ARMED FORCES INSTITUTE OF PATHOI.OCY
omu orlh Atllltd Fort" Mtdlul EUlIllnft
1413 Resemh Blvd., Bldg. 102
RO(kville. MD 2l)UO

1.1(1).944.7912
fiNAL AlTTOPSY EXAMINATION REPORT

Name: BTe Nahar, Muhall'lJYlad
SSA\'l: NJA
DlteofBinl\: BTB 1933

AUlopsy No.: (b)(6)
AfIP No.: (bX6)
RII'IIr.: Iraqi Nalionll
Plac:e ofDelth: Marine Delcmion
FlICilily, l~
PlllCc of AUlopsy: 8aBhdid MOI'Iull)'
Blghdad Ahpo.... lraq

~le OfDealh;Jb)(6)
2004
Dalc of Autopsy: 04 OCT 2004
DalC ofRepon: 24 NQV2004

ClrtlilNUnUI of Dellll: This believed 10 be 71 yell old lnqi Nalionll died while in
US Marine Corps custody while beini processed inlo lhe Iraqi deuntion prop:mn. The
Navil Criminal InvCSliptive ScMcc (NCIS) invesligalion revealed thai the dcl;edcrll
surfemt from ulcer diseuc for several ~ (per dcl;cdcnt's nephew) and [he doccdcnt
wu doinl quilc poorly just prior to beingcktaincd by the Marines.
Alilhorlulio. for AIIIOp,y: OIT....:: of the Armed Forees Medical ExamirloCl'", lAW 10
USC 1471.
Idenlllkatioll: ldentificalion b _ on prilOll idCfllificalion tlg on lhe leA grultGe.

CAUSE OF DEA Til: Acute Pmtonitis due to I PttfOBtinl Gastric Ulcer
MANNER OF DEA Til: Nalll",1
FINAL AUTOPSY DIAGNOSES:

l.

AlitopSY findinp

A. Aclile Peritonhi' due to I Perforating Gastric Ukcr
lISOCiucd with ISOO ml of pllf\llcnl ucitcs and severe
deh)d",tion.
B. Mild to lI'IOdcRte 1IIIcroKlcfOlii (25·50% ~CIlOIi'1 of lhe ri&hl
C(Ironlr)'lIId Icflllltaior dCKmdinl brtlnch of the leA COron&r)l
~oy.

.

C. Mild Ithcrosclcrosiloflhc basilar and right middle ecrcbnl artmes of
the bnin.

MEDeOM 0099

ACLU Detainee DeathII ARMY MEDCOM 99

AIll'OPSY REPORT (b}(6)
BTB Nalulr. Mllhanunad
D. Fihrosis of the epicardial surface of the ricbl Yenlricle of lhe hean.
E. Lc=ft renal scar.

F. Hydrocele orthc rigklteslic\c,

n.

Mild decomposition

IlL

TolticololJ ia negative for d/lillKll and drop of abll$4.

•

MEDGOM OIlIO

ACLU Detainee DeathII ARMY MEDCOM 100

AUTOPSY Rf,PORT 1(b)(6"'--j
8TB Nlblr. Mubammad

EXTERNAL EXAMINATION
The body is lhal of. cachetic, dehydrated 65 V, inch tall, 100 pounds (estimaled) ~i
Nalional wbose apPearance: is consistenl with the reported age of7' years. Lividily is
fUled posteriorly. Rigor is easily broken in the ex~mjljes. and the lempcraNre is cold
&om refrigeralion.
The scalp is covered with curly black and gray hair in a normal dislribulion. The irides
arc brown and tile pupils arc round and equal in diameter. There arc linear (hying artifacts
on each eye and small hypcrpigmenlcd areas on the superior i1Spocts of each eye. The
exlernal auditory canals Me dry and free of abnormal secretions. The ears an:
unremarkable. The nMes arc palent and the lips arc Slraumatic. The nose and mum"
arc palpably slable. Thc teelh appear arc naNraI and hive severe periodontal disease.
Facial haireonsisu ofa black muslache and goalee style bun!.
The neck is slrai&ht. and tile lrachu is midlillC aod mobile. The chest is symmc:lric. A
2.5 ~ 2.1 cm oval sear is on the kit chest mil a 7.4 ~ 1.4 em oval scar is over the xiphoid
procc.ss. The abdomen is nal but has a palpable fluid wave. A 2.1 x 0.7 em oval scar is
on llle ri&ht upper quadrant. The genilalia arc th.osc ofa normal adult eireumt:ised male.
The lestes are descended and frc:eofmasscs. Pubic !lair is present in a normal
distribulion. The lell buttock hilS a 2.0 x 1.5 em abrasion over lhe protruding lell femoral
neck. On the right side orthe eentrallowcr back;s a 0.7 J. 0.1 cm oval h~rpigmmtcd
area. The anus is unremarkable.
The upper and lower cxlremilics arc symmetric illld withoul clubbing or edema. The skin
of llle poslerior surfKcs of lhe hands retains ·'tents" when stretched.. On lhe posterior
surface oFthe left forearm are five oval sears thaI range in site from 1.2 J. 1.2 ern 10 2.5 x
2.0 ern and arc in a linear Pi-ltem eXlending nom the elbow to lhe wrist. The wrisu and
web spacel of the fingC11i arc free of injuries. On the anlerior surface of Ihe right lO\'ier
leg arc three round 10 oval sears lhal ranse in size from 1.5 x 1.0 em 10 2.5 J. 1.5 em. A
2.0 x 1.5 em circular scar is on the anterior surface of the len lower leg. The ankles and
we" .....c.... nfthIP. l~ are free of injuries. A papcr identification lag inscribed with;(b)(6}
j(b)(6)
attached to lhIP. lell put loe.

is

CLOTHING AND PERSONAL EFfECTS
The rollowing clothinS ilems lllId personal efTeclS arc present on lllc body at the lime of
aUlOpsy:
A bright orange jumpsuit willi a piece of cardboard inscribed with(b}(6} lin lhe front
pocket.
:>lEQlCAL INTERVENTION

There are a cluster of four punctate defecl$ over lhe medial surface of the left forearm
and a cluster of Ihll:e punctate dcfcelS on the posterior surface of the righl hand.
inspeclion by incision is consislClll with needle punclures.

MEDCOM 0101

ACLU Detainee DeathII ARMY MEDCOM 101

AUTOPSY REPORT (b)(6)

J

BTB !'iahar, MlibamllPd

RADIOGRAPHS

A complele.set Ofposlmonem radiograplls is Oblained and demonstralet!he following;
No foreign bodies and no evidence of fraeturc:s.
EVIDENCE OF INJURY

The ordering Mthe following injuries is for descriptive pu:rposes only. and is nol
inlended 10 imply order of inniclion or relative severity. All wound palhways: are given
retalive to slandard anatomic position.
A 2.1 x 0.1 cm Cf\l5ted linear abrasion is on the anlerior surfacc of tile right wrist and a
2.S J. O. I cm crwted abmion on the posterior SUffICe ofille right roreamt.
A I.S x O.S em cru5ted abruion is on thc anterior surface ortlle left wle.
INURN"!. EXAMINAJ"ION
HEAP:
The galeal and subgllieal $Oft tiUllts grthe scalp are fte<: of injury. The calvarium is
intaci. as is the dun mater beneath it. Clear cerebrospinal fluid surrounds the soft 1390
gm bl'llin, which has unremarlcable gyri and sulci. Coronal 5tClions demonstrale sharp
demarcation betwe<:n while and grey mauer, without hemorrhage orconlusive injury.
The ventricles are of normal siu. The basal ganglia, brainslem. cerebellum, and arlenal
syslems are free orinjury. There is mild alherosclerosis ofllle basilar and right middle
cerebl'lll arteries. There llIe no skull ffllClurc:s. The allanto-oc:cipilaJ joint is stable.
NECK;

The antmor strap muscles oflhc: neck an: Ilomogenow; and Ald-brown, wilhoul
hemorrhage. The thyroid cartilage and llyoid bone an: inlact. The III')'I1X is lined by
inlllCl white mucosa. The Ihyroid Sland is synunetric and m1·brown, without cystic or
nodular change. The longue is freeofbite matlr.s. hemorrhage, orothet" injuries.
BODY CAVITIES:
The ribs, Slcmum, and vertebral bodies are visibly and palpably inlact. The pleul'lll

cavities exh have 100 ml of decomposition fluid. The pericardial und puitoneat cavities
are free offluid collections. The OfgIns occupy lheir uwal analomie positions.
RESPIRATORY SYSTEM:
The right and left lungs weigh 423 and 43S gin, respectively. The exlernal surfaces are
smooth and deep red-pwple. The pulmonary parencllyma is diffiJsely congesled and
edemalous. No 1TIa5S lesions or areas of consolidation are present.
CARDIOYASCULAR SYSTEM:
gin hem is contained in an inlacl pericardial sac. The epicardial surface is
smoolh, with minimal fat investment. A 4.2 x 2.6 ern area of epicanJial fibrosis is on the:
anterior surface of the right ventricle. The coronary arteries are present in a nonnal
distribution, with a righl·dominant pallem. Cross sctlions of the ve:uell show mild

The 341

MEDCOM 0102

ACLU Detainee DeathII ARMY MEDCOM 102

·.

..

AUTOPSY REPORT (b)(6)
BTB Nablr, Muhammad

Pale 5 oU

athnoscltrosil (<2j% llmosis) in the righl coronuy and the left dc:s<:ending branch of
Ihc left eoronuy artery. The m)'OtWium is homogenous. Rd-bl'OWll. and finn. The:
"lIve le.nets an thin and mobile. The Wills of!he left and ri&hl ventricles arc 1.0 and
O.3-em thick, respeC1j~ly. The mdocardium iSloIIlOOIh and &IisteNn.. The itOrU gives
rite to three inllc:t and !W'ltnt areh vessel,. The renal and mesentcnc vessels arc
WII'etTlIBIbIe.

UYES &;. BIWay SYSTEM:
The 710 em liver lw an intact, iITIOOth taplule and I ~ Interior border. The
parenchyma islan·brown and conpud. with the usllallobulu Irthilecwre, No mass

lesioru Of OlheT abnormalities are _ . "The gallbladder eontailll. minute lmount of
arecn·b1ac:k bile and no IlOIlCS. The gallbladder mlltOuJ surface is a:rem and vclvet)'.
The utl'ahepalic biliary tree il pltent.
SPLEEN:
The 94 em spleen

tw I smooth, intact, llId-purplc ClIpiulc. The parmehynu. is maroon

and CO<1auted, wilh diflinc:1 MIJpiahlan corpuscles.
PANCREAS:
The pan<:reas is lirm and yellow·lan, with the lISualloblll., an:ItiICCNIC. No man lesions
Of allier

abnormalities are lICen.

ARRENALS:
The riJIII and len Idrenllglands are syrnmetti~, with btighl yellow eorti~eI and grey
medullae. No mallei or areA ofhanOfThage are idenlilied..

GENJIOllBlNARY SYSTEM:
The tighl and leA kidneys weigh 65 and 64 am, rapec:lively. The exlemallUnlCel have
fine lranulatily. A 1.0 x 0.1 cm ICat lhal il eonsillenl with I ruptured renal conical cyst
il on the uppeT pole orthe lell kidney. Thc CUI surfaces are red·tan Iltd congested, ..... ith
uniformly lhick cortices and Jhup conicomedullary junctionl. The pelves are
unremarkable and llle uretn1 are nonnal in course and ealiber. Whi,e bladder mucosa
overlies an intlCI bladder Will. The bladder conlllinlllpprOllimalely 40 ml of cloudy
yellow urine. The Pl'O$lllc II normal in site, wilh lobular, yellow-Ian parenchymL The
seminll vesicles are unretJlukible. The lesles are free of mIlS lesiOl'll, contusions, or
Olher IbnormaUlies. The righl lesticle hu I hydrocele Ihll contlinl 30 ml of clear yellow
nuid.
GASTRQ!NTfSTlNAI· TRACT:

...

The elOphlsul il inlllet and lined by smoolh, arey·while mucoli. TIlete ilapproximalely
10 ml of cloned blood in lIle diml esophaJlUl. The Ilomach conllins approximalely 120
ml of tin mucoid fluid. "The anterior sulrit Will hu a 1.6 Jl 1.0 cm perforation ncar Ihe
pylori~ Iphin~ler thai ~ommunleales with a 1.5 Jl 0.5 ~m perforation oflhe posterior
&Ulri~ Will near Ihe pylone Iphlncle,. Thl:l"c is appmximalely 1sao ml offou\ smellins
cloudy lilt fluid In the peritoneal cavily. The duodenum, loops ofsmlll bowel. Ind ~olon
Ire unremukable. The ljlpendix is presenl.

MEDCOM 0103

ACLU Detainee DeathII ARMY MEDCOM 103

J

AUTOPSY REPORT (b)(6)

=-oJ

BTB Nabar, Mubmmld
ADDITIONAl" PROCEDURES

•
•
•
•

Documentary photogrlphl ~ laken by'(b)(6)
I
Specimens re14incd for loxicologic tesling and/or DNA idenlifiCilion are: blood.
urine. spleen, kidney, lung. liver, bmin, bile, gaslric contents, and psoas muscte.
The dissected org&lU are f()fWarded Wilh body.
Pef'50nal effecls anl released to the appropriate monuary operations
representatives.

MICROSCOPIC EXAMINATION
Stomach: Acute ulceralion willi severe inflammation with bacleria pruenl. Helicobac:tcrr
pylori is nol idfmtificd on either H&E or Diff-Quik saineOllides

Panions ofolherorgans are relained in fonnalin, wilhoul preparalion ofltistologic slides.
OPINION

This believed to be 71 year old detainee died from Kute peritonilis lila! resulted from I
perforaling gastric ulcer. The decedent was clKhetic and severely dehydraled which
indicates that he had the ulcer fOf a signiflClU1! amount oflime. The manncrof death is
nalural.
(b)(6)

l'b)(6'

~cdkal Examiner

...
MEDCOM 0104

ACLU Detainee DeathII ARMY MEDCOM 104

OEPARTMENT OF DEFENSE
oUIlIlEO 'OftCEllllamvTI Of' PAntOl.OOY
WAlIllNOTOII. oe 10* . _

.........

,"",__ or

PATIENT IDENTifiCATION
Ai'll' ,,"",10•• N... bt,

Stau.'."

~)(6)

TO;

,,-

OFFICE Of THE ARMED fORCES MEDICAL
EXAMINER
ARMED FOAct5 IN5TITUTEor I'AnlOLQGV
WAStIlI'lGTON, DC lllJ06 6000

NAJi.U.. MUHAMMAD

SSAN:
AUlo~,I'(b}(S}1
To1ko1oc' 1.«<0>100.: ~){6f ~
Oal. R.po" C.....ltd: {ktobu II, 1004

CONSULTATION REPORI ON CONTRIBUTOR
ArlP DlACNOSIS

MATERIAL

REPORT or TOXlCOLOCICAL EXAMINATION

COlldlltGII GfSpuim~nl: GOOD
Dlle Gf Inclde.l:
Dile

Rtc~ived:

VOLATILES; The URINE AND LIVER
• cllIGffof20 mgldL. No tthanol WI.S detet;led.

101612004

~re

examined for the ptnenee Gf ethanGI al
•

DRUGS: The LIVER was screened for amphetamine. anlidepressants. antihiswnines,
barbilurlles. bcnzodillZtpines, eannebir>Oids. diloroqlline, cocaine. dextromethorphan, tidoWne,
naKotic analgesics, opiates. phencyclidine, pbcllOthia.zineJ, symp.thomimctic amines and
vcrapamil by gas clu'olTl&toaraphy, color lest or immllllllaSSllY. The followinB drugs were
dete.:led:
None were fOWld.

(b)(S)

L

Offiee orllle Anned Fon:a Medial E!WIl;n...

J

j

Offiee of lilt Atmtd Forus McdiG.lI E.urnillCl"

MEDCOM 0105

ACLU Detainee DeathII ARMY MEDCOM 105

•
ARMED FORCES INSTITUTE OF PATHOLOGY
omn of the Armed Foro:u Medkal Eumlner
1413 Research Blvd., Bldg. 102
Rockville, MD 208S0
)·8O().944-7912
FINAL AUTOPSV REPORT

J

Name: Mooammad, Sher

Autopsy No)b){6)

SSAN: W.

AF1PNoi(b)(6)

Dalc of8irth: UllknQwn
Dale of Death: (b)(6)
,2004
Date of Autopsy: 30 September 2004
DalcofRcport: t4April200S

Rank: Civilian
Place ofr>eath: Salerno. Afghanistan

-----l

aasnm.

Place of Autopsy:
Afghanistan

ClrnmslalKeli ofDnlh: This dull male civilian, pnsumed Afghanistan national, was
round dud while I' the: Rcgionallnlm'O&!lion F.ili~. Salemo Fireba.se. Afghanistan.
~2004. and the following day, he
By report. he in processed al the: RIF on(b)(6) _
complained OrVanOll! <:old symptoms 1M bodY aches related \0' snue Of in:lCct bite.
On eumination by medical pers<IlIMl, his vitlll signs were normal. Several houl"5 laler, he
was (oulll! 10 be unresponsive and IlOI brcathing,llJld he was pronounced dead.1 the local

medi<:al raciHry.
Authorization for Autopsy: Ornee oflhe Armed
USC 1471
Idenllfkltlon: Visual, per detenlioo facilil)'

Forc~

~ds;

Medlcll E.lmlner, lAW 10

postmortem fingerprints Ind DNA

profile obtIined

CAUSE OF DEATH: Atherosclerotic Cudknrlmllir D1,eue
MANNER OF OEATH: Nlturll

MEDCOM 0106

ACLU Detainee DeathII ARMY MEDCOM 106

AUTOPSY REPORT (b)(6)
Mohmmad. Shu

]

l

FINAL AUTOPSY DIAGNOSES:

I.

Atllerosckrotic cardiovascufacdisease (AFIP Cardiovascular Pathology
consultation)
a. Moderate coronary alhCJOllClerosia
L Left main coronary artery:: 40% luminal narrowing by pal/lologic
intimallhic:kening
ii. Left anterior descending Ulery (LAD): SO",{, narrowing of proximal
LAD by pathologic inlimalthiekening
111. Left drcumnex ll1ery (leA): 20% narrowing ofproximaJ l£A
IV. Right coronary Ulery (RCA)
I. 20% narrowing ofpn;lximal RCA
1. 70"A narrowing of mid RCA by smooth muscle and
proleoglye.an rich neointima, conaistenl with healed plaque
erosion
b. Cardiomegaly with lell. ventricular h}pt:thOplly
i. Hell1. 470 gm (predicted IlOrmal value 343 gm, upper limil453

""'

n. Left ventricular free wallilliekneas. IS mm
iii. Ventricular septUm thickness, IS mm

...

...

II.

Evidence of restrain I
White plastic :tip-tie "Flexieurr' aJOIlnd right wriSl with Ilo underlying
contusion or ab~sion

I.

III.

Evidence of injury
a. Minor abruiona ofcheR. upper back, upper amlS, an.d right knee
b. No inlemal evidence of trauma

IV.

Additional finditlJls
a. Neuropathology consultation (AFIP Department ofNeuropBlIIology)
i. No gross abnormalities, b~in 1370 gm
ii. Microscopically, minimal non-specific findings
I. Two small foei of chronic inflammalory cella in the
medulla; immunohistoehemically, nue scallcred
lymphocytes
2. No microorganisms or viral inclusions identified
b. Globoid livet" with rounded bordeQ, 1660 gm
i. Hepatic pathology consultation, AFIP
l. Moden.te vasc:ulaceongestion
2. Mild ~dllSlin&" ofhepBlocytes with hemosiderin
3. No specific lesiona identified
c. Pulmonary edema and congestion; right lung 764 gm.left luna 614 grn
d. Simple renal cysts

MEDCOM 0107

ACLU Detainee DeathII ARMY MEDCOM 107

AUTOPSY REPORT:L(b~)(~6),---_ _
Mllba'n1llad. Sbtr

V.

J

To~ieology (AFIP)
a. Vlllatiles: Blood and vilTeous nllid negative for ethanol
b. DI\lgs: Urine negative for Knened medications and drugs of abuse

EXTf.BNAL EXAMINAnON

The body is tha1 ofa well-developed. well-lIOIUished UllCllld Caucasian male. Ott lop ohhc
body, th= is a pairof1&ll, drawstring waist parlt, and a previously cUI wltite ,Ieeveless
undershirt The body weighs approximately 180 powtda. is 67' in height and appears
approximately 4Q.6O years or.~. The bcldy tempcratull: i, cold, tha1 ofthc: rdiigen1ion
unit. Rigor is presenlto an equal degree in all elltremities. Lividiry il present and fixedon
the posterior surface ofthc: body. except in areas exposed 10 pressure, and ~ i, moderate
facial congestion.
The ilCaip is covered with dark brown hair avera,ing 4 em in length with a sligh11y m:eding
hairline in the: temporalll:lPoll5. Facial hair oonsists of a dark mUSlachc and dark full beard.
The irides are brown. and lhe comcac are slightlydoudy. The ilClmle and conjunctivae lUll
congested, but free of petcchiae. The earlobes: are lIOI pim:ed. The elliemal auditDl)' canals,
external nm:s and 0111I1 caviry are freeofforeijp\ material and abronnalsccll:ooll5. The
nasal skeleton is palpably intact. The lips are wilhoul evidenl injury. The tocth are nalURl
and in good condilion.
The neck is stnligh\ and the tJar.hca is midline :wi mobile. Thc ckest is S)1TlI'lletric and well
developed. No injury of the ribs orstemwn isevident externally. The abdomen is slightly
protuberanl and soil Healed surgical scan of the: abdomen are oot noted. The exlml1ities
arc well developed with nonnal rangcofmcKion. Thc fingernails an: intact, The IDles of
lhe feel are calloused and lightly din ltamed. There is a thick callous on tile anterior aspect
of the lel\ ankle, and the skin of the lel\ knee is thickened and lI)llCfkerato1ic. There is a 3 x
0.1 cm pale linear scar on the back of the right forearm. and there are m\llliple plle scan on
lhe back ofille right 1Iand, < 0.2 em each. Then: is I I x I em Sl:aron the lilIenl aspccl ofthc:
right ankle. Tattoos are not noted, and needle trao:ks arc nol observed. "The exlernal genilalia
are those: ofa IIOnnal adult llIlCirnimciscd male. The les1C:S arc dc5ccndcd and lTte of
masses. The pubic halr is present in a normlldislriburion. Thc bulloClu and anus arc
unremarUble.
EVIDENCE OF THERAPY

There il a needle punClure mark of the riglll klWer IIpCd of the neck,jusl above the clavicle.
covcmi with a pie« ofwllite tape and gauze, and mere il Wldcrlying lSSOCia1Cd 101\ tis.sue
lIemorrlLage. ~ is no other evidence of medical intervenlion.
EVIDENCE Of INJURy

The ordering of the following injuries is for descriplive P\lrpoKl only and. il not intended
to imply order of inniction Dr ~lativueverily.

MEDCOM 0100

ACLU Detainee DeathII ARMY MEDCOM 108

AUTOPSY REPORT (b)(6)

4

"l.1olllmmld,Satr
The~ ill whil~ p1aslic :tip-li~ $!nip around
from lh~ rillll Ulemll audilory CaM!.

lhe right """;Sl. and Ihere is blood coming

There ill 2 I: 0.1 em linnr Ibmiorl on the lower righllide ohhe chut, 1M Ihere ila
healing 4 1I 0.2 elll linear abrasion of the upper lefl side ofthc back. There i. a 2.S 1I 0.1
em abrasion on ttlt lat~rt' aspect oflhe upper left 1rTI'l. and lher~ is a) 1 0.\ cm he'lling
abruion on Ih~ medill aspecl of the right elbow. ~ is I 2 1I 1 em abrasion on lhe
lllcnl upecl of the ri&ht knee:.

