KENT E. KENNETH M. BETZ, B.S.,M.S. ‘SUSAN L. ALLEN, 0.0. Sneeron Seruty Conon LEE D.LEHMAN, PhD, MD BRYAN D. CASTO, M.D ow POSTMORTEM EXAMINATION MATTHEW P JUHASGIK, PRO, DABET. ‘OF THE BODY OF ROBERT 8, SHOTT. MO, MICHAEL N. FOX Shasta L, Himelrick RUSSELL UPTEGROVE, MO Case # - 15-0038 Ross County I. Frothy fluid in trachea and lungs. I, Clear fluid in sphenoid sinus. Il. Superficial incised wounds (6) on left forearm. IV. Cardiomegaly (570 grams) A. Hypertrophy of anterior left ventricle and interventricular septum. V. Early pregnancy. OPINION 22ers Russell L. Uptegrove, M.D., Forensi® Pathologist Date Deputy Coroner, Montgomery County, Ohio 361 WEST THIRD STREET « DAYTON, OHIO 45402 « (937) 225-4156 « www.mcohio.org/governmenticoroner ‘Nationally Accreditation by NAME, ABFT, ASCLO/LABShasta L. Himelrick Case# 15-0038 A postmortem examination of the body of a 20-year-old white female, identified as Shasta L. Himelrick, is performed at the Montgomery County Coroner’s Office on January 3, 2015. The examination is conducted by Russell L. Uptegrove, M.D., and is begun at 8:54 a.m. ATTENDANCE In the performance of their usual and customary duties, Autopsy Assistants Michelle Welch, Monica VanGundy, and Photographer Donald Webb are present during the autopsy. CLOTHING: ‘The body is received clad in green pants, black shorts, black bra, red shirt, underwear, and a green tee-shirt. PROPERTY: Accompanying valuables include bilateral ear lobe gauges and a ring on the left index finger. IDENTIFICATION TAGS: ‘A Montgomery County Coroner's Office morgue record band is around the right ankle. EXTERNAL EXAMINATION: ‘The body is that of a well-developed, well-nourished, adult white female, 160 pounds and 66 inches, whose appearance is appropriate for the stated age. The body is cold. Rigor mortis is full. Livor mortis is pink, anterior and does not blanch with pressure. ‘The scalp hair is blonde, approximately 12 inches in maximum length. Numerous leaves are matted within the hair. The irides are brown. The sclerae and conjunctivae are clear. The nose and ears are not unusual. The teeth are natural and in adequate repair. ‘The tongue appears normal. The neck is unremarkable. The thorax is well developed and symmetrical. The abdomen is slightly protuberant. The anus and back are unremarkable. The external genitalia are those of a normal adult female. The upper and lower extremities are well-developed and symmetrical Page 2Shasta L. Himelrick Case# 15-0038 IDENTIFYING MARKS: Identifying marks and scars inchide tattoos on the left foot, right side of the abdomen, right arm, left upper abdomen, left hand, right hand, and left upper arm. MARKS OF MEDICAL INTERVENTION: ‘The body is without evidence of medical intervention. EVIDENCE OF INJURY: Upper extremities: Six (6) superficial incised wounds in a parallel orientation are identified on the left forearm. INTERNAL EXAMINATION: ‘The internal organs are of a normal anatomic distribution. No adhesions are in the body cavities. A clear fluid is identified within the sphenoid sinus. CARDIOVASCULAR SYSTEM: The heart is 570 grams. The pericardial surfaces are smooth, glistening, and unremarkable. The pericardial sac is free of significant fluid or adhesions. Coronary arteries arise normally, following a right-dominant pattern with no significant atherosclerotic stenoses. The chambers and valves have the usual size-position relationship. The right ventricular wall thickness is 0.4cm. The left ventricular wall thickness ranges from 2.2 cm laterally to 4 cm in the region of the anterior left ventricle and interventricular septum. The myocardium in the thickened area exhibits a smooth shiny red-brown parenchyma. The aorta and its major branches arise normally and follow the usual course with no significant atherosclerosis. The vena cava and its major tributaries are thin-walled and patent, in the usual distribution RESPIRATORY SYSTEM: ‘The right lung is 470 grams, the left lung 400 grams. The tracheobronchial tree is patent and contains white frothy material. Pleural surfaces are translucent, smooth, and glistening. The pulmonary parenchyma is pink-tan to dark red-purple and exudes a moderate amount of blood and frothy fluid. Pulmonary arteries and veins are normally developed and patent. Page 3Shasta L. Himelrick Case# 15-0038 DIGESTIVE/HEPATOBILIARY SYSTEM: The esophagus is lined by intact, tan-white smooth mucosa. The gastric mucosa is arranged in the usual rugal folds, and the lumen contains a trace amount of tan-brown liquid. The small and large intestines are unremarkable. The mesentery and omentum appear normal. The colon contains unformed stool. The pancreas has the usual tan lobulated appearance, and the ducts are clear. The