of an inch. There is no surrounding contusion recognized. On the posterior element of the left lower leg, practically in the midline, approximately 4 inches above the level of the heel are two little scratch-like abrasions which are dried and rust colored. They measure one-sixteenth by less than one-sixteenth of an inch and one-eight by less than one-sixteenth of an inch respectively.
On the anterior aspect of the perineum, along the edges of closure of the labia majora, is a small amount of dried blood. A comparable small amount of dried and semifluid blood exists on the skin of the fourchette and in the vestibule. Inside the vestibule of the vaginal area and along the distal vaginal wall is reddish hyperemia. This hyperemia is circumferential and possibly more noticeable on the best side and posteriorly. The hyperemia also appears to extend just inside the vaginal orifice. A 1 cm red-purple location of abrasion is located on the right posterolateral location of the 1 x 1 cm hymeneal orifice. The hymen itself is represented by a rim of mucosal tissue extending clockwise in between the 2 and 10: 00 positions. The area of abrasion exists at around the 7: 00 position and appears to involve the hymen and distal right lateral vaginal wall and perhaps the area anterior to the hymen. On the right labia majora is a very faint area of violent discoloration measuring around one inch by three-eighths of an inch. Cut into the underlying subcutaneous tissue reveals no hemorrhage. A minimal quantity of semiliquid thin watery red fluid is present in the vaginal vault. No current or remote anal or other perineal trauma is identified.
REMAINDER OF EXTERNAL EVALUATION: The unembalmed, well established and well nurtured Caucasian female body steps 47 inches in length and weight an approximated 45 pounds.
No scalp trauma is recognized. The external acoustic canals are patent and without blood. The eyes are green and the pupils equally dilated. The sclerae are white. The nostrils are both patent and include a small amount of tan mucous material. The teeth are native and in great repair. The tongue is smooth, pink-tan and granular. No buccal mucosal injury is seen. The frenulum is intact. There is small drying artifact of the tip of the tongue. On the right cheek is a pattern of dried saliva and mucous product which does not seem hemorrhagic. The neck includes no palpable adenopathy or masses and the trachea and larynx are midline. The chest is symmetrical. Breasts are prepubescent. The abdominal area is flat and includes no scars. No palpable organomegaly or masses are recognized. The external genitalia are that of a prepubescent woman. No pubic hair exists. The anus is patent. Examination of the extremities is unremarkable.
The fingernails of both hands are of adequate length for clipping. Evaluation of the back is plain. There is dorsal 3 to 4 livor mortis which is nonblanching. Livor mortis is also present on the best side of the face. At the time of the initiation of the autopsy there is moderate 1 to 2 rigor mortis of the elbows and shoulders with more advanced 2 to 3 rigor mortis of the joints of the lower extremities.
INTERNAL EXAMINATION: The anterior chest musculature is well developed. No sternal or rib fractures are identified.
Mediastinum: The mediastinal contents are usually distributed. The 21 gm thymus gland has a normal external appearance. The cut sections are carefully lobular and pink-tan. No petechial hemorrhages are seen. The aorta and rest of the mediastinal structures are plain.
Body Cavities: The right and left thoracic cavities contain around 5 cc of straw colored fluid. The pleural surfaces are smooth and glistening. The pericardial sac consists of 3-4 cc of straw colored fluid and the epicardium and pericardium are typical. The abdominal contents are usually dispersed and covered by a smooth sparkling serosa. No intra-abdominal build-up of fluid or blood is seen.
Lungs: The 200 gm right lung and 175 gm let lung have a regular lobar setup. A periodic scattered subpleural petechial hemorrhage is seen on the surface area of each lung. The cut areas of the lungs disclose an intact alveolar architecture with a percentage of watery fluid radiating from the cut surface areas with mild pressure. The intrapulmonary bronchi and vasculature are plain. No evidence of consolidation is seen.
Heart: The 100 gm heart has a typical external configuration. There are scattered subepicardial petechial hemorrhages over the anterior surface of the heart. The coronary arteries are normal in their circulation and consist of no evidence of atherosclerosis. The tan-pink myocardium is uniform and includes no locations of
fibrosis or infarction. The endocardium is unremarkable. The valve cusps are thin, fragile and flexible and consist of no vegetation or thrombosis. The major vessels enter and leave the heart in the normal fashion. The foramen ovale is closed.