On int~rnal elIamillllion oflhe heIIi. chcsl snd Ibdomen. there is no evidence of injury.
'NTE8N4L EXAMI:'IATION

BODY CAVITIES;
The body il opmed by the IIIllII \h:)rxo.lbdcminal incision snd!he chesI plale il mnoved.
No adbeIions or abnormal colloc:tions of nuid an: pracrlt in any of the body uvities. AU
body or...,. an: p<e$Cfll in lhe nonnallllllOmicll position. The vertdlrtl bodies are visibly
Il1d palpably intact The subcuWleOlU fll layer of the Ibdominal wall ;1 ) em thiclt. There
is no internal evidmceofblunl fon:eor penelnting illjwylO the lhonco.abdominal region.

...

HEADi (CENTRAL NERVOUS SYSTEM)

The ICllp il reflCCled, and thete i. no Iubpleal hcrnomta&e or skull fnctUR:I found. The
cllvariwn oflhe lkull il ratIOved. The dun maier and fals caebri an: imlCl There: il 110
epidural or subdural bClilC:Wrhlge present. The IepIomeninges an: lhin and delicate. The
ctnbrospinal fluid is clear. The cacbnl hcmisphaa an: syrnmctrical. The stnx:lW'CS II the
bIse of the brain. inc:ludinl tranill ~ and blood vessels, an: intlCl. Coronal ltCIions
through the cc::rdlnl hernitpha'CI ~lod no lc:sionl, and there Is no evidence ofinfcction.
tumor, or lnumL The venlricles an: ofnonnsl siz.e. Tr&nSYerSt JlCCtions through the brain
stem and ceTdxl1um an: \l1ImTIItkable. The dun is stripped from the basilv skull. and 110
hc:tw"C1 arc: 1Ound. The allllllo-«lCipital joint is stable. The brain weighs 1)70 grams. See
'"NeuropIthololY Report" below.

NECK;
Elliminstion of !he soli tissues of lhe l'CCk, including!lnp muscles, thyroid gland ~d lI.r&e
vessels, rcYtllI no Ibnormslilies. The ~terior strap muscles of the na:k arc: homogeneous
lAd RId·brown, without hemorrhage. The thyroid c.1ilage lAd hyoid bone arc: intact The
IU)1I1 is lined by intact white mucosa lAd is Unobltrul:ted. The thyroid gllrId is symmtltic
and rod·brown. wilhout c)'llM: or nodulv change. 1llerc: il no evidcnc:c: of infCll;tion, tumor.
or trauma, and lhe airway il patent lIlcilion IlId dissoction of the posterior neck
dernonstrlles no deep plTleervitll musculat injury, hemorrilllge, or frlClura orlhe dorsal
spinous proceuti.
C"BDIQV &sCUI,AR SYSTEM;
The perieudiallllrf_ are smooth, gHstertingllld unremltksblc; the pcricardill SIC is free
of si8nmc~1 fluid ~d adJteslDlll. A modellue &mOunt of epicardial flt is presenL The

MEDCOM 0109

ACLU Detainee DeathII ARMY MEDCOM 109

AUTOPSY REPORTl(b){6)
Mohammad, Sb~r

]

,

coronary arteries arise normally in a right dominant pattern and rollow tho: usual distribution.
The chamb0:r5 and valves exhibillhe usual size..position n:lati()/\$hip and me unremakablc.
The myocardium is dark red·brown, firm and unrenurllable: !he uria! and ventricular septa
are intact The left vanntle is l.S em in thickness and !he ri&ht vcntride i. 0.4 em in
lhickness. The aorta and its major branches arise normally. follow the usual course and are
widely patenl, fJee of significant alherosclcrosis and otber 1Ihnorm.ali1y. The venlle cavae
and !heir major tributaries n:tum 10 !he hem in the usual distribution and we fn:e of
thrombi. The heart weighs 470 gnms. Sec "'Cardiovascular Pathology Rcpon" below.
RESPIRATORY SYSTEM;

The upper airway is elear of debris and foreign material; lhe mucosal surfaces we smooth,
yellow-tan and unremarkable.
The: plC\lrlll swfllCes _ smooth. glislening and
unremarkable bilatenlly. The pulmonary Jl8fCflChyma is red·purple, exuding a moden.te
amounl of bloody fluid: 110 focal lesions are noted. The pulmonary ancries are nonnal1y
developed. patenl and without thrombus or embolUJ. The right lung wei&hs 764 gJ2fIIS: the
left 614 grams.
LIVER <\ 81LlABY SYSTEM;
The liveT is g10b0id with very rounded marxins. The: hepalic capsule is smooth, glistening
and intlll:1, covering <lrrlt red·hrown, modmlely congested and slightly firm pamlCtJyma
with no foca/lesions noted. Thegallbladdcrconllins 8 ml ofgn:en·brown. mucoid bile; the

mucosa is velvety and unremarkable. The extrahepatic biliuy lrcc is patent, without
evidence of calculi. The liver weighs 1660 grams.
ALIMENTARY TRACT;
The longue il free of bile marks, hemorrnage. or Olher injuriea. The esophlJUS is lined by
81lIy-whitc, smooth mucosa. The ga.stm: mucosa is znngcd in !he usual rugal folds and lhc:
lumen contains 20 ml of fluid. The small and targe bowel are unremarkable. The pancreas
has a normal pink-Ian lobulated Ippeanzllie and the: duelS are clear. The appendix is pn:sent
and is wvemarkable.
GENIIQORINARY SYSTEM;
The renal capsules are smooth and Illin, semi·transpatenl and strip with ease fJom the
undc:nying smooth, n:d-brown conical swflCe$. The conica are shllll'Iy delineated from
the medullary pyramids. wllich _ red-pwple 10 lirI and untemarkable. There are multiple
smooth walled simple c}'ltS. IIp 10 I an in diameter. The calyccs, pelvl:$ and llfe\eQ are
otherwise lIIVl:l1UlI"kable. White bladder mucosa ovc:nies an inlact bladder wall. The urinary
bladder contains 30 ml of clear, yellow wine. Tb: prostale gland is normal in size. with
lobular, ~lIow-tan parenchyma. The seminal vesicles are lWemarkable. The testCi are tree
ofrnass lesions. contusions, or other abnormalilies. The right kidney weighs 170 gtams: the
left 148 grams.

RETICULOENDOTHELIAL SYSTEM;
a smooth, intact capsule coveri,,& red-purple, moderately finn parenchyma:
the lymphoid follicles are unremarkable. The Iqlional lymph nodes appear normal. The
splcen weighs 22S grams.
The spleen has

MEDCOM 0110

ACLU Detainee DeathII ARMY MEDCOM 110

•

AUTOPSY REPORT (b)(6)
Mohmmad,SIIn
ENOOCRINESYSTEMi
The pituillry, thyroid PM:! adrenal &IMds we unn:marbble.
~ruscULQSKELETAL SXSTUI i

Muscle6evelopuelil is nonTUIl. No bone or joint tbnorrnalilic:s arc noted.
MICROSCOPIC f:W1INADON
HEART: Sec "Canlioyasculw PathololY RcponR belo"".

LUNGS: Thc alYe(llar spaces and sman air passages are eJlpanded ""illl foeal edeml
nuid. bill no significant innammllory c:omponenl. The alveolar ""Ills are Ihin II'1d
modemely congested. The lUtmal and ymollS yasc:ular systems are 1lOfTTII1. The
peribrondliallymp!u.I;Q are lItlrCnlarbble.
LIVER: Sec "Hepatic PatnololY Report~belo'N.
SPLEEN: The caplllie and ""hite pilIp are urnrnar1lable. Tllen: is minimal conSC:Slion of
the red pulp.
ADRENALS: The corticil tones are distinc:tive. and the medullae: are not remark.lble.
KfDNEYS: The: sllbcapsular zones are \Inmnarbble. The slomeruH are mildly
congeSled witholll cellular prolirmtion. mesaneiaJ plOminenec:, or sclefOSis. The llibules
an: wcll pl"esef'led. Then: is no intersliliallibrolis or lignificanl innunmllion. There: is
no thickening of the ""alii of !he anmoles or lIlllll lUterial channela. The lranailional
epithelium or the col1ectins system is nClr1Tlll.

BRAIN: Mlilliple seclions ofbl1l1n demonllrlle an unremarkable COI'Ifiauralion of JI'IY
and ""hile malleI' ""hieh Is appropriate for alC. TItm: is no evidence of atrophy.
innammalion, hemorrhage. or neoplasm. Sec: "Neuropalhology Report" below.
CARDlOV MCULAR 'AItiOLOGy REPORT
Oqlartment of Cardiovascular Palhology, AFW:
"AFIP DIAGNOSIS: ~b)(6)
Moderale coronary alherosclerosis, mid righl coronary
lIrtCl')'; cmiomegaly ""ith leA yentrieular hypc:nrophy

History; 4G-SO year old M&hani mle delaine.:. 67"". 170 lbs, rO\lnd dead in US cuslody

HaI:I.: 41S pwnlI (predicted nonnal Ylllle J.4J grams, upper limil4S3 grams for a 170 Ibs
man); normal epicardial fal: closed foramen ovale: normal cardiae chamber dimensions:
lell ~ntricular cavity diameter JO mm.left ytnlricular !Tee ""alllhicknes5 IS mm,
yentriculu septum thickness IS mm: ri&hl ~~nlriele thickness 4 mm. wilhout gross Kim
Of abnormal rll inlillrales; fenestraled aortic yalye le.nets, otherwise unremlllbble

MEOCOM 0111

ACLU Detainee DeathII ARMY MEDCOM 111

•

AUTOPSV REPORT~J

7

Mobammad., SIIu

v,lves and eIldocardium; 110 lIfO$5 myo<:ardial fibln$;s Of necrosis; histologic aectiOll$
show mild lel\ ventricular m)'O':ytt hypenrophy, olherwi$e unnmarkablc
Coronaryarlcria; Nonnal oSlia: right dominance: fTIOda"alc atherosclerosis:
Len main coronary artery: 40% luminal narrowing by pathologic inlimal
tlliuming
Lel\ anterior descending artery (LAD): SO% narrowins ofpraximal LAD by
pathologic intimallhickening. 110 OIher aigni !leanl nlJTOwing
Left cin:umnu ant:ry{LCAj: 200/. narrowing of proximal LeA, no other
signifieanl narrowing
Right coronal)' ancl)' (RCA): 20"A. narrowing of proximal RCA, 70% lWTowing
of mid RCA by smooth mU5Clc and proteoglycan rich neointima, coosislent wilh healed
plaq~ erosion; dis~l RCA and posterior descending artcry~n."
NEUROPATHOLOOY REPORI

Department of Neuropathology and Ophthalmic Pathology, AFlP:
"This cue was reviewed in confeRnCc 01\ 7 Apr OS. [1 Wll$ also secn in consultation wilh
the Departments ofrnfttlious and Paruitic Diseases Pathology.

M\lhip!e irregular sections of font1.llin·fixed brain, IS x 14 x 1.5 em in aggregate, and a 4
x 3 "m f~ent of grossly unl"l'mtrkable dWll WCR s\lbmiued for ~iew. No significant
gross abnormalities were identified in the submitted sect;OI\$.
Summary ofmicroseopic sections: I. Bual ganglia.. 2. Inferior tcmporal iYfII5. 3.
Cinplate iYfII5. 4. ThalamllS, hypolhall111us, and S\lbstania nigra. 5. Cerebral cortcx. 6.
Pom. 7. Medulla. 8. Cerebell\lm.
Thc tissue was proeessed in paraffin; a section prepared from each IW'Iffin block was
stained with H&E. Additional sccliom prepared from ~1Cl:ted paraffin blocks were
stained with l1IIyJoid pre<:\Irsor protein, CD45RB, 8I'Id CD68.
Microscopic secliOl\$ of the medulla show two small foci of chronic inflammatory celts.
Immunohistochemical staining for C04SRB highlight rare scattered lymphocytes in the
medulla. Occasional vessels with ...·idened perivascular spaees containing a few
hemosiderin-laden macrophages are also noted. No micl'OOfganisms or viral inclusions
are identified. These features are minimal and non-specific."
HEPATIC PATHOLOGy REPORT

Department of Hepatic Palllology, AFIP;
"There is modCTllte vaseulaTcongestlon. No other specific lesion is identified except for
mild "dusting" ofhepatocytes with hemosiderin. CIlI~ of death cannot be determined;n
this section of liver."

MEDCOM 0112

ACLU Detainee DeathII ARMY MEDCOM 112

•

lL

AUTOPSY RF.PORT 1b,,)(',,'_ _

Mohmrnad. Siler

8

ADDITIONAL PROCEDURES

Documenwy phologn.phll are taken by OAFME pltotographcn
Specimens retained COl' tOKioologic lesting and/or DNA idCTllifical;on are: vir:reous
Ouid. heart blood, urine, and bile
The dissected organs are forwarded "';Ih the body
Pl.'fSOlIll effects are released to the appropriate mortuary operalioll5 repre~nlalive
QPINION

This adult male Afghanistan deu.ina: died in US custody ofalhefQsclerolie
caniiovaKulllf disease, with modCl1llc coronary artery atherosclerosis (70% oe<;lusion of
right coronary anery; lhue vessel disease) IIld cardiomegaly (enlarged hurl, 470 gm)
willi left ventricular hypcnrophy. He also has an unusual, gJoboid shaped liver; however,
n.oevidence ofanychn:mic or ac:tiw: liver disease was found microscopically. He hIS
evidence ofreslraint ("nexicuffs" around the right wrist); however. there is no evidCII<:t
ofsignificant trauma to explain ,he death.

The manner of death is natural.

(b)(6)

(b}(6)

--

[MediCII Examiner

MEDCOM 0113

ACLU Detainee DeathII ARMY MEDCOM 113

DEPARTMENT Of DEFENSE
ARMIro '0IlCU 1NS1IT\JTI! Ill' , AlIIOUlOY

. ..

WA,SHIII(1fO.II, DC

'"'JOt IllIG

==

~
~.

AFIP,(b)(6[l

' ' 'r

PATIENT IDOOIDgTlOH
AeU''JO,"_NK.lIor_,",_,

--l

(b)(6)

H....
OF'l'ICE O'TIlI ARMED FORC£S MI:DICAL

SHER, MOHAMMAD

EXAMlI'!R
ARMED FORas lHSTlTtrTE 0' PATHOLOGV

SSAN;

WASKlNGTOJ(, DC 1tlJ1M 6000

TGlk<lloDAel:

0.1. Rcpor1 C
~QNSULIAnoNBEPQ.RI
A'IP DIAGNOSIS

AKlopay:

J~~~l("6)'-J

r

·,.."llb)(6}
ted: 0eI0ber IS, 2004

ON CQNJRlBUfOR MATERIAL

RtPORT 0' TOXICOLOGICAL EXAMlI'ATION

C04dlM4 ofSpedllJellt: GOOD
D1Ile of '"ddeal:
Dl.tc Re«lved: 10I4nOO4

-

nx

VOLATILES:
BLOOD AND VITREOUS fl.UlD wet'Ccxamined for !be
presence of ethanol,'. eulolfo(20 mildL. No ethanol was detected.

DRUGS: The URINE WQ screened for lIDIpbe:tamine, antidcpnssants, antihistomlnes,
benzodiuepioes, eannabinoids, dIloroquine, cocaine, dextromelhorphao, lidocelllC,
lysergic acid diethylamide,llIIl'COtic anaIpiC$, opiatea, phencyclidine, pbeoothiazines,
barbl~s,

sympatbomimctic IlDines and urapamil by au chromatopphy, f.010l' test or immUllOUSly.
The foHowinS druSS were dceectcd:
None were found.

(b){6)
(b)(6)

...

OffICe «tile Armed Forces Medical Eumi.ller

MEDCOM 0114

ACLU Detainee DeathII ARMY MEDCOM 114

ARMED FORCF.S INSTITUTE Of l'ATIlOLOC"

orncc oflhc Armcd FOrCl'li Mcrllclli Examiner
[<It) RC$<;~rch Blvd.. Bldg. 102

Rochille. MD 1U85U
1-800_9+1_7'112

FINAL ,\UTOI'S" Jo:XMIINAonON nEI'ORT

:Jir(""~f<~6)~=;1

Nalllc: BTB Ahrohl:IIIVo_H.asaJ flah Ibmed Halllc 1\ utupsy NQ.
SSAN: ISN (b)(6)
ArlP No,: I~){~l
.
Dalc of Binh: 8TD 1977
R:lIlk: 1m'll Nalional
D~le of Dcalh: (b)(6) 2004
Ph,e.: of Dealh:,\Im Gharih I'ri:OOl1
Dalc of AUIOp$y: 04 OCT 2004
Pillee of "lIIllps)': Oag!«bd Monuary
Dalc of Rcpon: ()4 NOV 1()().l
Ilaghdild Airpon, I,Jq

•

CircumSiances of Dealh: This hclicv~"[lo be 17 y~ar old II:lqi ~alional WaS a dClain•..,
in lhe Abu Gh~rib Prisoo, Ir.lq, Ih,,, dbl of;ll""rfor:ltillJ; b;,lIisllC injlll)' oflhe IOrm) hv
SUitaillcd whilc in lhe p-rison )"atd. The lIc<;roenl ""as witncssed 10 suthlcnl)" collallsc
while with a group of delairH:es alld "':1$ founll 10 hal'': a possihle glll\shol wound of Ihc
ches\. CID inl'csligalion indicaled \"iclim "'liS injured wh'en 11 gllllfighl occurred oUlsi,k
the prison ~nd Ille t1eeedcnl II"llS hil wilh ihrulllld from this Ii\;lll. The SIISf'l.'Cle<I shrill\l.d
lI"as rceo"cre<! on Ihc grollmJ ncar Ille dccedent D~-spilc an cntcr,!;.'11l Illllr:K:(IIOnl~'o lhe
dCl:cdcm lI,cd of his hum)'.
AUlhorlzallon for ,\ UIOpS~': Office of the Amll'd FOlces :-'kdkal
USC 1471.

E~alllillCr, 1:\ W

ldrnlincalioo: tdcnliliemion is cslablished hy ,'isual insp'-clioll of prison

III

r~'C"rUs.

CAUSE Of DEATil: Perforating BaliiSlic Injury ofth,;, Tmso
~IANNF.R OF

DEATII:

I~omicide

F1K\L AUTorsy DI,\GNOSJo:S:
I.

Pcrforalin,!; Ballislic InJ uT}' of Ihe Torw
A. lnjllriesuflhc Torso
1. rrobable emry injur}' is incI'fJ'lIml';'c1 imo thoraeolomy inc,sloll
:rnd IS i<lenlifie~1 as a 1.0 em ar,;,<1 ofim:,i;ulmily 11lon~ Ih.:
incision ncar Ill.' xiphoid process Ihal is 18 inc he'S bclQ"OthC
lOp of thc head ( 19 hICks \\'hen rc·"pproxim<l,ed) and in Il,e
anlcrior midline. All o\"al dcfe"Ct is in the ri~ht si.~lh and
scvenlh coslnl canibges. hI.'1lealh the skin im:l!lularil)",
2. A 1.0 x 1.0 em shored C~il ,,"ollnd Ih:1I lws" lri:Lllgular skin lall
:ll 5 o'clock alID a .1.5 X 1.4 elll l"Cel:lI1sular abr.,.ion

MEDCOM 0115

ACLU Detainee DeathII ARMY MEDCOM 115

AlITOPSY REPORT (b)(6)

BTB AlIru.emy, H _ nllll Hamed ltame

.urrounding the defect, i. 22 Y, inchel below the top of tile
held and 2 inclleI riabt of tho poIterior midline.
3. Projoctile pith: petforation oflhe akin &lid mllKle inunedi.tely
tigbt or tbA xipboid proeea .1 tbA riabt .bth «1l1li CIl'Iilage,
the left lobe oCtile liver, the inlfthepatic portion or the inferior
~ UVI, tho held orthe panereu. the tight adten.Il gIancl, the
ti&hl renal vein, lIuperlorbtlneh oflhe right renal artc:ry, the:
~pole of the rishl kidney, the po5terior Ispeet of the righl
IcaIJet or the dilpluaam. the ri&ht twell\h rib IIltd the 1.1era!
portion or the body orlbe tim IlIrl\bar venebra and perforation
or the 1IIUIc:1e and akin of the mid-right blell:.
4. Ptojcd.ile dim:tion; Fronl to back, left 10 right and .lightly

......
....-xi.. . .

fiDdill&;s: Billferal hemotborax (approximately m
ml riJbt aQd 200 mlleft); hc:mopeIiloneum (approximately 50
millmlUDdina apleen>
6. Trac:e evidenc:c: ruovem;l: None

5.

B. Peaetnting IrUury of the Left Lower lei
I. A 0.1 :r; 0.3 em crulled ltIperf'Cial penetrating injury orthe
werallllrt8c:e oflhe left lower leg inlO the skin only.

2. Tnee evidence~:mtall pay-black metallic hpnen.t.

c. Other injuries
I. Four _ t (da)'l) IllpG'flciallnciaed wollDda or the left

~"""'"
U.

Medical Interventioa

1. Tboncotorny incilion of the billlenl fil\h inleRlOltallplCel

""'-=

2. 0leSl tube illlG'lion .aile in the left .,.. intcrwlllllpKe.
3. Needle JlIIIIdlIn WOIIIld with IlImlIIrIdinJ ecchymoli. on the
left Ado oftbe neck..
•. Needle puncture nwb oyerthe veiN orthe Wlterior II.Ifface or
the riglll artII.
,. RiJbt I'eInoraI trillljle punctw'e lite with IUnainina IUIIlfe
malerial in the IIda.

m.

No Iliplificanl tIItvnl d i _ idenlinecl, within Iimiu.tions or
the examination.

IV.

IdentH'yinl marb
I. (b)(6)

,

3.

.....
.....

!IlIOO (b)(6)

MEDCOM 0116

ACLU Detainee DeathII ARMY MEDCOM 116

I

AUTOPSY REPOlntCb )(6)
BTB ,o\brUelIIY. B.... JIIalI BI~ BI. .
4. (bJ.L6)
(b}(6)

V.

Pale] DrS

IlAItoo(b)}6}

--l-

ToxicoloJ)' is neplivc rorethanol. Diazepam (O.OS mgfI..) and
NorQiucpam {O.06 mWLl are present in the chest blood.

MEDCOM 0117

ACLU Detainee DeathII ARMY MEDCOM 117

AUTOPSY REPORT(b)(6)

BTB Abralle.:lY. D....

~

"'1&40fl
Raa.d HIJIW

The body i. chat of a _1l-developed.lhin appearina 68 inch Ion" 130 pounds
(estinu.tcd) lPqi nuJe whole appeannce is consistent with the reported lao of

approximately 27 yara. LiYldily is fixed poIIeriorIy with preaaute bearina area pallor.
Rip i. euilybroken in the extremities, MId !he ICIlIPtl'ture Is cold £rom re&iaenzion.
The Kalp ilcovCRd with black curly baiT in 111llm\I1 distribution. The iridet are brown,
MId the pupila are round and equal in diamete:l'. The 1IXterna\ auditory e&nlb are dry. The
ears. are ~le. The naret are pllCl'lt and !he lips are atraumllic. The note and
maxillae are palpably stable. The IceIh appcarnllural and in p4~. The faeial hair
tonDaU of a lOll« II)'le beard Illd mllltadMl.
The neck isltnlabt, and the Il'Ichea u midline Illd mobile. The ehes! it Iymmetric.
'1"heR are iIljltriea ofttle chcst that are Ii.ted below. The abdomen is flil. The am.i~lil
are \hose of I DOmlI1 adult clrwmdsed male. The let1ea are descended IDd free of
mas-. Pubie hair il pteaent in I normal diltribution. The bunoc:b and anUl are

"""""""',.