liver is 1860 grams and has a smooth, intact capsule covering red-brown parenchyma. The thin-walled gallbladder contains 15 mL of viscid bile. ENDOCRINE SYSTEM: ‘The pituitary, thyroid, and adrenal glands are unremarkable. GENITOURINARY SYSTEM: The normal-shaped kidneys together are 290 grams. The capsules are smooth, thin, semitransparent, and strip with ease from the underlying, smooth, red-brown, firm cortical surfaces. The cortices are sharply delineated from the medullary pyramids. The calyces, pelves, and ureters are unremarkable. The urinary bladder is empty; the mucosa is gray-tan and intact. The vagina, ovaries, and fallopian tubes are unremarkable. Examination of the uterus reveals a possible early pregnancy. No grossly identifiable fetal parts are identified. HEMATOPOIETIC SYSTEM: The thymus is appropriate in size and configuration for the age of the decedent. The spleen is 185 grams and has a smooth intact capsule covering red-purple parenchyma. ‘The regional lymph nodes have their usual distribution and appearance. The bone marrow (rib ends), is red-brown and homogeneous, without focal abnormality. MUSCULOSKELETAL SYSTEM The bony framework, supporting musculature, and soft tissues are not unusual. NECK: Examination of the soft tissues of the neck, including strap muscles and large vessels, reveals no abnormalities. The hyoid bone and larynx are intact. The tongue is normal. Page 4Shasta L. Himelrick Case# 15-0038 NERVOUS SYSTEM: The brain is 1365 grams. The dura mater and falx cerebri are intact, and the Jeptomeninges are thin and delicate. The cerebral hemispheres are symmetrical, with a normal pattern and distribution of sulci and gyri. The structures at the base of the brain, including cranial nerves and blood vessels, are intact and free of abnormality. Sections of the cerebral hemispheres reveal no lesions within the cortex, subcortical white matter, or deep parenchyma of either hemisphere. The cerebral ventricles are of normal caliber, containing clear cerebrospinal fluid. Sections through the brain stem and cerebellum are unremarkable. MICROSCOPIC EXAMINATION HEART: Myocyte hypertrophy with enlarged nuclei; interstitial fibrosis. LUNGS: Congestion. ‘THYROID GLAND: Lymphoid follicles with geminal centers. UTERINE CONTENTS: Chorionic villi. LIVER, PANCREAS, KIDNEY, UTERUS, OVARY, SPLEEN, BRAIN, ADRENAL GLAND, AND PITUITARY GLAND: No significant histopathologic abnormality in sections examined. RLU:sm 2/24/15 Page 5Montgomery County Coroner's Office 361 West Third Street, Dayton, Ohio 45402 Kent E, Harshbarger, M.D., J.D. M.B.A., Coroner Toxicology Laboratory Report Decedent: Shasta Himelrick W/F/20 Years Case Number: 15-0038 Requesting Agency: Ross County Coroner Toxicology Service Requested B Service: Consists of screening tests for Basic Volatiles (ethanol, methanol, acetone, and isopropanol) and a Drug Screen by Elisa immunoassay (amphetamine class, benzodiazepines, cocaine metabolite, marijuana ‘metabolite, fentanyl, opiates, and oxycodone). Confirmation and quantitation are performed on positive screens. ‘A general screen for drugs and other substances by extraction and subsequent analysis by GC/MS is also performed with confirmation and quantitation as appropriate. Specific tests are also performed as appropriate Initial Screening Tests and Results Basic Volatiles Seren Analyte Specimen Results Basic Volatiles (Ethanol, Methanol, sopropanol, Blood, Femoral (I) Not Detected Acetone) ELISA Sereen Analyte Specimen Results Cocaine Metabolites Blood, Femoral (1) Positive ‘Other drugs by immunoassay Blood, Femoral (I) Not Detected ‘Oxycodone (Oxycontin, Percocet, Percodan) Blood, Femoral(1) Positive GC/MS Basic Drug-Sereen Analyte Specimen Results Cocaine Blood, Heart (3) Positive Ecgonine Methyl Ester (metabolite of cocaine) Blood, Heart 3) Positive Levamisole Blood, Heart (3) Positive Confirmation and Quantitation Tests and Results Cocaine Analyte Specimen, Results Benzoylecgonine (metabolite of cocaine) Blood, Heart (2) > 1000 ng/mL Cocaine Blood, Heart (2) 172435 ng/mL Ecgonine Methyl Ester (metabolite of cocaine) Blood, Heart (2) Positive Nationally Accredited by The American Board of Forensic Toxicology Page 1 of 2 Data current as of: 3/11/2015 at 3:44:36PMToxicology Report - Case Number 15-0038 Continued... Reference Laboratory - NMS Labs, Willow Grove, PA. Analyte Specimen Results Oxycodone, free Blood, Femoral (1) 25 ng/mL. ‘This toxicology report contains the interpretations and opinions ofthe signatory and of the analysts based on the final results from all testing Results reviewed by: Maiph — ahi ST Matthew Juhicik, Ph.D., F-ABFT Date Completed Chief Forensic Toxicologist Page 2 of 2 Data current as of: 3/11/2015 at 3:44:36PM