Aorta and Vena Cava: The aorta is patent throughout its course as are its major branches. No atherosclerosis is seen. The Vena Cava is typical.
Spleen: The 61 gm spleen has actually a finely wrinkled purple capsule. Cut areas are uniform and disclose easily recognizable red and white pulp. No intrinsic problems are determined.
Adrenals: The adrenal glands are of normal size and shape. A golden yellow cortex prevails over a thin brown-tan medullary location. No intrinsic problems are determined.
Kidneys: The 40 gm right kidney and 40 gm left kidney have a normal external appearance. The surface areas are smooth and glistening. Cut sections disclose an intact corticomedullary architecture. The kidney papilae are dramatically demarcated. The pelvocaliceal system is lined by gray-white mucosa which is typical. Both ureters are patent throughout their course to the bladder.
Liver: The 625 gm liver has a regular external appearance. The pill is smooth and glistening. Cut sections disclose an undamaged lobular architecture with no intrinsic abnormalities determined.
Pancreas: The pancreas is of typical shapes and size. Cut sections are finely lobular and tan. No intrinsic abnormalities are identified.
Bladder: The bladder is contracted and consists of no urine. The bladder mucosa is smooth and tan-gray. No intrinsic problems are seen.
Genitalia: The upper parts of the vaginal vault contain no problems. The prepubescent uterus measures 3 x 1 x 0.8 cm and is unremarkable. The cervical os includes no irregularities. Both fallopian tubes and ovaries are prepubescent and average by gross evaluation.
Gallbladder: The gallbladder includes 2-3 cc of amber bile. No stones are determined and the mucosa is smooth and silky. The cystic duct, right and left hepatic duct and typical bile duct are patent throughout their course to the duodenum.
G.I. Tract: The esophagus is empty. It is lined by gray-white mucosa. The stomach consists of a percentage (8-10 cc) of viscous to green to tan colored thick mucous product without particulate matter recognized. The stomach mucosa is autolyzed however contains no areas of hemorrhage or ulcer. The proximal portion of the small intestinal tract consists of fragmented pieces of yellow to light green-tan obvious vegetable or fruit material which may represent fragments of pineapple. No hemorrhage is recognized. The rest of the small intestine is unremarkable. The large intestinal tract consists of soft green fecal product. The appendix is present.
Lymphatic System: Unremarkable.
Musculoskeletal System: Typical.
Skull and Brain: Upon reflection of the scalp there is found to be a comprehensive area of scalp hemorrhage along the best temporoparietal location extending from the orbital ridge, posteriorly all the way to the occipital location. This encompasses a location determining around 7 x 4 inches. This grossly appears to be fresh hemorrhage with no evidence of organization. At the superior extension of this location of hemorrhage is a direct to comminuted skull fracture which extends from the best occipital to posteroparietal location forward to the right frontal location across the parietal part of the skull. the posteroparietal area of this fracture is a roughly rectangular shaped displaced fragment of skull measuring one and three-quarters by half inch. The hemorrhage and the fracture extend posteriorly just past the midline of the occipital location of the skull. This fracture measures approximately 8.5 inches in length. On elimination of the skull cap there is found to be a thin movie of subdural hemorrhage measuring roughly 7-8 cc over the surface area of the best cerebral hemisphere and encompassing the base of the cerebral hemisphere. The 1450 gm brain has a typical general architecture. Mild constricting of the sulci and flattening of the gyri are seen. No inflammation is recognized. There is a thin film of subarachnoid hemorrhage overlying the entire right cerebral hemisphere. On the right cerebral hemisphere underlying the previously pointed out linear skull fracture is a comprehensive linear area of purple contusion extending from the best frontal location, posteriorly along the lateral aspect of the parietal region and into the occipital area. This area of contusion measures 8 inches in length with a width of as much as 1.75 inches. At the suggestion of the ideal temporal lobe is a one-quarter by one quarter inch comparable appearing purple contusion. Just very minimal contusion exists at the suggestion of the left temporal lobe. This location of contusion procedures only one-half inch in maximum measurement. The cerebral vasculature includes no proof of atherosclerosis. Several coronal sections of the cerebral hemispheres, brain stem and cerebullum divulge no additional problems. The areas of previously described contusion are identified by purple direct streak-like stainings of the noodle perpendicular to the surface of the cerebral cortex. These extend approximately 6 mm into the cortex. Evaluation of the base of the brain divulges no additional fractures.