The upper and lower extremitia are symmetric and wilhoutt;lubbina Of edema.

Thefe are Il\IIltiple line. tcIl'lI ofvarioualCI'\WLI on ' .... ehow_ohrl........n ..... """1m",
Il!erIIsunau of the left em. (b}(6)
ItattooJ(b)(6)
l'b)(6L

(b){6)

~UllOO(b)(6)
~(b)(6l

tatlOOf (b)(6)

taIlOO'(b)(6)

~bl(6)~

,

CLODIING AND URSONAL EFfECTS
The followlnll clothinll hCRII mel penonal effecta are preaenl on the body It the lime of

autopsy;
It. blood lOIked dark colored I......irt is in the body baa-

MEplCAL INIERYEHIlQN
A non-sutured tboraetomy incision ofthc lifth illleroorlal apace beaina on Ihe left flank
and tnvaaa the ltCmum and tamlnatcs on \he riabt thea. the pericardium i.
IlIrgicIlly opened. I puncture milk IUn'OIlIlded by an 8 .. 1 ern ec::c:hyrnoail i. over the
leftjuplu vein, I chelt Nbc aite is in the left seventh intawatal spac:e. four (4)
puncture rnub are on the anterior .wface oftlla ript upper ann, and I puncture mark
i. in the riabt femoral tr\lIDale and llauoc:iated with IUture materilL
RAlUQCBAPHS

A complete set ofpoltmol1c:m radiographa II obIained and demonltrltel the fu1lowina:
A metallic fiqrncnt in tbc left leS: no Iona bone hCIura; and no othe\' foreian

"""~

MEDCOM 0118

ACLU Detainee DeathII ARMY MEDCOM 118

AUTOPSYREPORT(b)(6)
lTD AbraHlIl)', H.... rtlib D.mtd H._

heeSof'

EnoENCE OF lNJVBY

Tht 0l"lItriDJ o(thc fo1lowina i'1iuritl 11 for dtlcriptive pllfpOttl only, and i. not
inlalckd to imply order ofinlliecion or relative ICVtrity. All wound path.,...)" Ire liven
n=lative to daDdlnl. IIIIlOmic poIition.

J.

Pafonlina8lliistic lrljlll}'o(lhe: Tone>
A.1.nj1lricl of tile Torso
1. ~1~ entry i'1iury 11 QlCOl pol.ted into the Ibonleotomy
inciJion and is Identified u. 1.0 I:RI IrCI of il'nlJll1arity Ilona
the indJion near the xipboid proeeu I1W i. 18 inctlea below
the lOp of the held (19 inchel1¥ben f'HIlP'Oximatcd) and in
the anterior midline.. kJ. oval6efCd ia in the riaht aixth and
ICV«Ith COItII Clrtil.p, beneath the lkin irnlJ\llarity.
2. A 1.01. l.Oan Ibom:I exit IIt'OWMI Wt hI. . 1riangul....ltin II'
115 o'cloelt CId. 3.5 x 1.4an rccWlJUlar.tlnlion
IUI"I'OIlDdina Ihe defect, II n 10'. incha bdow the lOp oflbe
head and 2 inchcI riahto(thc poatcrior midline.
3. Projectile pub: Puforuion of the lkin and rnuacle inunedilldy
ript of the xiphoid process lithe riJh! lixth _Ill cartil.ae.
the left lobe of the liver, the inlrWlcpatic: portion or the inferior
vena c.va, th~ head of the ~ tile rilht adrmaI ,1IIld. the
riabt mill vciD.' .upl!riol"lnllCh of the ript renal "cry,1he
UJlPCI" pole of tile riatd kidney, the po$ICrior aapec:t of the rilbt
1eIt1u ofllle cliapbraam. the riaht t'Nclftb rib and lbc la1efal
portion of the bodyofthe Iirsc lumbar vcnebra and pcrfonlion
orthe muar.k: Ind Kin of the mid·ri&ht baek.
... Projcclile dirClction: Front DO back-left to riJh! and .liJhtly

_.

S. AAocia!cd 6ndinp: Bilalcral hcmoIhoru (-wroximal:ely sao
mI ri&ht and 200 mlleft); llQllOpCll'itoneurn (approximately.so
mllUl'nJUl'ldi,. JPIccn)
6. Trace evi4c:nce _cn4: None

B. PmctrItinIlrtjury of the Left Lower Lea
1. A 0.7 x 0.3 em ctUIIlld IIIpCffici.J
lI.inl injuty ofllle
lalenl aurf_ o(thc Ictllo_1e& into the Itin only.
:L T'tIu evidc:ncc recovtl"CIli: small py-black Il)eUlJic fnropnent.

c.

Other ilUuria
I. Four RlCClII (da)") aupuficiallncllCd wouneb of tile left
fOl_IIl.

MEOCOM 0119

ACLU Detainee DeathII ARMY MEDCOM 119

•
AtrrOPSY REPORT (b){6)

aTB AttraMlQ)'. a.... ,,.h BiDed Rime

Pille 6 ofl

INTIMAL EXMmlATION
HEAD:
The pkallnd subplcaJ toft tinun oftbe IC:&ip arc froe ofll\iury. The calvar1l1ll1 15
\ntK1,. 15 the dura materbencatb it Clear caebit4pinal nuld tumlundJ the I laO P

brain. which b. 'ClIII'emUbblc I)'ri Illd 1UIcl. CoronaJ fClCtiOQ demonstrate sharp
demIreItion between white and FY mauer. witbDut beInolTbage or contuJive injury.
The ventric:la.-e ofnonnaJ. Au. The . . . pl1iIil, brainslCm, cerebellum, mxt meriaJ
l)'JIemIare froe of lqjury or Olber abmtmllitics. 'T'blft are 1'10 UuU &aetures. The
atIlDtCHlCCipital )oint it tbble.
NJ!CI(:
The Illlcriorltrlp muaclcs of the ned; arc ~smous mel red.orown, wilbout
baDontY&e- The tbyroid CIltilage il intact. The hyoid bone is hcturecl bUI not
lAllCWecI wilh ..y ImlOUJldin& ee:ch)'lllOais. Tbe 1aryDll is linccl by intact while muco...
The lhyroid is 1:)'IlUIlCtric and red-bfuwn, without q'5tic or nodlliar clwJp. The \.Onsue I,
froe of bite mcb, hcmoi,I• • orOlber iDjurics.

aopy CA)'ITIE§:
The nlll(a:eept wbere POCecI above) Uld Ibc va1dnl bodic. are visibly and palplbly
inltCl. Tbcn arc lppfUxima%dy 200 ml of blood in the left plcunl cavil}' mld 500 ml of
blood in the ri&hI plcunl eavily. ApprmUn.iely 50 mI of blood IIIImIImdt the IIpleen.
The OIP'I occupy Ibcir lIIUIIllWOmic positioua.
RE!i.P!R.AIO&)' SYSTEM:

am.

The riab11Uld left Juo&s weip 250 and 274
.~vdy. The Iunp ate atelectatic::.
The atemllllUf_ are smootb IDd deep red-purpJe. Tbe pulmonary parmcbyma il
ditfulcly congated aIld edemalOua. No IDaRI Iesi~ or aut of co!'IMIlidrolion arc

,,,,,,,,-

CARDIOYASCULAR SYSTEM:

The 2!8 am beIrt is contained in. ~ y opened pericatdiaJ ~ The epicardial
IUlfICe i. smooth. willi minim.o! fat inveamena. The coronary arteries." ~I in I
nonnaI diariblltion. with • riaht-domiUll pIUc:m. Crou teeOollt of thl= valC~ Ibow DO
atbtn)5C1erOfi1J. The m)'OCriurn il bomopxiC)Uf, nld-brown, and film.. The nlve
leaflelJ are lhjl'j IIld mobile. The walls orlbe lell &Ild riIbl vauril:let are 1.2 and O.2-cm
thick. 'l4jMdvely. The elllkM:.roilllll i. mIOOdI and a1i1:llllllifli. The Ulrta Jiv. riM: to
lhree inmel &lid pdent m'l:b _b.. The.ma bu mild 8lhaornatola IIU'eUinJ. The: r-.t
(oc:ept where noted move) md meHDteriI: vcaeb arellllRmlrUblc.
LIVER A BQ.lMY SYSTEM:
The U7S p1I1ivcr II.. tile lnjunell ~bed. The ..,enchym. i. tan-bll)WJl nI
congested, with Ihe lIIIlIIlobullr archilllctUnl. No mau lesiON or other Ibnorm.tlitiellare
--. The pllbWldcr C(lllWM • mi.nlIlO In'IOUllt of p-om-bllclr bU, and no.cona. The
pllbllddet mue:osal.urr_ i. areen Illd ~Ivdy. 11Ie otnhqlltic: bllicy Inle WpIlent.

MEDCOM 0120

ACLU Detainee DeathII ARMY MEDCOM 120

AUTOPSY RUOR-t(b}(6)

BTB Abrabemy. U..... Jl1ab B.-.d a __

r

p.~1Gra

SPLEEN:

The I07gm spleen hu. srnootb, intact, red-purplc capsule. The parenchyma iJ; maroon
and congested, with dilltincl Mlllpighilli corpuscles.

PANCREAS:
~ pII1CreII

is finn and yellow.tIll, with the usuallobll1v Itthileeture. No mISS leslOlU

or other abnonnalitiell are teen.

NlBfNAIS:
~

ri&ht Uld kft IdrmaI at.lds are l)'IM\etrie, with bright yellow cortices and grey

medullae. No mIUCIor areu of!'lemontlage are identified.
GgNJTOURINARY SYSTEM:
The right and left kidneys wrigh 95 and 94-1lJll. respectively. The cxtem-.! surfaces are
inlaCt and SIIlOOth. The cullUffac:es are red-tan and congealed, with uniformly !hid!:
cotticet and 5harp eomcomedullary jUlletiom. The peJVelI are IlImimarkable and the

urelel'l are noma! in eourse and caliber. While bJllMer mllC:O$ll overlies an il\Ulet bladder
wall. The bladder contIinJ approxin\llely 50 ml ofcloudy recVyellow urine. Thc
prostaIc is DOnna! in size, with lobular, ydlow-tan parmchymL The seminal vesicles are
lIJIl'eln&fbblc. The testes are free ofnws ~ions. cootusiOfll, or 0CheT almol1Ilalities.

GASTROINl1!SIINAL TRACT:
The eaophagus is inltoet and 1lJ1cd by smooth, gey.whitc mucosa. The gasai<: Will is
inUcL The duodenum, loops oismall bowel, and colon are unrernarbblc. The 'PPCndix
il pl'QeDl.

•
•

APDmONM PltOCIQURE$
Doeumenwy pholOJl'lPhJ are taken bYI(b){6)
I
Specimenl retained for toxic:ologic testing anlllor DNA identification are; blood,
urine, v!im)US nuld, spleen, kidney, liver, brai.ll, lung. bile, guaie contents, and

•

psoai muscle.
The dissected orpns arc forwarded wilb body.

•

Personal efibcts are nleued 10 !be IppItIpriale II\Ortuary opcntions

repreaallativea.
MICROSCOPIC EXAMINATION

Selected portiollS ofOrpnll arc retained in t'ormalin, wilbol.ll preparation ofhillologic
s1idea.

r

MEDCOM 0121

ACLU Detainee DeathII ARMY MEDCOM 121

AUTOPSY REPORT 1l b}(6}
BTB AbraHm)'. Hu•• PIU Hamed HilDe

r

OPlNJON

Thil believed to be 27 year old lrI;qi National WII • dcl&inc:c< in !be Abu Gharib PriIOll,
lnq, lhIl died dc. periOrJ;tilii balliltic iDjlll')' of !he IOrIO he sustained while in the prison
yanl. A forC'ip body ftom. gunfiJin that WII OUUlring outside the prison walb hit !be
del:cdent. The diaupMl1 md lIOrdiueparn found in \be ~ blood ~ of undet~incd.
origin. The mWlet of 4eatb is homicide.

(b){6)

~(b~)(~')C]MedicaiExlllliocr

MEDCOM 0122

ACLU Detainee DeathII ARMY MEDCOM 122

ARMED FORCES INSTITUTE OF PATIIOLOGY
Office ofille Armtd Fona Mtdkal E.. mlller
141J

Rf$ure~

Blvd.. BIda-102
20850
1-800-9«-7912

Rockvll~, MD

FINAL AUTOPSY EXAMINATION REPORT
Name: Hlbi~, Fru M. (b){6)
SSAN: DelllneeNumbcr
DaleofBlrtb: 11n~"nWJ1~-Dale of [Hllb: (b)(6)
2004
Dale of AUlops)': 30 AUG 2004
Dale of Report: 12OCT2004

AUlop,)' No.: (b)(6)
AFIP No,: (b)(6)
Raak: Detainee in U.S, ClISlody
Pllce of Deatb: Ir"'l
Pllce of A"lops)': SlAP Mornwy,
Blghdad, Iraq

Clrcunulances of Dealb: Thil Iraqi mile wu I detainee in U.S. clWady II All" Gbra.ib
prifon in Baghdad, Jsaq. A STOuP ofprilOnet1 became unruly and the ifWlI' used lethll
force 10 $Ubdue the CTl)wd. A IhoI:sun wu fired and lrnl dflaince Wllllruc:k and ki1lal.
AUI~orlzallon

(or AUIOPSY: Armed Forta MaliCllI Examiner, per 10 U.S. Code 1<&71

IdenllnUIIOll: Circumllllllial idenlily il etIabliahai bv MIICl'Work acc:ompanyina tile
l
detainee and hi. dcsisnalion IS detainee number {b)(6l ~

CAUSE OF DEATH: SbOllulI Wound oflbe Cbal
MANNER OF DEATH: HomIcide

MEOCOM 0123

ACLU Detainee DeathII ARMY MEDCOM 123

AUIOpS~(b)(6)
Hlblb, Fru M.

l

FINAL AUTOPSY DIAGNOSES:
I.

Sbotlun Wounds orttle Tol'lo Ind Bolb Arms
A.

Ptuetnilul Sbollun Wound of Ihe Chen
I. Enlrlott::: Lefl side of the hick; nn evidence or dose-rlole
dlschlrae or I firearm on lIIe lurroundlnllktn
1. Wound PIIII: Skin, lubculaneoullluue, Ind mUlde of Ibe left
blck, poslerlor Ieft9 1l1 rib (wilb fndure), lower lobe of left
lu Oil, lefl Ilrlum, rlilbt Itrlom, upper lobe of tbe right tunl,
Inlereo"ll 'pitt:: below tbe nlerlor .,ped of tbe rlgbll"' rib,
muocle nd SUbcutaneous tissue orlbe rlilbl upper chesl
J. Recovered: l).eformed melillic rorelln bod)' IOClled in the
subcutaneoultlssue orlbe rlibf upper cbesl
4. Wound D1rulloo: Left to rlC1l1, blck to frool, Ind UpWlrd
S. Assodlled lojuries: BllJlfetll bemolbonces (rlcbtl4QOmlllllllen: left llGO-mlllllllen), bemopericanlium (SOmlllilliers)

B.

Perforalluc Sbolcun Wound of lbe RlCbf Upper Blck
I. Eolrance: RlIhl upper blck: 00 evidence of dose-uoile
dlscbarce ofl firearm on IIIe surroundlnl skin
1. Wound Pllb: Sklo Ind Subcullneolls11ssue of Ibe rlChl upper
back (tlnleollal wouod pllh)
J. EIII: Right upper blck: no projeellle recovered
4. Wound DlncUon: ~ftlo rlibl Ind sllCbl1y .pwlnl

C.

Perforalhll S"ollun Wound oftbe Rllbt Arm
I. Enlrance: PosterlOl'" rlCbl arm: no evidence or dose-ruce

dlscl:llrae ofl IInltlD 00 tbe surrouodloC skin
1. Wound Palb: Skill, subculaneous tislue, and musde oftbe
poslerlor rlChl arm; mUlCle,subcul..eoullluue, aod skill of
fbe aOlerior rlilbl arm
J. Esh: Anterior rlCht arm; no projectile ncovertd
4. Wouod Direction: Len 10 rlcbt and back to fronl (",itb Ibe
bod)' in anltomIc position)

D.

Perforallnc SbolluO Wound of the Left Arm
I. Entrance: Poslerlor ldllrm; no evidence ofdose-rlnce

-

dlscbarae of I firearm on lhe surroundlnc,kln
1. Wound '1111: Skin, lubculantllllSlisslle, and muscle ofille
poslenor lefl Itm; muscle, ,lIbculaaeous llulle, and skin of lbe
10ferlor lefl urn
J. Exit: Anlerior lerl urn; no proJecllie recovertcl
4. Wound DIrection: Lefllo rlCIll, back 10 rront, aod dowDward
(wllb IIIe bod)' In analomic posillon)

MEDCOM 0124

ACLU Detainee DeathII ARMY MEDCOM 124

•
AulOp.y (b}(6)

...

J

HabIb, Fru M •

11.

No rvlder>cf of ,110 lflulll oltQral disuse processu, wltbln 1'IIe lImlt,llool
of Ibe rumiDltloD

III.

ChOlt. of nrl)' to mo~ralf demmpollflCNI

IV.

The r«'llvtrtd proJo:rtUt Is plated In I 'abtltd «Illlalotr .nd Illfllt<! O\ltr
10 the lOveltll.flllll: IltDl who 10'11 prutlll lllbe aulopsy

....
MEDCOM 0125

ACLU Detainee DeathII ARMY MEDCOM 125

•

•

A.tOPI)',{b}(6)

Habib, Fns M.

EXTERNAl· EXAMINAtiON
The remains are received clad in. CUI .w.y green shirt and white, boler IVIle .1IoTU. No

idenlifi«lion band iSlI<Med on !he body. but the sequence ofnwnbert (b)(6)

lis written

on Ihc Iowerc;lte:st left of the: anterior midline. The body il in an early!O moderate ewe
ofdccompo$ilion. with changes that include clouding of the tomcae, lou oftur&or of the
glob« of the eyes. marblingoftbe soft tluue, and ge:ncralim:! skin slippage. Bloody
Ouid is prmenl in the oral cavity.
The body ilthlt or. wcll-dc~lopcd.well-nourished appearing. 70 %·inchn, l&O-pounds
(estimated), White male. The age (If the individual it; unknown. Lividity is posIcnor and
filed, except in areas Clposcd to pressure. Rigor has passed. The body lelTlpe:rJlUl'e i.
that of the refrigention unit.
The scalp is eoVtfed with medium length, black hair in Il'IOITTlal distribution. Facial hlir
consists of. black beard.. The irides ate brown and the pupils arc round and equ.al in
diameter. The external em arc I,lnmmlfuble. The nose and mui11x are palpably
It.ble. Tbe teeth arc natural and in rair condition.
The neck is mobile and the ncllea is midlille. The dle$t is s)'llUllelrlt. Thc abdomen is
nal. The cl(temalgcn.italia are those ofa notmailiduit. ci~umeised. male. Both testes
an: descended into the scrotum. Pubic hair il present in a nonnal distribution. There il
no evidence ofclttemal ITaUmlllO lhe urogenital area.. Tlle bullocks and anul are
unremaltable.
The upper and 10IVeT extremities an: symmetric and withollC clubbing or edema.. The
fingernails are intae:l No tattoos or oiher significant idenlifying body malts an: noled.

•
•

£VIDENC£ OF MEDICAL ''''''I[BV£NIION
Elecb'OeardioJl'Vll monitoring INds on bot.b Iidcs orthe upper chest and on the
left Iowu quadrallt of the abdomen
Gauu dressing il tied at'O\Ind the wrilll and feel

RADIOGRAPHS
Full body Blliogrsphs are obtained aMlbow a metallic foreign b<KIyon tile rigllt silk of
the upper torso.

[VIDENCE OflNJYBY
I. S"OIf:UII Woulldl ollbe TOr1o Illd Bolb Arm.

...

A. Peottntlol SbOlcull Wound or the Chnl
There i. an entran<;c lhotgun wound on the Icft .ide orthe lnek, .ilualed Igindles below the lop ortlte head and J ~-inc;hes left orlhe po.lenor midline. No
lOOt depolition or gunpowder stippling il present on lhe surroundinglkin. The
JlI6-inch wound has I III-inch marlinsl abruion between S and 8 o'clock. The
wound path aoa through the skin, lubcullU1oCOlllliuue, and muscle Olllle left aide

MEDCOM 0126

ACLU Detainee DeathII ARMY MEDCOM 126

A.IOP')' (b)(6)

...

5

Habib, J1ru M.
of the back and enters !he plCl1ftl cavil)' thtougb the posterior aspect oflhe lell: 9'"
rib, which i. fracrund.. The path !hen continues tlltough the lower lobe of the left
luna. the perKardium, both alri_oCthe heart, the: paicanlium, and the upper lobe
of tile rigblluna. The "WOund pub then aits the righl pleural «vii)' below tile
lIllteriCK upocl arlbe righl ~ nll aod perforates the .. best ~ll mlllCUlal1JlC. A
defonneci, metanic: projeclilc is ~red from the subcut.aneous tissue ofttle
right upper chesL The projectile is p\ao::ed ill I labeled eontainer and turned over
to the investisatinl USAClD qenl lnjwics associated wilb the wound path
include bil.l1cral hanotho_ (right 1<tOO milliliten; hll't 2100-millilitcn) aud
hemopericardium (SQ-millililcn). The diredion oflhe wound pllh i.left to righi,
back 10 &ont, and upward.
B. Pufor.tiDI SlIIotp. Wond of the RIebl Vpptr Back
There is lID mlrancc shotgun woWld 01\ the right upper back•• ituated 16-indles
below the top of the head and 7 III·incbc5 righl of the posllnor midline oflhe
body. The SII6-ioch wound h.u. Y, x 5/I.ind\ eccentric mllpna1 abrasion
bftween 6 and 12 o'clock. No lOOt deposition or gunpowder uipplinJ; is praenl
on the surroundil\i skin. The wOWld path iOC$lhroush skin Ind IUbcutaneous
tiSliuc prior to cxitinll th~ body throllgh I V.-indllkin defect sinwed IS-ine~
below the lop ofllle hnd and &-incl1el right oflhc poIlerior midline. A \I, It \1,inch eccentric marpnilabraliion is pteWll between 121ll1d 6 o'clock. No bullet
or bullet fragmenls are rocovered. The direction of the wound parh is left to righl
and slightly IIpward.

C. Perfonllol Sllollun Wouod oflbe Ri&bl Arm
There is an entrance sholSUn woWid on the poIlenOr aspect of the righl ann,
lillisled 6-inehes below the lop of the risbllhOlllder and 2·inebes medial of the
posterior midline oflhe fighlann. The 1/4·inch, irregular, defoct ils\lffO\lllded
by a minimal fina ofeonlllsion. No toOl deposition or sunpowder Itippling is
preseat OA the Illmlundlna skin. The wound pith gOCI through the skin,
sllbeulllneoulli"~ and muKle ohbe posterior righl arm and the musele,
aubeUIlneoUI liuue, and KiD of the Ullerior righllml. A Y,·inch elil wound
within I I Yo Jr I-inch arel of COf\lWIion is silualed 6-inclln below tile lOP of the
riabt shoulder Illd I YriDc.hes literal to the Ulterior midline of the right arm. No
build or bullet &qmentl are I'CICOvercd. The dircc:tion of the wound path is left 10
right and bid:; to fronI.

...

D. Perlontla, SlIot'llo Wond oCUte un Arm
11Iere ia Ul rotrance abotaun wound on the poslerior aspect of the left ann,
sitllated S-inehes below the lop of the left shoulder Uld 2-inelles mediI! to the
posterior midline ohbe left arm. The 1I4-inr:h, irregular. ovoid defect IlII 00
anocialed 1brui<N1 or eotlllllion. No lOOt depositiOll or gunpowder stippJ.ins i,
presm' on the t\IrrOIIIIdillg wn. The wound path glleS through. the skin,
Iubeullneoullissue, snd mlllClc oflhe posterior left ImI and the mlllCle,
IUbeUlMeoul tilillC, Ind lkin of the Ulterior left arm. A Yrinch nit WOWId
within a l-ineb areaofcontllsion iuitlllled 1 U.....inr:hes below tbc top of tile left

MEDCOM 0121

ACLU Detainee DeathII ARMY MEDCOM 127

•

•

Alltop.y (b)(6)

Ihblb. F'ra M,

....

dIoulder and Yo-inch mcdiallO lilt Interior midline oflbe left. ann. No build or
bullet ftagmmlS are reeovered. The direclion orthe wound path is left to right,
bac:k to front, and downward.

INTERNAL EXAMINATiON
HEAD:
The iealp i. WJinjWlld.. There IAlIlO mil frxl\lra orother evidenee ofsignifieanl

trauma pramt. The ealVllnwn i. removed 10 demonsttlte an &b$ence of epidUl'llI or
IIlbdul'IJ IIemomllge. examination of the b...m reveal. I IIOrrDlIl pattern of I}'ri and
sulci. Seri.llecli0nina reveals no evidcnu oflnurnatic or .tn.umalie abnonnalities.
The _ I . lithe bull ofw brain haVil. llClf1M1 dillnoolion aod appeannec. The brain

weight 1)8().grams.
NECK:
The thyroMt canilage and hyoid bone arc intM:L The lmyrut i.lined by intact white
mlleOla. The tbyroid gland i. l)11Ul'Ietric and ted-brown, wilhoul c~ic Of nodu.lar

e"-nge. The lonauc i. ~ofbite matb. hc:morrtIa8e. or ocher injuries..

BODY CA,yrnf.s:

...

The riba, sternum, and vcrtebnl bodies arevisibly and palpably inlad. Injuries 10 !he
~t and mediastinum have bcm delcribed prev:iOU$ly. TIme is no abnomull

aceulllulalion ornllid in the peritollC*l cavity. The organs occupy Ibeir USllII anatomic
positions.
Rf.sPIRATORX SysTEM:
The ript and I~ tunp weiJh 320 and !80-pams. rapeelivcly, and have the previously
described injuries. The exlemal,wflU5 II'e deep ~Ie. No mus lesiON or lI'US
olcoruolidalion II'e presenL The pulmonary arteries II'e me of emboli.

CARDIOVASCULAR SYSUM:
The l!().gJaITI heart /las \he previously delcribcd injuries. The epiunlill sUl'hu il
.mooth, with minimal fae lnVCSfJtlent. TheCOfOlWy arteries Ire plUellt in I normIl
dittribution, with I righl~ putern. Croas sa:tions o(1he VeaR'- show no
lipli.licanl,\herOlClerosi... The m)'OClldiwn i. homogenous, red-brown, and finn. The
vllve lea.OdI are thin IlId mobile.. The WIl'- of tile left Ind ripl VCfttticles lIe 1.4 and
O.S-centimeteJ1 ttUck, respectively. The endocItdiwn il smooth and ali.tenin&- The
aortl Jives rbe to three inlltt and palenlltdl v~l... The renalllId meaenleOc v_'are ttnrernIfIaIble.

.....

LIVER" BILIARy SySTEM:
1110 14S().gJaITI liver /las III intae:t, smooth capsule and • sharp lIlter10r borda. The
parmch)Tlll it lIn·brtJwn and conaestod, with the USUIllobullll" I1dtiteetUJe. No mIlS
lesions or otha IbnonnllitiCi are seen. The pl1blldda il empty. The IlIUC011I.urflCe
illJ1lClllllld velvety. The extrahepllic biliuy l1ee is palenL

MEDeOM 0128

ACLU Detainee DeathII ARMY MEDCOM 128

•

-

AIlIOpSy!C b)(6)

7

Habib, Fn.s M.
SPLEEN:
The ISO-gram spleen Ius a smooth, intact, red,pUlllle capsule. The paunchyma is $Oft,
maroon, and congested, with early decompositional changes.

PANCREAS:

The pancrellS c:xJtjbiu early 10 moderlllc dClXlmposirional change!!.
ADRENAL GLANDS:

The right and left adrenal glands are symmetric, with yellow conices, gray medullae, and
early decomposilioml changes. No Il'IlISSeS or areas ofhemolThage are ;dWlilicd.
GENITOUBJNARY SysTEM:

The right and left kidneys weigh \40 and lID-grams., respectively. The extemll! swfaccs
are intact and smooth. The CUI surfllCcs are red-11lI and congested, willi uniformly thick
wrt;ces and sharp corticomcdullary junctions. The pt;lves lilt lIIUcmarkablc and the
umen: are normal in COline and caliber. White bladder mucosa overlies an inlacl bladder
wall. The urinary bladder contains ISO-milliliters of light yellow urine.
GASTROINTESTINAL IRACT:
The esophagus is inlllCt aB;1lincd by smooth, hemorrhagic appearing muwsa. The
stomach contain!; approximately lQO.miJlilileTS food particles, including beans and rice.
The gastric wall is intaet. The duodenum. loops ofsmall bowel, and colon are
IJIII'emarkable. The appendix is present

MUSCULOSKELETAL:
No non-lraumalic abnormalities oCmuscle or bone are identified.

MICROSCOPIC EXAMINATION
Selected portloll.S of organs an: retained in formalin, without preparalion ofhislologic
slides

MEDCOM 0129

ACLU Detainee DeathII ARMY MEDCOM 129

Autopryl(b)(~

...

----

II

Habib. Fns M.
ADDITIONAL PRQCEDUR€SlBEMARKS

•

Documentarv Dholognphl are laken by OAFME staff phologJapher.!(b)(6j
~b)(61
I

•

Specimens retained for !O~K:ologie testing and/or DNA identification life: eavity

blood, splec:n,liver, brain, bile, urine. lung, gullie COnlen15, kidney, and psou

muscle
•

•

Full body radiogntphs are obtained and demomlralC the metallie fo~ign body
subsequently R!eOVCTed from the right chest wall
The di$SeCled orgam and clothing are forwarded wilh body

OPINlQN
This White male detainee in U.S. custody died as a l"eIIult ofa shotgun wound to tile chest
that causal injUl')' to the lungs and heart. There was also extensive bleeding into the
chest cavill'. A metallic projectile wu TfICOvered li'om the subcutaneous liSlluc of the
righlupper chest and turned over 10 the USAClD Agent who was present II the autopsy.
Additional shotgun wound paths involved the right upper back and both arms. The
location BfId ~an.nce Dfthe wound paths involving the right upper back and right arm
make illitel)' thaI a single projeclile te$ulted in both wounds, with re-entry Qrthe
projectile into the right arm after exiting the right back. The manner or d~Lh il

homicide.
{b)(6)'--

(b}(6)

...
MEDCOM 0130

ACLU Detainee DeathII ARMY MEDCOM 130

DEPARTMENt Of" DEFENSE

AItIIIIW ~u IIIImvr'I! 01' .... TMCll,.OO1'
W..,..OOOTOOl. DC ..,..
I

AflP(b)(6)
I'ATlllU IpENIJrICAT!OI'f

..m

Au

s ....

N • •hu

....._ _

(b)(6)

TO:

N._

ornel: orTHI: AlUtED FORCES MEDICAl.

KABIB. rMUt,,__
OIU've to: (bJ~1
SSAJ<l:
An.pg: i(b''')(1'J6),---~
T••....., Aft_ II: (!l1(6)
00,* Rtport ec....tat, 5 ;
obol U.1OO(

EXAMINER
AJtMr.D FORCES lHSTtTl1J1or PATHOLOGY
WASM1l'ICTOH. DC lDJ" "00

CONSULTATION sEmBI ON CONTRl8\t[QB MAURJAL
AnI' DIACNOSIS

REPORT or TOXICOLOGlc...L VUoMINAnON

Coodltioo ofSpec;laMo.: 0000
DOlt of locldull(b)(6) 2004

Dolt Received: 91712004

VOLATILES: The BLOOD and URINE were naminal for !be presence of ethaDol ala

CIllO'"of20 mWdL. No ethanol

wall

dete<:ted.

DRUGS: The BLOOD wall screened forocewninophen, ampheWnine, ontideprenants,
ontihiswnines. barbituntcs, benz:odiuepincs, cannabinoids, dlJoroquine, e«aine,
dextromelhofphan, lidocaine, narcotie analsesic:s, apillt$, phcnc)'l:lidine. pheDoIhiozines,
saJieylatcs. sympathomimetic aminu and Ycnopamil by gu CIlrom.lOpplly, color lest or
inununousay. The followina drugs were dCIe(II:d:
None WCIe found.

(b)(6)
(b)(6)

...
MEDCOM 0131

ACLU Detainee DeathII ARMY MEDCOM 131

ARMED FORCES INSTITUTE OF PATHOL.OGY
orr_ of Ihe Anned Forca Medicil E"J11ln~r

1413 Rn~ucb Blvd.. Bldl. 102
Rockvlll~. MD 10850
1·800-944·7911
FINAL AUTOPSY EXAMINATION REPORT
Nalll~:

Alltopsy No.: (b)(6)
AFlP No.:{b)(6)
Rink: Detainee in U.S. Custody
Pllccofo..llh: Iraq
Pllc~ of Alilops)': BIAP Mortuary,

Ghafar, Husham N.

SSAN: Detainee Number, (b)(6)

Dale of 8Irt": IJn~nnwtt
Dlle of DUlh:llb)(6}
2004
Dale of Autopsy: 30 AUG 2004
Date of Report: 12OCT2004

Baghdad. Iraq

ClrclllllslllICn of DUlh: This Iraqi male was I cletainee in U.S. euslody It Abu Gluaib
prison in Bllghdad. lrllq. A group of prisoners became lUII1Ily and the guards used lethal
force to subdue the crowd. A shotgun was fiml and Ibis dewn« was stnICk and killed.
AUlhorWllon for Autopll)': Armed Foras Medical ExllJliDcr, per 10 U.S. Code 1471

....

Idllllificitloo: CircumSWtliai identity is eublished bY DalltO'IOrt. aceompall)'ing the
detainee and his designllion u detainee nlltrlber (b)(6)

CAUSE Of' DEATH: ShOllua Wound of the Utad
MANNER OF DEATH: Homicide

....

MEOCOM 0132

ACLU Detainee DeathII ARMY MEDCOM 132

=oJ

AUloplyl(b)(6)
Ghalar. HUlhm N.

l

F1NALAUTOPSV DIAGNOSES:
I.

Shotgun Wo.nd of Ihe Hud
A.

...

PenetNillag Shottun Wound of Ihe Hud
I. Enlr.nce: Rlgllt side of tbe back of the hud; no "Idenet of
flose-nonge dlSflll'le of. llre.rm on the surrounding sc.lp
2, Wound P.th: RlCIlI p.r1d'kKf!plt.1 snip. p.rlet.I-off!pll.1
skull, right cerebrum., Idl cerebrum
J. Recoverfd: Ddormed mtbllJe fon:lgn body I~'led belWrell
Iht medl.1 Upt('l of Ibe left front.1 lobe .nd lhe overlyilll dUNI
... Woulld Direction: Rlehllo left, b.fk to fl"OlIt, .nd upward
5. Assod.led IaJurln: Subg.lul. Iiubdunl.nd sub.nfbnold
hemorrb.r;n. bll.leNiI bullu skull fNidures, fertb"l
fonluslons, IlId booe fNilmeols Iione tbt htmorrlllgk woulld
pllh

II.

No tVldellft of slgllififlnl nlIunl dllust prOl:nses, within llle lImit.tlops
or tbe u.mln.llon

III.

Chlnl" of urly 10 mo!lenle decomposilion

IV•

The recovued proj«llle Is pllfed In .I,heled tllnlmlner Ind gIven 10 lbt
Invnlit'llng,gtllt 10'110 wu presenl lillie IlIlopsy

V.

Toslwloty Is posldve for morphlne.t I un~~nl,.tloll of 0.13 mcfl.ln the
blood. No elll.ool or olhu druls of Ibult are dtl«IW.

MEDCOM 0133

ACLU Detainee DeathII ARMY MEDCOM 133

Autop.)' (b)(6)
Ghrlr, Hu,blm N.

J

EXTERNAL EXAMINATION
The rem.aill5 ~ received withoul clotliing. No idcnlifiClilion lnncll are pretent on the
body. The unclad body i.that of. well-dcvelopcd, well·nourished appearing. 69·inchet,
14O-pouncb (CSlimated), While mile. The Ige oftlle individull i. not kno\Vll, Lividity il
po5tmor and fixed, except in r.JCU exposed to pressure. Rip 1111 plS$ed. The body
lemperature il that of the refrigeration uniL Early 10 modcr'Ile dccomp05itiOll chlnp
are prc:sc:nt, including mild ,kin .lippage. prominenl VllCUl,r mubling. and cloud ina of
tile corneae.

The lCalp is covellld with medium Icnl\h. brown hair in I nonnll distribution. F.,ial
hir eon,islI of. beard and mu,taehe. The irides are brown and the pupil. ~ round and
cqll<ll in diameter. The ClIlcmal urs are lllvemarbble. The nose and muillae arc
palpably liable. Bloody fluid is present in the narcs. The leetll are olllll'lli and in fib"
condilion.
The neck i. mobile lUld the tndlCl i. midline. Thcchcst it s)'IIIfl1Ctric. The abdomen is
nat. The external genitalilarc tl10se ofa mnnal adllil male. Pubic hair is shaved. There
is no evidence of external ,",umlto lhe urogcnilllarea. The bullOCks and anus arc
unremarkable. Ihere arc r.JCU ofhypopigmenlation presenl on the lower trunk and the
cltmnitics.
The upper and 10WCT Clltmnilia are 5)'fDlMlr1c and withoul clubbing or edcmL The
IlngernaiIJ are inlaCt. No 1lI1toos or signiflC.llU identifying body marks are Pl'C$ellt. Blacle
writina is prc:sent on both aides of the cllcst: (b){6) is on the ristu side and a series of
iIleJible numbm is on the left side.

•
•
•
•
•
•

EVIDENCE OEMEDICAL INURVENTION
Vascular ICCCSS dcvica in the lell.-m, both antecubilll fossae, and the left
subel,villl area
(ml-ptric: inl\lNlion
Endotncheal intubation
Eoley c:alhetel'iution
EleclrOcudiosrarn monitorinl pads on tile upper ri&Jtt clieat and the left hip
Contusion over the stemwn. corulatcnl with cardiopulmonary IClu.scilation

RAD'OGRAPHS
Full bod)' radiognphsare ob~ncd and show a metallic fOlllign body in the head.
EVIDENCE OF INJURy
Sbotlun Wound of tbe Htld
There is a pcncrrstinl balliJlic mlrance wound on the riglll side of the bllCk of tlie
head. situated .4 318-incllea below the top of the lind lUld 2 Y.-incllcs righl of the
poslerior midline. The ovoid wound is Yo I )1!1S·inchel, willi a III IS-inch marginll

I.

MEDCOM 0134

ACLU Detainee DeathII ARMY MEDCOM 134

Alitopry(b)(6)

...

4

Gblflr, H••bltll N.

abruion from the) 10 6 o'clock posiriona. No SOOC deposition or gunpowder

stippling i. prw:ot on the sW"lOUnl1ina skin. The wound path goes through the
occipital Kllp tnd inctuda • .5116 l[ lIB-inch dcfC<:1 in the righlside of the occipital
bone, with appropriate beveling. The WOWld palh through the bmn perl"ontes the
ripl ocdpilil. right parieu~ IlId bolb ftonlallobes. A slightly defomted., round,
metallic projc<:dtc is recovered from the duR overlying the medial upecl orlbe left
fronllliobe ohlle brain lithe anlaior midline. The pntjec:tile is piKed in ,labeled
eontainer and lUmed over to the investigating USACID Igent p~t.t the autopsy.
The 'NOund direction is righllo left, baek 10 Iionc. and upwud. lnjwies asaoeiatod.
with !he wound path include (mc linear ffact\lJe$ atmdilli «ross the middle fossae
of the bullar :stull, • I-inch linear fracture DC the occipilJll bone ulendinll from the 4
o'clo<:k position of tile mlDllCC wOUb:i skull defe<:1, and subpIal, subdllRl, and
IUb&l'ltMOid hemonbap. brtcred ca'ebral contusiORI and bone fragmenu alona
!he hemorthlgic wound path an: a1$O pmenI.
INTERNAl. EXA.MINATION

IlEAD:
lnjwies orlhe head have been deseribed ~\lJly. The ~esscls at the base ofltw: brain
have. nonn.l distribulion and IppclrWleC. The lmin weip 11~.gnms.
NECK:
The thyroid cartilage and hyoid bone are intKt. The IIlj'lIlI is lined by in\.ICt wbite
muc05L The thyroid gland is l)'ITUnetriC and red·brown, without cystic or nodular
change. The tongue is free of bile marks, hemollbqe, or other lqjuries.

BODY ChVIIIES:
The ribs, sternum. and vertebral bodies are visibly and palpsbly int.cl. 80th pleural
cavities contsin I OO-milliliten of decomposition fluid and the perican:liaJ IlIC contains 2{)"
milliliters of decomposition nuid. There i. no sb!lonnsl KClJmulltion of nuid in the
peritonul Clvily. The orpm occupy their usull In.atomic positions.

RESPIRATORY SYSTEM:
The ri&hl and left lungs waah sso and SS().grams, respeclively. 1hc: CIlte:m.llwfllCCS
are mlOOth and deep red-purple. with moderate anthracotic mottling. The pulmonary
JnmICbyrnl iJ difliucly coniested and edemltouS. No mUll lesion. or IreIJ of
consolidation are present. The: puhnonary ~eries an: unrmwbble.

CABD'OVA$CULAB SymM:
The n{)..gram bean i. c:onlaincd in an intllCt periclldililie. The epicardial .lIrl'lICC is
ImOOlh, with minimal fit invalment. The corolW)' lI1cries arc: Plaalt in lDOnnll

.....

distribution, with I ripHlomilllllt panem. Crou II:ICtions oftlle v_Is 5bow no
.ignificant Ilhcrosclcrolil. The m)VCUdium i. homogenous, red·brown, and soft. with
CII1y dCCOfTlpositiOl\lI changes. The valve leaflets an: tbin and mobile. The Wills ofthc
left and ri&hl ventricles are 1.I and O.l..c:mtimllcn thick, respectively. The endocardium
illlTIOOth. The IOtta aivea rise 10 lllree inl.lcl and patent ardlvessels. Flft)' JUUkins of
the aOlU i. noted. The rerul and mesenteric vessels are W'lremutcsble.

MEOCOM Ot35

ACLU Detainee DeathII ARMY MEDCOM 135

...

,

UCOpsr'~(b~)(~6)';;;::=

A
Gbafar. HUlbam N•

LIVER" BILIARY SYSTEM:
The IOSQ-grmn liver hIS an intacl. smooth capsule and a sharp anterior border. The
pareneh)1T11 is lan-brown and congested. with the lI$uallobular ilI'Chitedure and changes
of early decomposition. No mass lesiOTlS or other abnormalities are seen. The
gallbladder conlains IS-millililers of green-bllCk bile and no Slones. The mueouJ
surface is green and velvely. The extrahepalie biliary lree il palenl.
SPLEEN;
The 240-gram spleen has a smooth. intllCl. red-purple capsule. The parenchyma is soft,
maroon, and congested, with changes of early decomposition.
PANCREAS;
The panereu hu the usual lobular Ill:hilecture and early dccompositional changes. No
mlSllcsioM or other abnormalities are seen.
ADRENAL GLANDS:
The righl and left adrenal glands are Iymmetric, with yellow col1ices, gray medullae, and

decomposilional changes. No masses or aras ofhemolThage are identified.
GENITOURiNARY SYSTEM;
The right and left kidneys weigh ISO and 12Q-grams. respectively. The external sunllCtS
are intacl and lmlooth. "The cuI suniICes are red-Ian and congesled, with uniformly thick
conices and distincl conicomedull,ary junctions. The pelves are unremarkable and the
urcten are nonnal in course and caliber. While bladder mUC05a overlies an intact blildder
WIll. The urirwy bladder is empty. The prostale gland is lIIITCTTIarklble. The lesles have
no masses and exhibit no evidence Of!rallrtliL
GASTROINTESTINAL TRACT:
The esophlgus is inl&cl and lined by smooth, hemonflagic appearing muco$l. The
stomach eonlailUl approximately 7Q-milliliters ofdark brown fluid. The gastric WIll is
intact. The duodenum. loops ofsmall bowel, and colon arc unremarkable. The appendix
is present.
MUSCyLOSKELE'fA,L:
No non·traumatic abnormalilies of muscle or bone are idenlified.

MICROSCOPIC EXAMINATION
SelCCled portions of organs are retained in fonnalin, without preplT3lion ofhislOlogic
slides

MEDCOM 0136

ACLU Detainee DeathII ARMY MEDCOM 136

Autopsy (b){6)
]
Gb.rar. Husb.1!! N.
•
•
•
•

6

ADDITIONAL PROCEPUBESIREMARKS
'~'!!l===
Qocume'1tllJ:Y_photograph, are lum by OAFME 'tlffpholograplter<!b}(6)
(b}(6)
Specimens retained for lOaicologic testing IUIdIOI DNA idenlification are: heaJ1
blood, spleen, liver, brai'1, bile, lung. kidney, adipose, ami P.'l(las muscle
Full body radiographs are obtained and demonstrate the melallie foreign body
subsequently rc<:overcd from the brain
The dissecled orglllli arc f_wed with body

I

OPINION

This White male detainee in U.S. custooydjed ... a l'e$ult ofa ,hotllWl wOIJnd oflhe head
that caused injury to the skull and brain. Toxicology was pCIISitive for morphine, wllich
was likely the result of medical therapy received prior to dealh. One melallie projectile
w... recovered from the hud and turned over to the invcstigating USACID &gmt who
was prcSCllt atlhe autopsy. The manner ofdeath is homicide.

(b)(6)
(b)(6)

L
-~~=",------'
] Medleall:nmlner{b)(6)

J

MEDCOM 0137

ACLU Detainee DeathII ARMY MEDCOM 137

DEPARTMENT Of DEfENSE
..._D RlItCU IlIItmIl"t: OF '''',"OlDGY
WAlIHINOTOtl, DC ZIlIOllllllll

PADENT IDENTIFICATION
AFIP Attt.u1D... Number
SfiI_....
(bItS)

N....

._==-_

OHM""" HUSHAM N'l{b)(6)

OFfiCE OYnlE ARMED FOACES MEDICAL
EXAMINltA
ARMED fORCES INSDTUTE OF PATHOUX;Y
WASKlNGTON, DC 1llJOt.6OOO

S$AH,

A_lOps>" (b)(6)

TodnlJot:J Accaolo.lI: ~b}15\

I

DIlle Rop<>r1 c.....l«l: Sepwnbcr27,l0()4

CONSULTATION REPORT ON CONTRIBUTOR MAITRIAL
AFIP DIACNOSIS

REPORT OF tOXICOUX;ICA1. EXAMINATION

CODdition ofSpecjlD,n~: 0000
Dill of laeld,.t: (b){6 20004

Olle Rec,lvld, 9f1t2004

VOLATILES; The BLOOD AND BILE were examined for the prexnce of ethanol
cutoB'of20 ma/dL No ethanol was detected.