Neck: Dissection of the neck is carried out after elimination of the thoracoabdominal organs and the brain. The anterior strap musculature of the neck is serially dissected. Numerous areas of the sternocleidomastoid muscle reveal no hemorrhages. Areas of the rest of the strap musculature of the neck divulge no proof of hemorrhage. Assessment of the thyroid cartilage, cricoid cartilage and hyoid bone reveal not proof of fracture of hemorrhage. Multiple sample of the tongue disclose no hemorrhage or traumatic injury. The thyroid gland weights 2 gm and is normal in look. Cut areas are finely lobular and red-tan. The trachea and larynx are lined by smooth pink-tan mucosa without intrinsic problems.
MICROSCOPIC DESCRIPTION: (All Sections Stained with H&E)
( Slide Key) – (A) – scalp hemorrhage, (B) – sections of vaginal mucosa with tiniest piece representing area of abrasion of 7: 00 position, (C) – heart, (D-F) – lungs, (G) – liver and spleen, (H) – pancreas and kidney, (I) – thyroid and bladder, (J) – thymus and adrenals, (K-L) – reproductive organs, (M) – larynx, (N-T) – brain.
Myocardium: Areas of the ventricular myocardium are made up of interlacing packages of cardiac muscle fibers. No fibrosis or swelling are determined.
Lungs: The alveolar architecture of the lungs is well preserved. Pulmonary vascular congestion is recognized. No intrinsic abnormalities are seen.
Spleen: There is mild autolysis of the spleen. Both red and white pulp are recognizable.
Thyroid: The thyroid gland is composed of normal-appearing roots. A periodic separated location of chronic interstitial inflammatory infiltrate is seen. There is likewise a little piece of parathyroid tissue.
Thymus: The thymus gland retains the usual architecture. The lymphoid material is undamaged and scattered Hassall’s corpuscles are determined. Mild vascular blockage is identified.
Trachea: There is moderate chronic swelling in the submucosa of the trachea.
Liver: The lobular architecture of the liver is well protected. No swelling or intrinsic irregularity are identified.
Pancreas: There is autolysis of the pancreas which is otherwise average.
Kidney: The overall architecture of the kidney is well maintained. There is maybe moderate vascular congestion in the cortex however no inflammation is recognized.
Bladder: The transitional epithelium of the bladder is autolyzed. No considerable intrinsic problems are seen.
Reproductive Organs: Sections of the uterus are consistent with the prepubescent age. The ovary is typical.
Adrenal: The architecture of the adrenal is well maintained and no intrinsic problems are seen.
Brain: Sections of the areas of contusion disclose interrupted capillary of the cortex with surrounding hemorrhage. There is no evidence of inflammatory infiltrate or organization of the hemorrhage. Subarachnoid hemorrhage is also identified. Cortical nerve cells are surrounded by clear halos, as are glial cells.
Vaginal Mucosa: All of the areas consist of vascular blockage and focal interstitial persistent swelling. the smallest piece of tissue, from the 7: 00 position of the vaginal wall/hymen, consist of epithelial erosion with underlying capillary blockage. A little number of red blood cells exists on the deteriorated surface, as is birefringent foreign product. Intense inflammatory infiltrate is not seen.
EVIDENCE: Items committed the Boulder Police Department as proof include: Fibers and hair from clothes and body surfaces; ligatures; clothes; vaginal swabs and smears; rectal swabs and smears; oral swabs and smears; paper bags from hands, fingernail clippings, fashion jewelry, paper bags from feet; white body bag; sample of head hear, eyelashes and eyebrows; swabs from right and left thighs and right cheek; red top and purple top tubes of blood.
END OF REPORT