I'

a

DRUGS: The BLOOD was screened f01' 1lCetamirlopben, amp~ine.llItideprcssan.1S,
antihiswnincs, barbitllnle" benzodiazepines, eannabiooicb, chloroquine, oocalne,
dextromctborphan, lidoclinc, narcotic IlIllg9ia, opial9, phencyclidine, phellOlhiuill9,
salieylill', sympathomimetic amines and verapamil by gas chromatography, color lc:st or
imrnuooassay. The following dnJgs were detected:
Positive Opille: Morphine was detecled in the blood by inununoas5lY and confirmed by gas
spec::tromelty. The blood contained 0,2) mgIL ofmOl'phine as qUllllilated
by gas chromatogrnplty/mlW speclJOmelty.

chromalograplty~

(b)(6)
[(bl{Sl

Office of 11M: Armed F _ M.dial ElWniner

MEDCOM 0138

-

~

Oflice of the Armed Forces Mldical Enmi_

ACLU Detainee DeathII ARMY MEDCOM 138

ARMED FORCES INSTITUTE OF PATHOLOGY
omte orth~ Arm~d Fortts Mtdlul EumJncr
1413 Rrstmh Blvd.. Bldg. 102
Rockville, MD 208S0

1·8(1()-944.7912
FINAL AUTOPSY REPORT
Name: Najtm. Fawu Badaa
IThi
National Dl:tainec R~~ing Syslcm: (b)(6)

DateofBirth:~b)(6) JI962

Date of Death(lb.l(6J~004
Date of AUlopsy: 191une 2004
Dale of Report: 13 OclOber2004

N'-O;\.,~(b~)(~6~}=~

Autopsy
AFIP
Rank: If1l,qi civilian
Pllee of Death: Abu Glvaib, Iraq
Place of AUIOPSY: 1J~&hdad.1Rq

No.:~(6)

Clreumstanus of Dealb: This 42 ycar-old male Iraqi civilian Will in US custody .llhe
Baghdad Centf1l,l ConfLllCrncnl FlICilily in Abu Gltruycb. Iraq. By report. hc began
making gasping sounds, which awokc another dclainee, The de«dcnl \V;IS found 10 be
unrnponsive and pulseless. and rCSUSoCitation efforts well: llDSuccessful.
Alilborlzalion for Autops)': The Armed Fon:n Medical Eumincr, lAW 10 USC
1..71.
Idenllncatlun: Visual and docllmenl~lion :lCCompanyinlllllc body; fingerptinls and DNA
sample obtained

CAUSE OF DEATH: Undtlermined
MANNER OF DEATH: Vndtlcrmlncd

MEDCOM 0139

ACLU Detainee DeathII ARMY MEDCOM 139

AUTOPSY REPORT({b)(6)
NAJEM, Fawaz Bada.

2

FINAL AUTOPSY DIAGNOSES:

l.

No evidence of any definitive signilieanl trauma
a. Minor COfltusions of abdomen and left ann

n.

Cardiovascular Findings (AF[P Cardiovucular Palhology con5uIWion)
Mild coronary athCT05Cleroais
i. 40% lumina1nillTOwing of pro~imal left anterior descending
coronary anery
II. 20"4 luminal narrowing of proximal left circumflex coronary ancry
iii. JO% luminal narrowing of proxi rna I right coronary anel}' by
intimal thickening
b. Moderate dysplasia of atrioventricular nodal artery
i. Noincreasedfibrosilofseptum
L

III.

Additional Fiooings; probable anifacll of lCSuscilalion or freezing of body
a. Film ofpcriloneal blood of upper abdomen, <: SO 011
b. Hepatic findings
i. Subcapsular ilCCumuJation of blood over right lobe of liver; capsule
grossly intact
ii. Pan:nchymal clefts and focal disruption of right lobe ofljver
I. Histologically, no inflammatory re5pll1UC, fibrin or clot
fOlTllltion, or other evidence of any vital reaction

IV.

Mcdieallntcrvenlion
L Endotral;heal tube in place
b. InlJavcnous catheter in left antet:ubital fOWl
e. One adhesive EKG tab on abdomen

V.

Early to modcrale dcrornposilion
L MaJbling oftona, anns alld legs
b. Marll:cd facial and scalp congcstion and darll: diseoloration
c. Corneal opacification

VL

Toxicology (Af[P)
a. Volatilcs: Hcarr blood and urine ncgativc for elh.allOl
b. Cyanide: Hcar1 blood negative
c. Drugs: Hun blood negative for screened medications and drugs of abuse

MEDCOM 0140

ACLU Detainee DeathII ARMY MEDCOM 140

AUTOPSY

REPoRTi~(b>j)(I06)r:::::=

J

NAJ£M, Fawq Bad.-

EXTERNAL EXAMINATION
The body is lhal of a well developed. well-nourished male clad in a p.ir of yellow "Reebok"
shofb;, a pair of greydrawsuing pants, and a previously cUI, wllite I-shirt. The body weighs

approximately I~O pounds, is 61' in heigllt and appears compatible with the reponed age of
42 years. The body is cold, the temperature Lhat oflbc refrigeralion unil. Rigor is waning.
Uvidity is present and (i1led on the po5lerior swfaoc of the body, except in an:a.s exposed to
press~, and over the face and head.
Early 10 modCl'lllc decomposilonal ehanges an: prt:SCl1t. consisting of dilJusc marbling Oflbc
bad., upper arms and legs; early marbling of the sides of the abdomen; plllti.aJ corneal
opacification; and dark discoloraliOll and congeslion of the face. scalp and neck..
The scalp is covcrt:d wilh black lIair with liootal and parietal alopecia bul otherwise in "
nonnal distribution, averaging 3 em in length. Facial hair consists of a darIc muslllChe and
full beard. The irides appear dark, but an: partiaUyobscured by cOfT\elI clouding. The
sclerae and COIIjllllClivae arc congcsted. especially of tile left C)'C, but there are no pc1cd1iae.
The earlobes an: nol picro::d. The extcmallllditOQ' can.a!s, external nares and oral cavity arc
free offolcigo matmal and abnormal secretions. The nasal skeleton is palpably intact. The
lips arc withOllt evident injUJ)'. The teeth Ill: I\illUraI and in good condition.
Euminalion oflhe neck ~Is the trachea to be midline and mobile. The chest is
symmetric and well developed. No injury of the ribs or sternum is evident extemally, The
abdomen is Blighllyprotuberanl and soft. Then: is. 2 II I em dark mllCule on the mid right
side oflhe back.
The extremities arc wen developed with nonnaJ range of motion. There is a 2 x I em
hyperpismen1ed patch on the back of the righl wrisl. Then: are thick calIUSC!l on lalQa)
aspect oftbc righl ankle and on !he !IOles ofllle feet. wllich an: also din stained. The
fingernails arc soon and inIaC!. No talloos are llOIed. The external genitalia are thoscofa
nonnal adult ein:wneisc:d male. The testes wedesccnded and 11ft: ofmasscs. Pubic llair is
partially shaved but present in a normal disttibution. The: bUllOCks and anus arc
unrcmark.able.
There is an idC:lltilicalion band witlltlle name and photograph ofllle decedent around the left
wrist. and there is an identification lag with the name of the decedent and date ofdeath on
the IirR loe of lIIe left fool. ThCfl! arc CIUSCS arolUld the I:ltCl'llI asptell of the ankles
consistent with poslrn(HtCm 5CCuringofllle body.
EVIPENCEOfIUEBA.py

T'here is In endotracheal tube in place secured with wllite tape aroWld the lIead. and there is
an ad1lc:sive £KG tab on the lowet right side of the abdomen. Thm: is a ncc(\le punctun:
mark with SUlTl)lUlding cccllymosis in the riglll ant«ubitaJ fossa. and there is an intravenous
catheter secured with wllile tape in lhe left antecubilal fossa.

MEDCOM 0141

ACLU Detainee DeathII ARMY MEDCOM 141

AUTOPSY REPORTm'(b~}("'6)'-1
NAJEM. Fawn Badu

•

EYJDENCE OF INJURy

There is a 2 II 0.3 em red conlusionjust above the wnbilicus. and then: is a 3.5 II 2.5 em
red contusion oflh<: lower right asp«t of the abdomen. On lhe anlerior (palmar) i1Spcct of
lhe left lower forearm and wrist, there is a 4 II 3 cm red brown contusion, and tllen: is a 3
II 2 cm contusion oflhe left thenar region.
On Clllernal eumination of the body. there is no other evidence oftraumL
lNIEBNrltL EXAMINATION
BODY CrIt VITIESj
The body is opened by the usual thoraco·abdontinaI incision, and the chest plale is removed.
No adhesions or aboolTnlll colloctiOllS of nuid are present in the plCllnl or pericardia!
cavities. There is a film of blood in the upper pentonul cavity, less l./wt SO mi. No
adhesions or abnonnal collections of nuid are present in the pailooeal cavity. All body
organs are present in the nonnaJ analomical position. The subcut3nCOus fat layer of the
abdominal wall is 2 em thick. There;s 110 inlcmal evidence of blunl fon:c or pcnelJaling
injury 10 the Ihoraco-abdominal region.

HErltDj (CENTRAL NERVOUS SYSTEM)
The scalp is reneeled. and there is nwkcd aubgaleal congestion and fixed lividity, but no
aubgalcal hcmonhage Of skull fractures fouod. The calvarium of tile skull is removed. The
dura mater a.nd falx cen:bri are intact. There is no epidural or subdul'l hemontagc present.
The leptomeninses are thin and dcliClle. The combrospinal nuid ;s dark with
decomposilional change, most prominent over theocciput; however, lhere is no evidence of
any subarachnoid hemorrhage. The ecrebn.1 hemispheres are symrtlcerica.l. The SIJ'liCtllrCS at
the base of the brain, including cranial ncf"(es and blood _Is. arc intact. Coronal scdions
lhrough the ccrcbntl hemispheres revealed no lesions, and there is no evidence of infection.
twnor, or traumL Transverse sections through the brain stem aod ccrdIelllUll arc
unremazkable. The dura is stripped from the basilar skull. and no m.c:tuR:S an: found. The
atlanto-occipital joint is stable. The brain weighs 14SS grams.
NECK;
Examination of the soft tissues of the neck., including Slnlp museles. lhyroid gland -.nd liIi"
vessels, reveals 110 abnormalities. The anterior strap muscles orthe neck an: homogeneous
and red·brown, without hcmorrtlagc. The thyroid cartilage and hyoid bone an: intact. The
laryruc is lined by intacl white mU(;(l5/l and is unobstructed. The thyroid gland is symmetric
and red·brown. withoul \:)'Slic or nodular change. ~ is no evidence of inFection. l\lmOr.
or trauma. and the airway is patent Inci,ion and disseclion of !he posterior neck
demonstrates no deep paraecrvical muscular injury. hemorrhage, or fraclures oflhe dolRl
sp1nous proceues.

MEDCOM 0142

ACLU Detainee DeathII ARMY MEDCOM 142

s
CARDIOVASCVLAR SYSTEM;
See "Cardiovascuillf Pathology Report" below. The pericardial surfaces ~ Wloolh,
gli$lcning and lInn:markablc; the pcrieardial sac is me ofsignificatlt nuid and adhesions. A
modcralc amount ofepicardial fal is present The coronary artcri<:s arise IlOnna\1y in a right
dominant pallem and follow the U$IIaI distribution. There il mild atherosclerosis with focal
art:3$ of luminal stenosis of the eoronary 1Irteries. willlolll evidcrl(:c of thrombosis. The
myocardium is dark red-brown, finn and unremaskable; the alrial MId venllicular septa ire
inllltl. The lell ventricle is 1.5 em in thickness and the right ventricle is 0.4 em in thickness.
The llOI1a lIlld ill major branches arise rlOI1TI.lIlly. follow the usual course and

IlI'e

widely

palalt. ~ ofsignificanlatherosclcrosis and other abnormality. The venlc cavae and theif
major tributaries return to the heart in the usual dislribuliOfl and are free ofltuombi. The
heart weighs 435 groms.

RESPIRATORY SYSTEM;
The upper airway is clear of debris and foreign material; the mUC(lSlI surfaces are smooth,
yellow'llIn and WV'erIlaritable.
The pleural $IJrfaceli are smooth. glistening and
wrn:marlcabJe bflatenlily. The pulmonary parenchym.a is red·pwple and edemalous, exuding
• modenuc amounl or bloody fluid; no roullesiOrlS IlR: noled. The pulmonary arteries are
noonally developed, patenl and without Ihrombll5 or embolll5. The righl lung weiglu 60S
grams; the left 480 grams.

LIVER & BILIARy SYSTEM;
The hepatie capsule is smooth. glistening and intael, eovering darlc. red-brown, modmJtely
congested parenchyma. Then is rocal accwnulation or subcapsular blood and underlying
parenchymal disruption. with clefts and splitting or the parenchyma wi.houl associated
betnorrtlagc:, consistent with rQuseitlllion or postmortem ehanges. The gallbllldder conlains
S ml or green_brown, mueoid bile: the mucosa is velvety and un.renwkable. The
extrahepatic biliary tree is patent, wilbou, evidence or calculi. The liver weighs 1940 grams.

ALIMENTARy TRACT;
The longue CllhibilS no evidencc of rocen' injUl)'. The esophagus is lined by gray-while,
smooth mucosa. TIle gilStrie mucoSil is manged in the usual rugal folds and lhe Iwnen
eontains a film of dark fluid. The $ITIaU IlXl I~ bowel an: unl'CllU.lbble. The panereas
tw a lIOnna! pink-lan lobulated appc:arance and the dUClS ~ clear. The appendix is prescm
and is unmnarbble.

GENITOURINARY SYSTEMi
11Ie renal capsules an: smooth and lhin. semi'lrar!Spllrenl and strip wilh ease from 'he
underlying smooth. ml·brown cortical swface:s. The C(lnices are sharply delineated from
the medullary pynrnids, which an: red·purple to WI and lII\l'Cmarllable. There is a $ingle
dart ca.lclIlus in the righl rtml pelvis. The cal)'l:es. pelves and U!'l:ICfS an: olherwise
W1femarkable. While bladder mucosa overlies an imaet bladder WIlli. The urinary bladder
contains 20 ml of cloudy, yellow urine. The: prostate gland is symmetrical wilh lobular,
yelloW-ian parenchyma and no nodules or masses. The seminal vesicles are unremazkable.
The testes an: fi-ee of ml$S lesiol'l$, contll5ions, or other abnonnalities. The righl kidney
weighs 210 granu; the left 220 pams.

MEDCOM 0143

ACLU Detainee DeathII ARMY MEDCOM 143

AUTOPSY REPORTI(t,b'i<".6j,-==

6

NAJEM, Fawn Badaa
'"

RETICULOENDOTHELIAL SYSTEM;
The spleen lias a smoolh, intact capsule oovering red-purple, moderately firm pMMCIlyma;
tile lymphoid follicles are unmnarkable. The regionall~ph nodes appear normal The
spleen weighs 260 garns..

ENDOCRINE SYSIF.Mj
The pilUiwy, thyroid and adrenal glands are unremarkable.

MUSCULOSKELETAL SYSTEM;
Muscledevelopment is normal. No bone or joint aboonnalities are noted.
MICROSCOPIC EXAMINATION
HEART: See "Cardiovascular Patbology Report" below.

BRAIN: See "Ne\lfOpathology Report" below.

LUNGS: The alveolar spaces and small air passages are

e~panded

and conlain no
significanl inflammatory component or edema fluid. The alveolar wtIlls are thin and
mildly congested. The arterial and venous vascular systems are normal. The
peribroneltiallymphalies are unremarkable.

LIVER: There are numerous clens and splits of lite parencbyma. focally witb lakes of
red blood cells. HoweveT, there is no inflammatory response or evidence of organiution
of the bemorrilage, with 1'10 fibrin or clOl fonnation. The hepatic archiltclun: is otherwise
intact The portal areas show no increased inflammatory component or fibrous li$liue.
The heplltK: parenchymal cells are well·preserved with mild focal steatosis but no
c:vidence of choleslasis, or sinusoidal abnol11laJilies.
SPLEEN: The capsule and white pulp are unremarkable. Thcre i5 moderale congestion
of lhe red pulp.
ADRENAlS: The cortical zones a.re dislinctive and well supplied with lipoid. The
medullae Ill: DOt remarkable.
KIDNEYS: The suhcapsuhu 1.ones are unumarbble. The glomeruli arc mildly
congested without cellular proliferation. mesangial prominence, or sclerosis. The tubules
lI'e well pre$erved. There is no inler'$litial fibrosi.:l or si8llificant infll11Tlmation. There is
110 thickening or the walls or the arterioles or small arterial channels. The lnLrlSitional
epithelium of the COlle<:lillg s)'!lem is lIOrmal.
TESTES: Unremarhble
THYROID GLAND: Unremarkable

MEDCOM 0144

ACLU Detainee DeathII ARMY MEDCOM 144

AUTOPSY REPORT[(b)(6)

7

NA.JEM, F.wn B.d..
CARDIOVASCULAR PAIHOLOGY

REPORI

Department ofCardiov8SCular Pathology. AFlP:
"ARP DIAGNOSIS;(b)(6)

]

I. Moderatt dyspl"I. of 'lrlovenlrlcu I,r nod.1 .rtery
2, Mild coron.ry .rtery .tbuosclu1llIb

HistorY: 42

~arold

mile Iraqi delainel:. 67", 150 Ibs. death in custody

Hoo: 435 grams (pmIicted nannal value 322 grams. upper limil 425 grams for a 150 Ibs
m.le); normal epicardial fat; dosed foramen ovale; left ventriCUlar hypertrophy. left
venlricular cavily diamc:leT 35 mm. left ventricular froc wall thickness J5 mm. verUricuJar
seplum thickness 15 mm: right ventricle thickness 4 mm, without gross scars Of .bnormal
fat infiltrates; grossly unremarkable valvcs and endocardium; enlarged membranous
seplum; no gross myocardi.1 fibrosis Or necrosis> hislologic se<:lions show mild Icft
ventricular myocyte hypertropby. olhe:rwise ullremarbble
Comoaa arteries: Normal ostia; righl domin:l!lCC; mild alherosclerosis: 4{)% luminal
narrowing ofproximallcft anlerior descending, 20% narrowing ofproximallel\
circumflex. and 30% narrowing of proximal right coronary artery by pathologie intimal
thickening
Conductipn System: The sinoatrial nodc il unremarkable. The sinus nodal artery shows
minimally increased prolcoglycan. The .triovenrricular (A V) nodal a.rtery shows
moderale dysplasia in its posterior approadlcs to the compact AV node and in i15
penctrating branches in the vClllricular septum. but fibrosis is not significantly inc:rcased
in the septum. TIle penetraling bundle is caltnlly located between the node and
vCl'llricular seplum. The right proximal bWldle branch is unn:markable. The left proximal
bundle is not SCCll in these sections.
Comment We do nOI see an obvious cardi.c cause ofdealh. Moderate dyspluia of tile
atrioventricullT nodal artery is often ll$.S()Cialed willi increued fibrosis in lhe crest ofthe
ventricular septum. representing a potential substrate for canli.c arThythmia. HowevCl',
increased fibr05is is not scen in Ibis case. Wec;mnot exe1l1dc the pouibility ofeardiae
arrltythmia related 10 various ion channelo~thies orcoronary vasospasm."

NEVROfATHOLOG¥REPQRT
Department of Neuropathology and Ophthalmic Pathology, AFlP:
"We reviewed multiple small fragments ofdura, cerebrum. brainstem and cerebellum
submitted in formalin;n reference 10 tllis case. No gross abnonnalities are present
Represenlalive sectlona were processed in paraffin and sections stained wilh H&E. and
immunohistochemical melllods Corbeta amyloid precursor prtIlein (BArP), and glial
fibrillary acidic protein (GFAr). This material wu reviewed in conferel'1ce by the sraff of
Neuropalllology. Sections show few neurons within lite cerebral cOr1ex with shrunken or
vacuolated cytoplasm and hypcre!lromatic nuclei, findings interpreted as non-specific
acute neuronal injury. Stains for BAPP and GFAP lTe negalive:'

MEDCOM 0145

ACLU Detainee DeathII ARMY MEDCOM 145

REPORT'r'b~)(~"C=

•

AUTOPSV
NAJEM, FawQ Radii

APDrtlONAL PROCEDURf:S
Doeumenwy pllcllographsllR: taken by OAFME ph.olo~B
Specimens retained for toaieolollic lestil\i arnVot DNA idet1tificalion are: vitreous
nuid, lIeart blood, urine, and bile
The disset:led organs are forwarded with. lhe body
Personal effects lit! released to tile lijlpropriale mo"u~1)I operations reprcsenlalive
OPINION

Based on available investisalion and complete lumpsy examination. nO definitive cause
of death for trus 42 ycar-old male Iraq; civilian in US clislOdy in Iraq could be
determined. There is no evidence of any significalllirauma to ClIplain lhe death. There is
I film of blood in the upper abdomen, and a small accumulation of.ubcapsular blood
over the righllobe of the liVCT wilh &iliIOCialcd subeap$Ular parenchymal dislUplion.
However. the minimal amount ofhemonlugc, lack of capsular laceral1lm. ~
microscopic lack ofvitel reaction indicates this illikely a post-mortem anifacl, either
from reslIS(:itatioll efforts or freezing Oflhc: body. There are non-sped fie canliac findings.
including modenu: dysplasia ofthc: atriovenuicular noohl ar1cry. However. there is no
associaled increa.sed septal fibrosil, which can be a potenlial substnr.IC for cardiac
armythmia. There is also mild coronary artery atherosclerosis. but no luminal narrowing
grealer lllan 40"1. was fouoo. A cardiac armylhmia relaled to various ion channclOlJalhies
or coronary vasospasm eannol be excluded.
Therefore, lhe cause of dealh;s ba1 clilS5ilied as unddcrminN. and the manner ofdcalh
is undetermined.
(b){6)

~(b~)~(6~)_~==~MeoiealEitamiiter

MEDCOM 0146

ACLU Detainee DeathII ARMY MEDCOM 146

OEPARTMENT OF DEFENSE
ARIlIEO fOIICU INiTfIVft CIl' 'ATHOlOGY

WAIMUIGTON.

oc:

IllJOlIIOO

PATIENT IDENTlnCATIOl!
APIP A~lonl.I'I."'bfr_Snl.u"'l

~b)(6}
1'1....
OFfiCE OFTHE ARMED FORCES MEDICAL

NAfEM. FAW At. B.

EXAMINER
ARMED FORCES INSTlTlJT£OF PATHOL.OGY
WASHINGTON, DC 10306-6000

SSAN;

A.~IIIY,I(b}(6}

To"mlov A<us,"'" .:I(b)(6)
DolO R.por1 Gtnr'O'ed; /"". 30. 2004

J---

CONSULTATION RfPORI ON CONTRIBUTOR MATERIAL
AI'" DIAGNOSIS

REPORT OF TOXICOLOGICAL EXAMINATION

Condition or Specimen.: GOOD

D.le orJnddent:

Dale ReceiVed: 612212004

VOLATILES: The HEART BLOOD AND URINE were exarnined for the pi_nee of
ethanol at a cutoff 0(20 mgldL. No ethanol wu dct«ted.
CYANIDI:: There wu no cyanide tktel:led in the heart blood. The limit of quantitation

for cyanide is 0.25 mgIL. Nonnal blood cyanide ConeenlnliOll5 are less tIwl 0.15 rngIl.. Lethal
concenlnlions orcyanide are grealer tIwt) mlV'l.
DRUGS; The BLOOD was screened ror amphetamine, antitkpreuants, atItihistamincs,
barbilUratcs. benzodiazepillC$, cannabinoids, cocaine, dell.Ul)methorpban. lidocaine, narcotic
an.Jgcsics, op;alts, pbc:m:ycridine, phenothillZines, sympathomimelic amlnes IlIlII verapamil by
gas chrom.lognphy, color lest or immUllOUsay. The fullowing drugs were detected:

None were rOWld.

(b)(6)
(b)(6)

Offlceoflltc A"ne,n"oras Med;ClTExaminer

]

Office Ofll!e A,med forus Medical Examine'

MEDCOM 0147

ACLU Detainee DeathII ARMY MEDCOM 147

,\~:'IEU

FORCES INSTITLJI'E OF 1',HIIOI.UC"
Ortke of 1he Armed r-orcc~ '" edil'~1 .: \:lUlin.'r
I~IJ RC$C~rch Blvd., llI<ll:, W2
RlX~"i1k ;"1 [) 20830
I·SOO·9~~· 7f) 11
f.'1"',\!. AUTOI'S\, REI'OIlT

N~",~: l\htll\llb~,alt, f{,;It1h

Mol\;l'l,med

N;"I"n~1 [)~l;lillCI' f!gl(Jn,n~ Sys,en~~t(6~
D"l~' Ol'l.li"h:f\b)(6) 11'l5~

1);11': of D,'~lh: (!lllflL~(I{)~

O:"e of Anlul'sy: J') JlInc l()O.l
I):,'e of Rep"'1: 22 $cplcl11hcr 2(J04

,\mUI'Sy N'I.J~)(6)
,\I'll' Nil,: (b)(6)

"I,:,

R..
If".kji el' 11;~n
1'1"",' 1),::,lh: Ann Ghr:,il<. lr:II]
I'h:e AlIlUl'SY: llal:h.I",I. Ir....

"r
"r

('Irell ll1SIl\lletS Ilf lleath: This 52 ~'Car-o'" mak Ir.\lli el\'ili:l" eullaf'S<"t1 while spt':IkinJ:
'0 ",her dcl:,inccs ",hill' in US euslody II' Ihe B~llhtllk1 (',,'Ir:,1 C""lin,'"",nl l':lCili,y in
Abu Ghruy<:h, In"!. Ill'" f<:5USC;l:Olj"C eITons ,wro nnsu""."..flll,
Alllhuriull'lli for AlllOp,y: The Armed l'oret:! :\Il"'k:ll E,,,mincr. 1,\ W 10

usc

1~71.

l<11'lllltlnliul1: V;su~l anti ,\oc,mlClllaliul1 xoollll'al1Y"'lllhc "utiy: IiUl,'CrprllllS anti DNA
J.1mple oblain,..J

MEDCOM 0149

ACLU Detainee DeathII ARMY MEDCOM 148

AlfJ'OPSY REPORT(bH6)
ABD AL RAZAJC. RJadb Mo.... mm«l

2

FINAL AtrrOPSY DIAGNOSES:

I.

Alhemsclcrotic Catdiovucular Disease
a. Severe coronary atherosclerosis with CIIlciflClllion
i. Left RUin tonllW)' ulery, SO% lumiw IWTOwing by fil"oulcifie
pl'lluc
ii. Total occll1l1ion ofproxirMllcft M\.crior dcscendins ulery (LAD)
wilh hWed p1l.que rupture IlIld 0ll~ thrombus: 7j%
MnOwinl of mid LAD by tibroatbr:rom-; 65% Il'fTOwing of distal
LAD by fibroulciflC; plaquc; 10I1li occlusion oframllll intermedius
by healed ruplllre wilh 6brointimallhiclteninl and anooth muscle
ptOlifention
iii. TOIIII occluPon ofplOximallO mid le;ft cin:umfielt .ctefy(LCA) by
orpniud Mel roeanalized thrombus: 10'% tibroulcific rwrowinl
ofdisllol LCA: 90% MITOwing of obtuse nwWMlulCf)l wilb
Iibrointill\l.l thickeninlantl arnooth muscle proliferation
iv. Ript coronary artery (RCA), 25% nllTOWing ofproltimaJ RCA by
Iibroealcific plaque; 4tI% nanowinll of mid RCA by
fibtoatheroma; 10'% fibrocalciflC; narrowing of distal RCA: 9S%
DIlTOWingofpos!erior desundinl artery by fibroclcilic p1'llue and
IITlOOth muscle proJifaation
b. Healed tnnslnunl myocudilli infarction
I. Involves anterior,lepta! and latenlleft ventriclc mid ventricle to
op<X

ii. Microscopically, transmural tibrwia and fal ~lllCel1'lCl'lt in
anterior,lepta! and lateral walls of left ventricle
iii. Aneurysmal dilatation
iv. Epican1W fiblOUl Idhclions at apn of left veruricle
c. CanliomegaJy with biventricularhypc:rtrophy
i. Heart 666 am (prulicled norma( value; )4) gm)
ii. Left ventricular Cllvity diameter 60 mm
iii. Left ventricular free waUtrudmcu 10 mm
iv. MicrolCOpically, bivcntricular myocyte hypertrophy with
IUbcndocaridal and paivucv.lar interstitial fibrosis
d. Moderate to severe alherosclCl'lEia of the aorta
I. Diffuse calcific intimal plaque formation
ii. Focal plaque rupture with associated hcmorrllage

e. Pulmonary edema
i. Riahtlung 965 gama
Ii. Leftl\lllg818grarns

u.

No cvidcnceofany sianificanl trauma
a. Abrasion," x) em on back ofriiht forearm
b. Contusion, 1lt 4 cm on back of right hand

MEOCOM 0149

ACLU Detainee DeathII ARMY MEDCOM 149

AUI'OPSY REPORT (b)(6)
A.BD A.L RAZAK. RJub Mohammed

01.

)

Additional Findillp
.. Subcutaneous lipoma Ilfilntcnor letl side orlltck
b. RJsht rtllaJ eakull.ll (kid~ lIone:)
c. Prottalic h)pdbophy
d. S)mmetrical1y cnllrJtd thyroid sland

lV.

Mtdicallntesvmtion
a. Endotnchtalllbc in pl.c:c
b. 1'1tm: Idhcsive EKCi tabs on body

v.

Elrty 10 modcnlt decomposition
.. Ditrusemarll1inao(body
b. ComeaJ opICitication

VI.

TOlIicoiolY(AFlP)
.. VolaliJea: Heart blood md urine neptive rordhaml
b. Cyanide: Heart blood negative
c. Drugs: Heart blood ncptivc llx- sacc:ned medications anti dnap ohbuse

r

MEDCOM 0150

ACLU Detainee DeathII ARMY MEDCOM 150

AUTOPSY REPOR1j{b)(6)

I

4

ABD AL RAZAK, Rladl1 Mol1Jmmed

EXTERNAL EXAMJNATION

The body is that of a well developed, well-nourished male clad in a previously eul, white
long .leeve drirt-dras r'dish dash') and wllite boXeT shorts. The body weighs
appl'O)l;imlldy 170 powtda. is 71" in heightlllllllppearl compatible with the reported age of
52 yean. The body is cold, the ~rc: \hit oflM rc:mgmtion unit Rigor i. waning.
Lividity is present and filled on the posterior surface of the body, except in lllalI expo$Cd to
pressuM,and is especially pronounced on the faee.
Early 10 moderale dccompolitol1lll changes are pnsent, consisting of dilfuse marbling and
dixo\onlion of the body and corneal opaciftcation.
The scalp i5covcn:d with black and grey hair in II nonnal distribution, 8vefl1ging 4 em in
length. Facial haireon.siltsofa dak mllSbK:he and grey facial stubble. The irides appear
dark, but are partially obsalred byeomeal clouding. The IKler:le and conjunctiv.e are
congeslcd, especially on the leI\, with 110 petechiae. The earlobes are IIOl pien;cd. The
extanalaudilof)'e.ws. extemallW'ef and olal cavity are fRc offorelgJI material and
Ibnonnalsccrc:tions. The nailalilkeleton is palpably inlaet.. The lips are without evident
injury. The teeth are natunll and in good condition.

Examinatiolll of the neck reveals the lJacheI.ll be midline and mobile. 11lcn: is apalpable 3
;I 2 em subcutaneous nodule on the amerior left side oflhe oeck.. 'The ehesl is I)'rnJ'I'Idrie and
well developed. No injury oflbe ribsOTstemum is evident externally. The: Ibdomen is
slightly procuberant and $Oft The extranilies are well developed with nomtllil'lllge of
motion. Then: is a4 x J.5 em scar on the upper anterioraspeet of the right forearm, and
thefe are irregular IIC8f1 over the left knee. The fingernails are short and inlaet. No laltoos are
nocod, and needle trICks f t noc observed. The Clltemal genitalia are those of a IIOrmal adult
eirc:wnc:bed 1I\81e. The tllllle:s are de:secndcd and fi'ec: of mUSCII. Pubic hair is presenl in a
1IOnna! disaibution. The: buttoeb and Mll.lll are unremarbble. 1ltcnl is IIl'l identification lag
on the firll toe oflbe lell foot.
EVIDENCE OF THERApy

1llere is an endotracheal tube in place ICClLRld with white tape around the head, and there
are lMlc: adlle&ive EKO tabs on the body, two on the uppercltesl and Olle on the left Ihlglt.
Then: is a band-aid on the right antecubital fossa over a needle pWlCture man with
IlIlJOWIding eecltymosis.
EYJDENCE OF INJURY

Thc:fe is 54:1 3 em Ibruion on the back of the right foreamt and there is a 7 x -4 em
conntsion on the bact of the right hand. On extemalllld internal exllmination oflhe
body, there is 110 other evideneeoftrauma.

MEDCOM 0151

ACLU Detainee DeathII ARMY MEDCOM 151

AUTOPSY REPORT (b)(6)
ABO AL RA7.A.K., RJldb MoblmrncO

,

INT£RNAL EXAMINATION
BOD)' CAymES:
The bod)' i. opened by the IIIIIaI tIxnco-abdomina incilion. and the thClt pille i. mnoved.
TbtTe islpplOXinwel)' SO m.I of RlOSll'pUnolU fluid in eac.h plc:ural ..-e. and there are
mulliplepleurll ~ of the ri&hl dl$ cavity. No IdhtsiOll' or Ibllormal colletrions of
fluid are 1* lcnl in the pailollal cavily. AU body orpnI un: preKlIl in l/le nonnaJ
1l'IIl0l'llical position. The IUbcutMcous &llaya- of the ~ I wall is .. em tbic:k. TbcR
is no inlcmal C'-idel_ ofbltn force or penetrating injllt}' 10 the lhorac:o-abdominal ~

HEAD: (CENTRAL NERVOUS SYSTEM)
The tulp il rene.:ted, MIl theI'e i. no IUbaaJetl hemonhage or skuU fi1rdurcs round. The
calvarium or the sk\IIl is_ved. The din mala and fab: ~ are intllCt. 1lltR= is no
epidural or .ubdun.l hanorrtIqe presenl The 1qAoJ.ltllinp are thin and 6clic:atc. The
_ebiosplrl.ll fluid is dut with ~tional change. IJlOII prominenl OYCT &he occiput;
howeYa, lhefe i. no evideflce oran), ~ i d hemon1ll.ge. The mebial hemispheres
are~. The Ilr\ldutelll!he bale orthe brain. induding eranial ~ and blood
vessel.. an= inlKl CoreNI JCCtiOl'll Ihrouah Ihe eeretnl hc:misph_ revealed no 1e$ionI,
and Ihere i. no evi4c:nee or inrClC:lion, tumor. or numa. TIW\SYersc: sections lhroush !he
brain Item and Cllnlbc:llum are 1llll'enlIl'k1ble. The dUl'l isllripped from l/le basilar skull. and
no li-KtureIll'll JOund. The ulanto-orx.ipital joint is stable. The brain weighs 1180 pns..

NECK:
On di :tion orthe soft tiuuc ortht nedc, there is a wdl-c:imnnseribcd yellow))[ 2 em
nodule just under the skin on the anlerior left aide or the neck. adjlll:ellt to the lll)'l'Oid
artilage. On seetionina. the nodule is unironnl)' fatly. c:onsillent wil/l a lipoma.
Enminllion or the: 10ft I~ or the nedc, induclina strap IIIUIl:les, th)'l'Oid gland and larw:
v_1a, otheIwise reveals no abllOl'TI\a1itiell. 'Thc= anterior $O'ap mU$l:1es of the neck an;
hornoameollJ and reQ.brown, without hemorrllage. The thyroid cartilage and hyoid bone are
intKl The IIr)'lU I. liMld b)' ill1al:t while mllliOSlo and ia 1IllOlmNl:ted. The th)'l'Oid gland i5
IaIp bUI A)'llImctric MId red·brown. without c:yatit or IIOlbIlar ttlaflgc. There i. no CYidax:c
or lnro:tion. lwDor. or trauma, and tho airway is patenl Incision and diuection or lhe
poIlenor neck dcmon.sl~lell no deep pllnl;crvlaJ mUJCular injury. hcmonilage, or
frlctulU or the dorullpioollS pI'O("CSICI.
CABDIQVA,SCULAR SXSTEM;
There are dense apical adheaiona or the heart to the pericardial lit. and there is marked
aneut)'It'fIAI dilalIlion orllle left vmlritill. Sec ''Cardiovll5Cular Pathology Report" below. A
moderate amounl orepiclll1ial fal i. present, and the heart wtighs 666 gnuna. The aona and
ils major bBnl:hes arise nonnall)' and folloW the lI5UIl course. There il diffiue modente 10
ICYenl athcrolclc:roli. orthe aorta with e:o:lenIiVII: ClIlcirle inlinuJ p1lllue formation and fOClll
plaque rupture willt assoc:iated henuihllgc. lbe _ _ ClIYa11: and their major tributaries
return 10 the heart in the UIlIai dillribution and are !Tee or thrombi.

MEOCOM 0152

ACLU Detainee DeathII ARMY MEDCOM 152

-

,.

,\UTOI'SY ItEl'ORl' (b){6)
,\[U) ,\L R,\Zt\K.I{i:1l11! "loll;lmm~t1

RESI'IRt\TORY SYSTE~t:
The lIpflCr :lirway is c1cnr of ,kllris amI

rOI'l:i~1l l11Jh:ri,il; II ... Inuc~lI Stlrrac~'S ~r~ ~Jl1uOlh.
}-.:l1o\\'·[ao ami unrcnmtt:lhlc. TlII.,.,: arc SC::IIl<:rc'I.l pkurolt aoJh..."ion"
IllI: nglu dlCSl
c;ll'il)'. The pleuml sur(;lCCs M: otherwise SlllO<lth. glistcninJ: :m\lul1l'1.'1nark:lblc tlilalcmll)'.
The fluhno[\ary p:lrc!lChym:1 is n.... I.pllfl>lc :,!ld c<!clIlm,llls, cxu,Jing :1 ulQl,lCrollc :Im"Ulil uf
hluolly flui<.l; no foc"l l.:~;(Ins nrc noIcd. 11..., rJtllrnl"~,ry :,n.."!lCS II«' IlOnllally dcn:lopl.'tl.
patent lUlll wllhum throlllllUs or o:Inhulns. rill: l'i"hl hUlg \\'t;\gh~ 'N,S gr"oIm,; lhe 1..11 Kill

or

J;rnllls.

1.1 "foR & 1ll1.lAlt\' SVSn:M:
11m ocrmit capsule is smooth. ,l:lislcning ml<l 1111:11:1, co"mng .brk n:t1·hruwll. modcr.llcly
congested p;m:m;h}111J with no foc<ll Ic~jons 1I0lCII. The ~allhl: .. kt~r ~..nllaillS :) 1111 of W'C'-,,hmwil. mllcoid hik; Ihe mucma i~ vdvcly :mllnl1rcmark:.hle. n,e cxll';lh111alic biliary II\.'C
is 1""ClII, Wilhoul evid""lcC of calculi. 'J1'1: liwr wc,.\;hs !.\LJS IITam.•.
AI.lME1''TARY TR,\CT:

'n,e lougue cxhibibl nn ('vidcllCe of r,-..:elll i'Ullry. Tile el<Ophallll~ i.• lilled hy gr~y-\\"hile.
SIllO<)lh 01l1l,;OS3. 'nll: gaslrie llIllCU.\.l' i, :,mlll1;<.,1 in Ih.: uSlI:11 I'Ilg:rt fold.• :lmJ lhe lumcro
oonlairos 100 ml rof <Ian.: nui<l. TIl<: small :ulll I;u'gc rnlwel un.: ullrcll"'r~uhlc. The IKlller.::as
h:15 a Ilnmlal pink·lall k1b\11",... t :'p!'ICar,lOlC" a",1 Ihe ,luelS "re de:,r. rhe al'[>Cndi.• is pn•.'setll
and is ullmnan.:ahlc.
GENITOIJRINAR\' sysn:o\'l:
The renal e;lj15ulcs i,n: smoolh :,m! lhin. lICllli_lr:ulspareuI "n.l snip "'illl .'aSl: frulll Ihe
llIlIk-rlyin!: smooth, rl:d-browlI conical surr.1l"~ n,.:: conicCl' are ~harply dclillcmcd rrorn
Ihe 1l11:dutlar)' lIyrnmlds. which un: n..'d·rurple ILl Ian and unrcmark;rblc. Th,'re is a single
,brk calculus in the riGh' ren.,l pc.·lvis. 1110.: c"I,.....<.-s. p.:I...:s alld urders arc olherwi5\)
unrem:lrk3ble. While hl:ldtkr ll1U~-osa O\l<:rlk$ an inlOlCI bl:.od<'T \\'all. 'nle unn,,!)' hladder
c\}n~,il\$ 50 nil of elOtKly, }'l:llow urine. 'n.." pn\Slale waml is ",larycd "'11 'ylllmcirical with
lolllltar, yellow-Iall l':uc:nch}lll:l ;,00 no lk1llulcs (>f rna....'!<.'S. 'n,C scrnirml \"c.~ieles arc
IIlll"Clnarkable. The 1,'SICS ;m: lice of ma.~ 1t.'$i0llS. ",nlll~i..n~ or nIh..... allllonnalilks.. 'llle
nl;,ht kiduey weigh, 2071Pnls: llle left 2)5 sr.'>lls,
nt;TIClJl.m:NOOTllt:I-IAI. SYHpl:
TIlc .~pICl:n h:l$ a smonlh, i"l:lCt capsule co\~ng. 1\'II-l'\Ifl'k. Ill()o,kr~lcly liml IlafI.'llClI)1ll.,'I;
Ihe l)lllphoid follick-s arc UIlIl.·rn;rrkahlc, The ~iol1:11 1~T1tl'h IIO&:S appe:Ir ullfmal. TIM.'
spleen weighs 278 ~,,\S,

ENOO(;UlNE SYSn:i\I;

.

.

.

The puuilary and :ldrcn:rl gl:lIIds ;'!'C ullrcnmrk:,blc. 11,e I"~>ld gland ,s symmetrically
eufarll''lI, hUl free 0 f IIlldulcs or masses.

-

i\IUSCUl.OSKEU,TAI. SYSTF.i\I:
. .
.
':\\Il.,c,\c.I\::\,tlroprncIU is 11Orrn;,I. No bollC ,Ir JOllll a!lnor!ll:rhucs ;II\; 1101.'11.

MEOCOM 0153

ACLU Detainee DeathII ARMY MEDCOM 153

AUTOPSY RBPORTlb}(6)
ADD AL RAl.AK, R1adll Mohmmed

7

M'CBOScoP'CEX.\MINATIQN

Heart: Soe "Cardiovuculaf PathololY Repon" below.
Selected ponioru; ofolhu orptII are rdaiMd in fonnalin, without pl'epantion of

histolock alides.

CARpIOVASCUkAR PATUOLOGy RE19RI
Depattmml ofCatdioVQClllar PathoIoIY, AFIP:
"AFlP DIAGNOSIS:(b)(6)
I. Se¥en caro••". .~el'OKleroW,,1111 nldfklltloa, tbl'ft vessel disuse
1. Healed lraalm....1iduedo. wltb 1.Ile-r)'fmlll dll'llltlOll, 'Durior,
sepl.1, •• d I.ttnllclt w.tricle
3, Canllo-e.ly wltlllliVeolricular hl'ptrtroplll'

History: S2 ye. old IIUIle lrsqi cktIIincc, S' II", 170 Ills, found d=I in bed
tk.aI1: 666 aramt(pml.ieted oonnal value 343 gnma, upper limit 4S3 varna for a 170 Ills
male); foeal cpitlrdi.l fibrous adh~ollllll1 apex of left ventricle; closed foramm ovale:
aneurysmal diLatatiOll of Ie.ft YCIltricle: left venuicular Clvity diameter 60 nun. left
ventricular free wall thickneu 10 nun, YCIltrieulu IICpQU'll thiekneillO nun; right
ventricle thielr:neu 4 nun; endocardial thickening in left .mum anclleft ventricle;
unremarkable valvcs: healed tnnanural infarct, anterior and septal wall. of left ventricle,
mid ventricle to apex; lubendocardial h)'pCl'Ul'li., anterior Incllateral waUl of left
ventricle; hiJIolope sectiOlU IlIow biventrieular m)'OCyte hypertrophy with
subendocardial and penvuculu intClSlitisl fibrosiJ; tranlmural fibrosiJ and fat
I'CfIlatement in IIIte.rior, leptal, and lateral walls oflcft ventricle.
ComOn ll1eriCl: Normal OItia; rilht domillllll:e: lCYere calcific atheroaclerois:
leD main COlJ!JW)' artery: SO% luminal narrowing by fibroealcific plaque
LeD IQterior descendiol utqy (L.AQl: Total occlusion ofprox.imal LAD with
healed plaque rupture. and organized thrombus; 7S% narrowing of mid LAD by
thin capped fibroalberoma and 6S% narrowing ofdiltal LAD by fibroc.leific
plaqLlO; lotal occlusion of TamUS intelTTlCdilll by healed rupture wilh fibrointimal
thickening and amooth muscle proliferation
LeO circumflex artery fLCA): TOIiI ooclusion ofpro.imalto mid LeA by
orpniud and recanaJiz.ed lhrombul, 70% fibroealcirlC narrowins of diltsl leA;
90% narrowilll ofobtuK marginal Ulcrywith fibrointimallhickening and ~ooIh
mlllClc proliferation
Rjght corpnyy artery CRCAl: 2S% narrowilli ofprox.imal RCA by fibroealcific
piaque,4O% nlllOWing of mid RCA by tbin eapped fibroatheroma, and 70%
fibrocaJcific narrowlna ofdillil RCA; 9$% narrowing OfPOllerior deJcencling
ll1ery by fibrocllciflC plaque and IJDOOIh muscle proliferation."

MEOCOM 01504

ACLU Detainee DeathII ARMY MEDCOM 154

AUTOPSY REPORTL(b)(6)
I
ABO AL RA1.AK, Rlldb MClbllnmw

8

ADDITiONAL PROCEDURES

Full body radiographs are obtained and show no ~vidence oflrauma.
Documenlary photographs are taken by OAFME pholOpaphers
SpecimeTII retained for loxicologic lesting andfor DNA identifiealion are: vilrcOWi
fluid, heart blood, urine, and bile
Th~ dissected organs are fOfWatded wilh the body
Per.sollll efTeets are released to lhe appropriale mortvary opet1llions represenlluive

OPINION
This.52 year-old mille Iraqi civililfl in US custody in Iraq died of atherosclel'Olic
cardiovlSCular diSU$e. Wilh sevt:re coronary aMery disease and. healod myocardial
infarction (previOWIIlcart IlIack), extensively involving the left ventricle. There is no
evidence of any significanl trauma.
The llWIlICl"o(death is narural.

[''1(6)
(b)(6)

_ _ _~IModical Examiner

MEDCOM 0155

ACLU Detainee DeathII ARMY MEDCOM 155

DEPARTMENT OF DEFENSE
AIIM(D FOftC:Q lH5murf OF " ..T>tOlOGY
W.uHlI«IT1JH, OC .'",. UOG

TO:
IWI'ICE OFTlU: AIIMH) HIKCES MF.I)lCAI.
EXA.\llNF.1l
AIl~l [0 FOll(;I\llINSTITUl'r. 111" ....1"11( ll.oGY
W...SIllSGl'ON. OC ~OJII6-_

/\lID AI. IlAZ.M'. RlAlJI I M.

ss....,,:

"'olo"u'dbJ(61

To.i<""'u A<C'dJ.Mta.: (b)(6)

Ilal< Rct-I (;".~...,C'd:
CONSULTATION KF.I'OltT ON CONTlUlltll'OR MAn:RIAL
A ~11' OIAGN(JSIS

IIEI'ORT Ol'TOXTCOI.OGICAL

EX,IM1NATIO"~

en",liliu" "fSp«;ml'nl: GOOD
I)al~

IIf I"eidenl ~'2()();(

Dale R«ei.'w: lJ22J2004

\lOlXrJLES: ~ IIF.ART IlLOOO ANI> URJNI:: ...."re eXllIJIincd for Ihe: prc:.K"nc.c of
clhal",lll1 I (l!lofT" of 20 mgldL. No ,,!Imno! W:I' dclc"CICd.

"":l.'

CYA,'lIOE: 'Oler"
no cyanide dC!CXlOO in the t!cart blovd. The Iimil of \juanl!IOlio"
tor cYllIIide: ill IUS maJl., N"mlat blootl cpnidc (oncl'lllTUlions ilre less Than 0.1 S mlVl.. Lethal
cmlCemr.llimu llf e:yaniLle OlTe Jl1eawr lhan J nlgll..
DR UGS: 'nllJ II E.\ RT IILOOIi Wal: ,;o:n.... t\<.'I! for lln1t,hctamine. anlidcprcS5al!l.s.
hu,l!;mralC$. bcn;u>di:l)'cpincf, camc,hiooids, cocai..." dC"'u'oolCtlll)lphan.
tilk>caillc. n:lfe:'>lie 3Ilol11"s;cs. ""iOli:Jl. flhc'1lc)'ClidillC, phcI101hia~jnc ... $)"JI1palhomimclic aminl'$
:llld ''Cmpamil by
cllronl31tllll'llphy. >:olor lCS! or illlmullOas:s:JY, TIt<: following drugl WC'l'l:
a"lihi~\:ImineJ.

"'IS

dcrCl:lw:

(b)(6)

.. [<bH6l. _
om~>:

,

_

"r It I\: Amlc,t 1'"t"C<!S Melllc"l li~alllil\cr

MEDCOM 0156

ACLU Detainee DeathII ARMY MEDCOM 156

-

AI~M~:n

I'ortn:s IN!lTrnrn: (l~'I'KrIlOUI(;\'

Office "f lhe Armed ~'''rt~ l'ltdit,)1 E:l'"niner
I ~ 13 /{f;;;o;;ll'I:h Ill,',l.. 1lI,1~. 102
R..d ,'i1k M112lfll~U
I-MU(j.f/.l~.N I !

,\UTOl'S\' EX.\o\IINATIO;.l /tHOR.,.
NlUYIC: ljTB ,\Ilia. ,\b<lul K,
,'''l!'r~} ~.,.: (~(6l
Pri5Ol\l:1" ~(b)(6)

Mil' N".;/bH6)

D:lle "rl1irlh: IlTU I'NO
Dale (lr lk:ull: IlTli (b)(6)

It,,"k: t'IV
,'I,,,,' ,.j 11.:,"1>. All" (.hr~ib f'rison

!IIlM

D:lle nr Al""f'tI}'; I Jml<: llllU
I);,le "rRcpnrt: 2') Jlln 2H(~

I'!.",,, ,,( ,\"I"llS~: III \I'

~1",<:,1C

Ci,...umJI:lllff5 uf I)e,nlo: This ne,'" ..",t \\hik in 'I" ,·u", ly III J\I'l1 (ihr..ib priWIl. tty
"'r"m he (ompbill<.-u "r clh.'S1 1"'11I h. hi5 s..n :\1.11 11.11 ,..,lbp. J.
A".hllra,ullln rllr Alllol'~} : orrto:c ul" III<: ,\nll...,.1 F"rI:"~ ;.. koJ",:,1 Ex:.uull1ol.-r. 1,\W 10

USC 1..111

-

MEDeOM 0157

ACLU Detainee DeathII ARMY MEDCOM 157

AVTOPSY REPORT (b)(6)
BTB Idtla, AWII

2

FINAL AVTOPSY DIAGNOSES:
I.

AtbcJotclerotic cardiovuc:ular d.itea$a
A. Left llIle:rior clesec:nlling coronary artery with multifoeal stCllOlell
ranJin& Dl;xn S0-8O%
B. Ri&!lt coronary.-tery with multifoc:aJ .ten,*, ranging from

so-

e.

""

Left cin:umflcx con:mary lI1ay with focal SO% Itcnoais
D. Modenlo 10 Ie"," atheroacJcrosi. of the d.iatallOrta
E. lbickenill$ of tbe min.! nlve Ieal\etI
F. Pulmonarycongeltion (ripll800 gnma. left 650 grama)
G. PTomincnt facial suffusion
H. Bil.tcnl cariobcw _II (Frank'. sign)

n.

V.

Pleural adhcsioBl
Starus poll: awmeIedomy, mnote
Fractura oftbc IDlcriorriba (ri&!lt is,left 10-1) consi.lent with
ean:liopulmorwty n:suscitalion
No aignifiean.1 tnwna

VI.

Toxicology negative

m.
IV.

("'

•

MEOCOM 0158

ACLU Detainee DeathII ARMY MEDCOM 158

AUTOPSY REPORT (b)(6)

3

BTB Aida, Abdul
EXTERNAL EXAMINATION
The body La thai ora thin IT\.Ile appearing srcalcrtJun '0 years oflgc and melSllring 69
inches in length and weiping approximalely 160 pounds. Lividity il posterior, purple,
and find. Rigor I. passing.

The scalp is covered wilh gny hllir in I nonnll distribution. There ia a py m1lltlClle and
beald. Corneal clouding obscures the irides and pupils. Theextemll auditory canal. lIe
IIIII'm'IIJbbla. The can arc lignifieanl (orbilalcral ercascsortllc earlobes (Frank's sian).
1"Ilcrt is prominent facial .ufJUsion. 'The nares are patent and the lip. arc alnlllnlltie. The
nose and maxillae are palpably stable. The teeth appear JU,lllRl with partial upper plates.
The neclr. ia maipl,lIIId the lnclIca is midline and mobile. The cht:s1 il ')TIlmC1ric. 'The
sbdomcn i. flat. The iC'JIi1alia arc lhose ofa nonnaI adult male. The tCltes aredcsccnded
and free ofmuscs. Pubie hair i. presenf in a nOl'mai distn"bulion. The buttocks and anlll
Ill: untemarbble.
The upper and lower extremities are Iymmetrie sncl without clubbing oredema.

Identifying marks and scan incllMic a J Yo inch oblique _on !he rightlowcr quadrant
of the abdomea. On !be posterior riabl ann and illnnn is a 6 l J Yo inch _ of
dcpiamenllltion of the slcin and 1CIl'. On !he midline ofthc Iowef bu.k is I Y, inch JCII'.
1'1tcre i. carty decompolilion consisting of Rin slippage and vascular marbling.
CLOTHING AND PERSONAL EffECTS
The followingclothina items and pcnonal dTecll arc prcscm on the body at the lime of

autopsy:

•
•

Brown shirt
Only undcrputlJ

•

GTIly l-slUrt

•

While shin

•
•
•

MEDICAL 'NTERVENTION
Endottxhcal tube in the orophlryrui: lhat enlers lhe tnChelI
IntraVCftOllJ eatltcter (IV) in the back of!be left haod
EIectroeatdioJrtlPh (EKG) pad. on the chest

BADIOGRAPHS
A complcle let ofpostmoflcm rMiograplu: is obtained and demonstntCithe follo....ina:
No radiopaque projectilct or fnan maner

1lterc are Ji-aetules of the riglll

~DENCE O~ INJURY

rand left i"'=1

MEDCOM 0159

ribs on tlte anlerior upoc:lJ.

ACLU Detainee DeathII ARMY MEDCOM 159

r

•

AUTOPSY REPORT (b)(6)
BTB AItIa, Abelol

INTERNAL EXAMINATION

treAJ):
The pleal and JUbpleal ",tt ti5SIJCI: of !he IClIlp ate free oriQjIll)'. The calvarium il
intKt, U Is the dura Il'II.ler beneath it. Cleareaebiospinll fluid IUmlIIndI:!he 12'0 am
brain, whieh Imt uDI'em-ub1e I)'ri and JUIci. Coronal_lions dcmoNtnlc sharp
demareation between while and gey mltlCr, without hanonIuigc oreontusivc injury.
The venrric.lea ~ o(normal me. The basal &Malia, braillStem, cerebellum. and anerial
')'Item. at'l fi'ec olilliury «other Ilmormalitia. There.-e no Mull he!urcl. The
atlanto-occipital joint illUlblo.

NECK:
The anterior Itnp ml*:1ea of the DId: _lIomocmolll and rW-bl'Own, without
hemorrbl&c. The th)TOid ul'lilaac and ")'Oid are inlloC:t The larynx i,lined by inlaCl
white m~ The thyroid Ill}'lTllMtric and red-brown, without cystic or DDdular
cIwlge. The lOngue 1,11'01' orhite I!Wb, hemorrhage, orOl!ler injuria.

BOOY CAVITIES:

The IlCmum and venebnl bodies are visibly and palpably inhet. No cxeas fluid i, in
the pleunJ. pericardia!, or perilonc:al Cllvitia. The orpnl ooeupy their lIflLal anatomic

positions.

RESPIRATORY sysTEM:
Tbo:n: aredt:llK fibrous adhesioM ofbolll pleural eavities. The ri&hen left loop _ish
800 and 650
.espodi~ly. The extemailUtf,ees are deep red-purplc. The
pulmoaary paraehynu. i. diffilscly eongested., ecIernalOlK. No mass Iesionl Ol" areas

am.

ofOOnIOlic!ation are pR:SCfIl.

CARPIQ\IASCULAB. SYSTEM:

r

The 400 am hCU'l i. eonl.med in an intacl pericardial De. The epicardi,llUrf_ is
.moo!h. willi minimal fal investment. The conmary aneries In present in I normal
dislritNtion, wilh a ri&hI-domilWlt pattem. Crosa tcetions oflhc vessell .now 50-80%
mliltifoea!lIcnote:1 of the left IIIllerior descending c:ororwy IJ1cry, foul 50% ...lcific
f1mosil oflhe left cifl:\llT\flelt COfOnaf)' artery. and SO-1S% mll!tilOcallleJlOlell ofthc .
right coronary artery with a focal as% IICnOIis. The myocardilllll is homogcnolll, reelbrown, and linn. The milral valve is lhickCllCd and fibrotic bill thCl'l:: are no vegelalions.
1M remalnilll valvo Ioaneu are thin and mobile. The .,..1111 orthe left and ri&hl
wnlriclcsarel." and 0." em thick, lcspedivdy. The endocardium is lmooth and
glistenin&- The.orta Iw mod_Ie to feVlR atherotcl_il and givCl rise 10 Ihree inl-::t
and palctll ardI VC$KI.. Tho RNI and mcxnteric vessell are lInn:marbbllll.

MEDeOM 0160

ACLU Detainee DeathII ARMY MEDCOM 160

,

AutOPSY REPORT (b)(6)
BTB Altl.. Abdul

LIVER" BllJARY'SYSTEM:
Tbe 1100 em livertw an inllel, IIIlOOth uplUle and a aharp anterior border. The
parendlyml ia tan-brown and conJested, with tile lIIuallobular an;bi~M~. No Il'IUS
leaiona or oth« abnormalitiea an seen. l1le pllbladderconlains a minute: &moIlnt of
~laclr: bile and no alOllClI. The mYCOS&llllrfac:e ia pan and velvety. The
cxtl'lhcpatic: biliary tree ia patmL
SPLEEN:

The 200 em spleen bas a arnooth. inl&d, red-pwple eapsule. The pllenchym.a ia mllOOn
and conacstClCl, with di.dnc:l Malpipillll c:orpusclu.
PANCREAS:
'The panc:rc:u ia firm and yellow-tan, with \he 1IlUa11obu11l architecture. No _Icaions
or olhcr IbnomWities are __

ADRENAIS:
The ri&hl and kft adrenal atandJ ~ .ymmdrie, with bript yellow c:ortieca and pqo
medullae. No maua Of _

ofhemorrtlJ,se

&I'C

identified.

GENITOURINARY SYSTEM:
The riaN and left kicIlleya waJh \7j and 200 JlI'I, respectively. Thc: extmllll twfac:a are
mlJleC and II'nOOCh. The cut turfac:a are 1"ed4llll and conped, with uniformly thick
cortices..s dlap cortieomedullwy junc:liona. The pelves an; ul'ltenwtable and \he
umen are nonnal in COUlW IIld ealibcr. White bl.sdermucou overlies an inlac:1 bl&ddec
Will, Tbe bladder conIIiNi Ippmlirnately 10 ml of c:1oIIdy urine. The prostate ia normll
in.ju, with lobular, yelloW-Ian parencb)'IIIL The seminal vcaieles arc IIlIl'ClTWbbIe.
The Ic&les arelTee oftnIA leJiona, c:onlu$iona, or 0Ihcf Ibnomtllitin..
GASTR01NIPS1JNAL JJlACT:
The eaoph.lJuJ ia intact and lined by ImOOIh, lfCY-White mucou. Tbc MInICh c:onllilU
&ppI'Ollil'l1lllely 50 ml ofdart sreen liquid.. The JUIric:
i. inlac:L The duodenum,
!oopsofanall bowel, and colon 1ft; urutmllUble. The Ippendil i. SUfIieaIly IbJel'lL

_n

ADDnnONAL~EPUBE§

•
•
•
•

Doc:umalllly photographs are t&lten by (b)(6)
Spcc:imClll rtt&ined fOf 100ic:.ologic: testilll and/or DNA identification I"': blood.
urine:, splcm, Iivc:r, lune. kidney, adipose. bnin, bi Ie, JUlric:, and psoas
Tbe diUCded orpna are fol'Wllded with the body
Personal efTllCU are ",leased 10 the appropriale monual)' opc:raliGllI
representltives

MICROSCOPIC EXAMINAT'ON
Selected portioN oforplll are retallllld in formalin, without prepanlion ofhillologie
.lidea.

MEDCOM 0161

ACLU Detainee DeathII ARMY MEDCOM 161

•

AtrrOPSY REPORT (bH6)

r

BTB AJUa, AheM

TOXICOLOGY
TOllioolopc _)'til orb1ood mel bile wu neplive for ethanol and drup ofabuse.
Cyanide _ not dCCceled.

OPINION
This elderly Iraqi male died of.lhetwclerol:ic cardiovueular disease (bJoebge oflhc
ar1criet thaI lupply blood and OJl:YBell 10 lbc beItt). The rib fIXtures flO(ed.t IUtopsy an
conIistenl wilh eardiopulrnOMl)' lU.lSeiwioll (CPR). 'T1Ioeft was no lignifieanl Inuma..

The manner of death i. nl1l1l'Sl.

(b)(6)

(bK6)

MEDCOM 0162

ACLU Detainee DeathII ARMY MEDCOM 162

,\R,\IEIl FOltC.:S Ii"STlTUTE OFl',\TIIOLQr;\,
orne., "r lh~ ,\rlllcli F(lI'"c~ illcdi"'ll Ex:, ,uincr

-

14lJ Il.c:l<:~n"h l!lv.i..llld);_ 10~

l{t)Ckvillc. ~ID 20H.sn
1-800·Q.... ·7<)12
FIN/\!. ,\UTOI'S\, ltEl'OIlT

Nn,jCb )(6)

"':arne: ,\ wad I\J·Ju\\~ldi. IIWlsdn

AU1Qlls.\'

l:S IIcIAin"" (b}t6)
Ihle "r IIlrlh(b)(6j --,-1')2\1
Ihl" 'If 1)(:llh: ~}(6}
2~

'\1'11'
(b)(6)
It:mk: Ir:"li N~li"n:ll

"'n.,

r,

l'lnn' or 1"·,,11,, B:,ghlbd. Jr:l\l
1'1",,( "r A"lops,.: I.Sr\ An""''''lda
1I1'''lU"",",lbl:"lln''l

I)alr "r ,\ul"l'~r: III ~l,'" 2()O-l
l)'llr lOr Rep",,: II JllN ::':C"J(M

"r

p...,,,mSln"trS
O"':llh; l"his 15 )"'ar olJ m:lk. an Jr.Jqi :\mi"nnl. "'''s ,) Jcl"incc:11 Ihe
C"'llnd lbgh<J;tI! Del"'r..:" Facility (,\bll (;)o",ib). Orr(b){6) ~f)(~ he I\:p"'Mcdly a,,"'plly
rol1aps...od ;u"II":<:3n1c unconsciolls. Rcsuscit:II,Ul\ ":c~ inlll"I\-..1 mill conliulled durin\;
IJ:Il"'I"'" 10 I"'" f~ciliw hr>stli.t~ere 11<: died. Ac",rJi n~ IU f\."C"rtl.~ pr""i(ktl l>~' the
in\"CSI;l:~l;,"" "l:ency. (b)(6)
h:.KI a P;L"1 IIlcdi"allll~Hlr~' "i~nili~anl fur
tliak'tL'" n\oClIim.'l. hypcncllsion and pn.>\'iOlL" t1l)'ucuruiaJ infur~li,,".

-

,\ uI!lnril:lli"n for c\ ul"I,"'-;
USC 10171

omw of .he Am...'<.1 F"re~.,

[denlififalin,,; rmulIl[lli,'c itk.'I,lilkuliOl'
:Inti repo'" :>t'PI'lied hy .he in\'.:SIi~"li,"""I.
'\ll"",:ollda. 1l:I1:.KI.1DlI)

/0. k'ltkul EXUIl';'I(.'T. tAW III

·om pli,la.;d br c"'llo:.ris"" I" phOI0l'mphs
)' (b)(2)
('I n, LSA

MANNER ()Jo" DEATH: NAwnl

.MEDCOM 0163

ACLU Detainee DeathII ARMY MEDCOM 163

,

AUTOPSY REPORT (b)(6)

"wlKl A).Juwadl, Rassa.
nNAt AlfI'OPSY DIAGNOSES:

t

I. Seven AtlluOIclerotk Cudlovuclllir Ducllu
L Ria;llt Corollary Arttry: 95% to p'apoIDI.lmosb
b. Ldt Coroalr)' Artery: 80% .ICDOSb wllb cOllccDlrlc rtIlclntllloli

e. Pror.lmal Left Desc:eadID' COrDIlI.ry Artery: 90"1'• • UIO."
d. St.tIl. POll Remote Postfl'ior Left
eo Severe Aortic Atlleroulerosb

Sepl.llllfll'~llon

II. Aortic Allcury.m (Scm)

III. C.,dlomclllly (8IGlm)

IV. Muked Ncpbrosclcro.b
V. No ulenl.1 injuria DOlfi!
VI. Toxleolol)': lU'Clllve for dMlp of .blse.ad dhallol

-.

MEDCOM 0164

ACLU Detainee DeathII ARMY MEDCOM 164

AUTOPSY REPORT ~b)(6)
"'wad Ahlawldl, H...em

l

EmMA EXAMINAtiON

r

The body illhat of. wcll4cvclopcd, wel1·nourilhcd 70-inch tall, 200 pounds (estimated)
Cauasi-n male whoH appeannee I. CO/l:I[SlCnt with the reported age of7S years.
UvWity Is bed on l!Ic posterior upcct of the body and rigor Iw pUlCd. The
tempcnture of the d«.eued is eold, WI or!he ~ (ri8eration IInit

The tulp I. covered with white hair and thc:R is frontal and occipital balding. The irides
are hazet,llId the pupil. are I'O\IIId and eqUId in diarneler. The external auditory canals are
free of ~a1 secretiom Of blood. The ean mll lIllJm\arbblc and they are not
pierced. The nan:I Ilre pIItcnl and the lips are _traumalie. The II05C! and maxillae ue
patp.bly~. The dIe
d is edeNlilou.
The neck illttaichl, and the uw:ne. is midline and mobile. The thnt i. symmetric. The
abdomen is mlldlYptO(ubera'u. The Senital!. are !hose of. normal adult cin:umciscd
male. The testes are descended and free of 1TIlISIeI. Pubic hair ;. present in I normal
diJtribulion. The bllttoe:ks and IIlUS Ilre wwuhark:ablc.

The uppc:r and lower extremities are Iymmetric: and without evidence o(c:lubbina. edema,
and iJUuries. A wcll-ciralmx.n1led. '1... inch YemKOid lesion i. DOled on the poIterior·
medial aspect oftbe mid right leg.

TIlltoOS are IlDI present and lICaI"II are noted in the rollowinalocations;
• All oblique I Y. II: lfl6-inc:tl wdl..flealecl tear b on me donal ~ artlle len

r._"

•
•
•

""'"
A yertical Y.

V.. inch well-healed IQr is inferiOS" to tile left knee
An ovoid % 'II Yrinch well-healed ~ is infcnor to the right knee
An oblique I 'II lIS-inch well healed Km" is on the anterior up«:t oflhe Ien.ale
II:

CLgmlNG AND PERSONAL ERECTS
Tbc fotlowina clolhinaltems and perwonaJ efTecU; an: preJent on lbe body atlbe time of
aulOply.
• A Ionasleeved cWt Ill'Cn sltir! without a label
• Bid brief's
• Additional hems or pawnal effccta are not ptaCnt
MIDICAL IND:RVf.!''TIQN

Eleetrocatdiopun monitor pada an: .fflXed 10 !he anterior Qped oflhe ehClt. PUnetl=
marb COl\Iment with intnlvcnO\ll devica an: noted In the left antecubital rona and right
aspecl or the lJOin.

('

-"

MEOCOM 0165

ACLU Detainee DeathII ARMY MEDCOM 165

AUI'OPSY REPORT (b)(6)
A.,nd Al-Jlwld" Hlllltln

4

EVIDENCE OF INJURY

INTERNAL IiMMINAJmM

HEAD:
The gaJcalllld IUbgaleallOft l i _ ohlle IClIlp are free ofinjury. The ealvanum i.
intact, lIS i. tbe dUTl mater benealh [L The brain weiJhll500 gin and hIS ullRmlfbble
IYri and wlei. CoronIIICCIlOM demonItTIte Ihaql deman:ation between while and grey
matter, withoul hemon1ugo or eonrusive injlU')'. TIle YenlnclCll arc ofnonnalliu. The
basal ganglia, brainstem, and c:erebc:llum arc free of Injury orother abllOfTTlalillea. Mild
atberoselefOSi. (20-30%) il noted in the builar anery; olh_iso lbe remainder oflhe
arterial.ystem il rree ofabnonnalilies. There arc no Ikult fraetura. The Itlantooccipital joint is I..ble.

NECK:
'The anterior Itrap mlllC:lcs of the ned; &Ill homo.enolll and red-brown, wilhout

hemorrllage. The thyroid eartHale IlId hyoid bone are intae:t. The lllJ)'llx iliined by
inlaet muc:ou. The thyroid Bland i'l)III'Imdnc and red-brown, withoul cyslic or nodular
chanac. The tORpe il free of bite markJ, helllOl"riul.e, or olllet i'1iurics.
BODY CAYITIES:
The n"bl, sternum, and vertebral bodies arc viJibly and palpablylntatt. No CXl:CSl fluid il
in the pleural, pericanlial, or peritoneal Clviliea. The orlllli occupylheir llIuallllllomie
poIitiGnl.
RESPIRATORY SYSTEM:
The riSlu and left lunp arc cdematow and weiah 800 and 820 l1li, respectively. There il
pItImincnt IlIlhnc:olic pigment dcpoJition on the pleura as well lIS tJuouanout the luna
parcnc!lyma. The external surfac:cs arc olberwiJe deep red-purple. The pulmonary
parcnc!lyma i. diffulCly c:onscsted and cdemllo.- and exudcJ edeml fluid on cuI
ICCtiotll. No IllUI leJiol1l or areas of eonJOlidalion are pl'CKlll.

CARDIOYASCULAR SySTEM:
T'henl i. marked calargcmenl oftbe heart. The beut wciibJ 820 gm. The epicardial
Jurfate illmoot!t, with minimal fal inYCStlTlCllI. The coronary artcricJ are ptelenl in a
normal dlllribulion, with a riabl-dominant pattern. Croa:.lCCliotll of the vcsscll &how
,JeY«e a1heroKlerosis. The proximal aspect oflhe left coronary artery lhow 80% calcine
ooncentric JlCl'IOIiI: the proximal left anterior dClCClldin. ooronlry anay IhoWI 90%
IICnOIis. 1bc nabt coronary andci~umftCi arteries show lO-Sl)% ItCnOlil. The
myocardium it red-brown and ftac:cid. The wall. of the left and righl ventricles meuurc
\.\ and 0.3-cm, respectively. Cut lCCtiotll of the len ventricle .how a 2 x I em arcl of
fibrosia on the postcrior-Icplal left ventricular wall conailtcnl with remote myoeardial
infaretion. The val~ IcafIdi are thin and mobile. The proximal aona il involved by an

MEDCOM Ot66

ACLU Detainee DeathII ARMY MEDCOM 166

,

AtTrOPSY REPORT (b)(6)

"wid AhTIIW.dl, B_1,

r

• em~. Prominent calcific athaoaelerolil orlbe ,bdominal-ortlo obseura tbc
origilll oflbll renal and m~lme vesselL
UyER" BU.lARY SYSTEM:
The 1900 am IiWI' hq an intael• .-aoth c.psule and ••harp '!lterior border. The
paradlyma il wHwoWll Ind eonpcd, with the IIJUiIIobuIill' an:hilccture. No I1WI
~ or other IbllormaUtia In: Ietn. The pllbl.ddef (OlIlaint 23 ml
If=l·bllCk
bile and no lIotlll'. The mueoal $Utf_ is s:n:cn and "elvely. The exll'al\epltie biliary
tnre iJ patent.

or

Sfl FEN:
The 240 I1IlIpIccn hal. 1mOOth. inr.ct. recIopurplc eapsu.lc. The plI'alChymll is maroon
lind conptcd, with diatincc Malpigllian ClOI'JIUSC'Ies.
PANCREAS:

The pall(1UI i.linn and yellow-tan, with the lIIuallobular archilocl:ure. NOrn&$l lesions
or 0llIa" lbnomlaiitiQ are IIeG\.
ApRENAI.$ GLANDS:
The right and len WaIIl ..handl are 1)1l'imetric, with yellow cortica ,nd s:reY medullae..
No mMSCI 01' Ir_ oChemormaae are idcntirled.

QENITOURJNMY SYSTEM:
The "-"I and left kiclneyl weish 120 am. e-r.h. The cxlemall:aJ"U1es are ranovcd with
JlUI difficulty ft'om the wxIerlyina JI'IIlular, du*y, conical MIl'C.uI oClhe kM1ne)'l.
Both lddne)'ll dernonstmc
oortiul cysts nnaina ill siu li'om ~ 10 t'. ern. The
eIll turf_ U'e tan-brown and c:onacsted with poor dcm.ateation of the cortioo-mcdullary
junclioas. 'The pelvet are unrematUblc and \he \IretelW are.-mal in counc and uliba-.
The b1Mda- i.lnlKt and empEy. The pl'l:lWle &land j. nonul in size with lobular
yellow-lul parcnc:h)'fM. The aeminal vesicles aR tulmIWbble. The ICStCi arc free of

_"eRd

IM8 ICiions, eonllllions,

Of ocher

abnomIaIiliCi.

QASTBOINl f'.S IINAL TRACT:
Tho etOPhlgus II inlaCl and lined by IIIlOOlh. py muooa.. The stonaeh contains <400 ml
of partially diptcd food illCllIding com and beans. The pslric wall is intact. The
dllOdalum.1oops: of_all bowel. and colon '"' unremarkable. The appcndil is prc$ClIl.

ADDnaONAL'SOCEDURES
•
•

DocummwyphotoJrlp/ll arc taken by (b)(6)
Mending tbc IU.y arc SA(b)(6)

(b)(2)

detlChment em

• Specimens n:Wned for IOxicoloaic lcstios aDdIor DNA idcntirlcation are: brain,
liver, Iplcm, peoalI IlIl1Xlc, kidney, luna. vitreoul nuid. bklod, Ilomach content&,

•

and bile
The diacetcd orpn.I are!Ofwanlcd with body

MEDCOM 0167

ACLU Detainee DeathII ARMY MEDCOM 167

,

AUTOPSY REPORT~(6) _ _
A,..d A!-Jawldl, RlUJtla
•

Personal etrects are released 10 the appropriate monuary operations
rcpresc:ll~tives

MICROSCOPIC EXAM'NATION
Selected ponlons of orgam ~ retained In formalin, without preparation ofhistologic
slides:.
TOXICOLOGY
AFJP ....CCClSion Number;llb}(6} Dated 7111M 2004
Volatiles: Blood and Bile- No ethanol detected
Cyanide: Blood- no cyanide detected
Drup: Blood- no drugs of.bulC detecled, positive for Ilroplne (a resuscitation
medicalion)

OPINION

-!and

This 75-year-old man:<bl(6)
Iraqi Nalional detained at the
Baghdad Ccntm Detention Facility died of&eVe11l athcrolclcrotic cardiovascular disea$/:.
Hil condition "".. complicated by muted cardiomegaly.
The manner of death il Natural.

(b)(6)

L-'Medltll EIIJIllaer

MEDCOM 0168

ACLU Detainee DeathII ARMY MEDCOM 168

OEPARTMENT OF DEFENSE
IIIIMn 'OIleES IldtmrTE OF

~AnlOlOOY

WIlSItI'lGTON. DC 10101_

AFlr

II,..-.iftoo.N....._

(b)(6)

TO:
Of'FlCE OFTlI£ ARMED fORCES MF.DICAl
EXAl'.IlNtR
AJ(M~:D fORCf:S INSTITUTE OF ,.",TlIOI-OCV
WASlllNGTON. DC lQJ.06..6OOll

:O,nlt
,\WAOAWAWAOl.llUSSEfN
SSM;:

A.... p.y: (b)(6)

T",icolo\o' ..... «S.Io" II: Q&@l_
I
Ihtt It.,,OI'1 (;....... ,«1: lillie 7. ~CJO.I

CQNSUP't\TION REPORT ON CO~TRllIUTOR "IATf:RIAL
... "IPDI...GNOSIS

REI'ORT OF TOXICOLOGICAl. £X... M.",... nON

Conllilion IIf Sp"im~"J: (joon
O:d~ of In~ill~nl:(b){6) :!:()O.l

lhte

1te~~h'~lI:

S/2712()().1

VOLATILES: TIle BLOOn AND BILE were l:nmined for the presence: nf<:IMnoI al a
eUInITof20 mgldL. No dhanol \YM lIck-.;:lell.
CVAN/I)E: Then: Willi 110 <:y:lllitk dcl,:<:leJ in the blood. TIle rimit of 'llWltltal;on for

_

cyanide b 0.25 m&fL. Normal blood cyanide enne~~l\rutiuns are les.~ than 0.1 S mgfL. Lethal
(oneenlr'tllions ur cy:m;de lIl"C ~realCr ll'llln J mglL.
DltUGS: The DLOOI> W3' scrt.... nl.od f(lr acetaminophen, an,pllCl;unine:. anlidCJ>l'.'S,:ml~.
1mbiturillCS. bcn7.odi:w:pincs, unn"biooill:l, rocain..:, dc~tRH11~1horphan.
lidocaine, IW«It;c analgesics, npialc~.llhcncyclidinc.llhcll(llhi~zinc:5.,alicylalt"
symp:llhOlllinu.:tie IImines and "'~T:Ip:lJ11il by 1::Ili chromatol:r3llhy, color ICSI or immuno3ss:lY.
Thc follo....inllll"'SJ ....ere dCleCllod:

a"tihi5Iarni~.

I'ositi\'e '\lropine:: ,'lropinc \\.~J.5 detected in Ill<: blood by G-" chroll131oGruphy and eonfinned by
llall chromuloyraphyfl1\:tn Specll'OlIIclry.

(b)(6)

1

(b)(6)

MEDCOM 0169

ACLU Detainee DeathII ARMY MEDCOM 169

...

ARMED FORCES INSTITUTE OF PATHOLOGY
Office of Ille Armed Forces Melileal F:ultliner
1413 Researcll Blvd.. Bldg. 102
Rockville, MD 20850
1-800·944-7912
FINAL AUTOPSY REPORT
Name: Mohamed Ali. Faffiad
Allcltl&te spellinp;(b)(6)
Date of Birth: rWllu'KiWil
Dale ofDcath:(b)(6)
Dale of Autopsy: 26 April 2004
Date ofRepon: 22 November 2004

12004

N9:,:1~(b~l~I';I;=

Autopsy
AFIP No.: l(b)~)
Rank: Civilian, Iraqi National
PlaceofDcath: Mosullraq
PllICC of Autopsy: Mosul, Iraq

Cinu mllllnn. or DUlh; Thi. approximately 21 yearo(lld male civilian. pruwned Iraqi
national. died in US custody approximately 12 hours aller being llpprehel>ded. By reporl.
physical fore<: was rcqui~d during his initial apprehension during I raid. During hi,
eonfmement, he was hooded.•Ieep deprived. and subjected to hot and cold environmental
conditions, including l./lc usc: of cold water on his body and 1Iood.

AuthorlZllllon for AUlop.y: Office oOhe Anoed Fo",e. r.tellle,,1 Eumincr, lAW 10
USC 1411
Idenllnnllon: Vi.UlII. per detention fllCilily =ords=
profile obtained

poSlmo~m fingerprinlli

and DNA

CAUSE OF DEATII: Undetermined
MANNER Of DEATH: Undclermlned

MEDCOM 0170

ACLU Detainee DeathII ARMY MEDCOM 170

AUTOPSY REPORT(b)(6)
Moblmnl, f'arhd

1

FlNAL AUTOPSY DIAGNOSES:

l.

Evidenc:e ofrc:slrainl
.. While plastic: "Flacurrs~ II'OIlnd uch wrill
b. Abnsions and contIISions II'OIlnd wrisl$

II.

Ellidmceofinjury
.. MillOf abnaions aDd conlUSionsof atremitics
b. ~tion abov"e righl eyebrow. I cm
Co ContwionofrightUckofncck
d. Minor abmions of left side: offorehud
e. Subgaleal hmMll'1'Ngeofbila1cnl &ontal KgiOns of$CIIlp
( JntramuiCular hcmormageofanleriOl' &Spec! of right slloulder
J. No internal evidenceoft~umI

111.

No evidence of significant n.alura! disease willtin the limitaliom ort!lc
exllrtlin.ation
a. Cardio\l&iCular System: No specific pathologic changes (AFIP
CardiOlllSCular PatholoiY amsullation)
i. Heart weighl, 4S0 grtl
ii. HiSlologically. left lIenlncular m)'OC)'tc h)1lCi lIophy 'alillt focal
mild submdocanlial interstitiallibrosil
iii. Contraclion band ncclWis. anterior riihl \ICfItncle
III. Mildly lhickened intnmu~l coronary arteries
II. Mild mediallhickmingoflhe linus nodal ar1ery
III. Focal mild dysplasia ofpmetrating bn.nchesoflhe AY nodal
artery without incruscd fibrosil in the CTe5t of tho: nllmclllar
",,,,,,

b. NalfOJIalholoi}' System: (AFtPNeuropalllologyConsultalion)
i. Cereb~ledem.. b~inl400gm
ii. Early acute nwronal injury
e. l.iller (AFlP Hepatic Patllology Consultation)
i. Microlleliclllar steaCOIi.. etiology undetenninod
ii. Marked congestion, likely .gon.l
d. Pulmonary edema: right luna 700 gin, lcft lung 900 ¥JlI
IV.

Early 10 moderate decomposition
.. Green discoloration of abdomen
b. Focal akin Ilipplge

Y.

Elli<k:nce of mcdieal intel'llention
•. Endotracheal tube in pIKe
b. [nt~lImous catheter in tho: left antecubital fO£$l
e. lnlnllenoul cal!lct" in the ria/tt inguinal region
d. 'Jlu'ee adhesille EKG tabs on anterior Iorso
e. Pulse o:o:imeter on left index fingff

MEOCOM 0171

ACLU Detainee DeathII ARMY MEDCOM 171

AUTOPSY REPORT (b){6)
MobUlfCl. F....lIId

r.

}

Curvilinear .b~ion 01\ upper chest. consiSlenl wilh defibrillalion

I. Fnclwes ohnlerior aspect orld)" rib lind ri&hl ~~. lind 6· ribs.

VI.

coMisle," wilh CPR C"OrlS
Tox.;cololY (AFIPI
... Volaliles: Mix.ed voI.liles consislenl wilh poMrnonc:m prodllClion; matdL
i. Blood: Ketone 20. 2·~17
it Urine: Kc10rIC 67. }·propanol )
b. Drup: Coosillenl willi ~scilalion elTor1ll
i. Udoc.inc cklec:tcd ;n the urine
ii. Urine negative for other JCl'CeIIcd mcdicallOllJ and dtugs ohb\lSC

MEDCOM 0172

ACLU Detainee DeathII ARMY MEDCOM 172

,

AUTOPSY REPORT (b)(6)

Moblmed, Fartlad
EXTERNAL EXAMINATION

The body iJ!hat ofan WlClad well-developed, well-nourished male. The body wcighll
approltimately 190 pounds. is 72" in height and appears compatible with the reported age of
27 years. The body temperatun: i.cold, lIut of the reliigmltion lIIlil. Rip las dipipatecl.
and tile body is ftaccid. Uv;&ty is present and
exeept in areas expo5ed 10 preuure.

li~ed

on the posterior IlUrfac:e of the body,

~

is early 10 moderate decomposition COI\S;llingoffocallkin slippage ofllle armtI.
!pun dillCOlomion of the abdomen, and earlyeomul c1011ding.
The sealp is covered with dan: brown luiT IIVCrlIgina7 cm in length. Facial haireonsislS of
a dark muslache and dark faei.1 slUbble. The irides ue brown, and theeomeae are sliaflily
cloudy. The selene and conjunctivae are pale and free ofpdcchiae. The earlobes lire not
pia«d., The exlem.al.udilOtycanals, e~lerml nares and enl c.vity ate free of fOf'e;gn
material and lboomtal ~tions. The nasa1 dr.clClon is ~lplbly intxl. The lips are
withoul evidenl injllJ}'. The leeth are nalural and in JOOd eondition.

The neck il slraighl and the lJ1IChea il midline and mobile. The chesl is symmelric and well
developed. No injll1)' of tile rib.l or lIemum il evident e:w.temally. The abdomen is nal and
soft. Healed surgical stIlt'S are not noted. The: exlral'liliel are well developed wilh nannll
range of motion. The Iingemai~ are irUel, TlllOOSare not noted, and needle lrncks arc not
observed. The el\lCmal genitalia are l/w$e ora nonn,1 adult circumcbcd male. Thc teJlelli
are descended and !Tee ofmusea. The pubic llair is shlVed but il present in I nonnal
distribution. The buttoeks and anus are Wll"ernat'kable.
A tlg with lhe nll11e of the decedenl il JeCll~ 10 lhe riglll firJt loe..
EVIDENCE Of1I1EBA'Y

There is III endollXheallUbe in place, and IIlcre are Weoe lIdhesive EKQ tabs 01\ tile body.
two on the upper chest and one on the lower leftlideofthe abdomen. There is an
intravCl\ClllS cl.lhe1er in the left anlccubilal fO$$l. and there i'lll intnlveoous cathCler in the
riBllt inauinal region. There
12 x 6 em ov.1 eurviUne.v Ibrasion on the upper riglll side
ofille chesl, consiSI wilh defibrillaJ:ion IUempts. There il a plllJe O.dmeler lIpcd over the
end ofttle left index finger. There are fraclurt:ll of tile anlenor llpeel oftlle right 3" rib and
left 2- -4"1Jld 6" ribl, consistent with CPR effON.

i,.

[Y'DENCE Of INJURy

The on:k=rina of the following injuries il for desaiplive purposes only and il not intended
to imply order of infliction or relative seventy. All wound palhw.ys Ire given relalive 10
sllndlll1l anatomic position.
There is bilileral periorbital ecchymosis. more pronounced over the lower lilia Ind
slighlly more prominenl 01\ the left lide. On the left lide of the forehead. there an: two

MEDCOM 0173

ACLU Detainee DeathII ARMY MEDCOM 173

,

AoUTOPSY REPORT(b)(6)
Mobam"" ra,bad

diagonally orienlo:d parallel, linear abruiol\$. The medial one meuures 4 I 0.2 em and
the laml one is) x 0.\ an. Then: arc multiple SJMI1. ill-defined areu of excoriation and
superficial abruiGn over the central forehe3f1 IlrId bridge oflhe 1M)5e. There is a I cm
la<:cntionjuslaoove the laleral aspecl of the risJn eyebrow. Then: is a 6 x 6 cm red
brown conlusion on the right lateral aspecl oflhe IlCCk.just below lhe angle ofthc
mandible.

Upon reflecting the scllp. there is bilale",l frontal subg.deil scalp hemorrhage. The mOSI
prominent area is) x 2 em, surrounding the lacel1llion near the len eyebfOw.
There is arl III I em faint abrasion of the anterior aspect of lhe right shoulder. ;md there
ils fainl) I ) em red contusion of llIe anterior aspecl of lhe left shoulder. There is a 9 x
0.2 cm curved linear abl1l5ionjusllo the left oflhe umbilicus. There is. I x 0.) em
:lbruion oflhe lower left aspect of the abdomen.
Upon opening lhc chesl.llIere is inlramuscular hemorrhage oflhe anlerior aspecl ofllle
right shoulder.
There is. 12 x II em area of contusion and fainr abrasion on the anterior fateral aspect of
tile right upper arm. There is I 6 x 2 em red eonlusion on tIw: a.nlcrior mediaf aspect oflhc
righl upper arm. There arc ttuu ill·defined bands of erythema lIlld 1M eomusion over the
biek oflhe feft wriSI, 7 x) em in aggregile.
!NTfBNAL EXMtllNAoTION
BODY tAo VITIF,Sj
The body is opertlld by the usuaf t1lllfl'co-abOominaJ incision and the chest plae is removed.
No adhesions arc pn:scnl in any of the body cavities. There is 100 ml of serosanguinous
fluid in each pleural $pace. There is no signifieanl pcrie:lrdial or peritoneal fluid. All body
organs arc p~t in the oonnil aJ\3lcmical posirion. The vcr1ebnrol bodies arc visibly and

p,alpably inll;loCl. The subf;.utanClOUS f;rt layer of lhe abdominaf wall is 2 cm thick. There is no
inlemal evidence ofbfunt foro: or pcnctnlling injury 10 lhe abdominal region.
Ilf.ADi (CENTRAL NERVOUS SYSTEM)
The scalp is rc:f1cctal. and no skull fractures arc found. The eilvarium of !he slcuJl is
ranoved. The dura maier and falx ocrebri arc inIaC!. There is no epidural or subdural
hcmon1l;Ige present. The lcp10mcninges arc thin and delic31e. The ecrebnl$Jlinal nuid is
elcM. The cerebral hemi$phcrc:s are symmetrical. The S1ructurcs at the base of the brain,
including cranial nerves and blood vel$lCl$, arc intact. Coron.al sections Ihrough the cerdll1l1
hcmispbercs revealed no lesions, &lid then: is 00 evidence of infection. lunt01'. or lIaWni-

The ventricles arc of normal size. T~svCl'SC SCCIions through the bfain stem and
cerc:bellum arc unremarkable. The dura is sbippcd from lhe ba.lilar skull. and no fractures
lIl'C fOWld. The allanto-oeeipilal joinl is stable. The brain weighs 1400 lP'.uTls.

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,

•
AUTOPSY REPORT lb)(6)

Mohlmtd. Farllld
NECKj

Examinaaion of the soli. tissues of the neck, inetlldilll strap muscles. lh)TOid g1i111d and lqe
vessels. reveals 110 1IbllOmIlIlitia. TM anterior ilnlI muscles of the nn::k an: homogmCOWI
and red-brown, without hemont\lIge. The 1h)TOid W!itage and hyoid hone are intact. The
larylIx is lined by in\.IC.1 while mucoa ancI ilunobs!l"UCtod. l"he thyroid gland ;, $)'Il1Illcuie
and red·brown, without ey5lie Of nodular chanp. There ilno evjden<:e orinfeclion. lwnor.
or \f1.UJI1'- and !he airway is pIItml. lneision and dissection of the posterior neck
demonstrates: no deep pN1lleClVieal museular injury, hemorrhage. or fractures orllle donal
lpinouJ proc«SCS.
CARDlQVASCULAR SYSTEM;
The pericaniiaJ Jurfaces are Sll'IOOIh. IlisU:NlIg and urnm:llbble: the periQrdial sac i. free
of significant nuid and afhesionL A mocIc:nle amourM of epicardial fal ill pRSCflt The
corona:y arteries uiiC IIOmIIJly. I'ollow the lISl.W distribution and an widely palmi, wilhoUlcyidenee of sisnllieant athmlsclel'O$is Of lhrombosis. The dwnbcn: and ~Ivcs nllibil the
u.sual,@position rewiOll5hip and are ~ The m)'OQl'llilim is dirk red·brown.
firm and WlRfIlaJUble:!he atrial and ventricular ICpU. are intact The lel\ ventriele i. 1.3
em in thickness and lhe righl vc:ntriele il 0,4 an in Ihicknes5. The aorta and its majw
branches ariK normally, follow the lISUII QJIIne and are widely paler11, free of .i.,u6canl
~Iherosclerosisand other abl"lOlmilJity. The _
QVile:and their major tribllltries return 10
the h=t in !be uslUll distribution and are free ofllwmbi. 1M heart wei;hs 4SO grams. Sec
·'Ca.rdfovucular Pathology Rcpo"~ below.

REsrl RAIQRX SVSTEM:
The upper airway is dur of debris and fomgn matmal; the m_l surfll:cs are JmOOlI\,
yellow.taft and unremarkable.
The plC\UlI surfaces are smooth. lfIiSlcnilll and

UIIl'CmarkabJc bilalerally. The pulmona:y puadl)111l i, red·purple, exudina mocIenIe
ilTIOUniS of bloody fluid: no focal lelions are noled. The pulmonary artmes are normally
developcd. palCl'11 and wilhoul thrombUl or embolus. The rishl lung weighs 700 arams: lhe
left ?OIl JI'WTII.

LIVER &. BILIARY SYSTEM;
The hcpatie eapsule il smooth, alistming and inlleL eovering dartc red·bnr.vn. moderately

c:angcstcd. parcnehyma with no focal lcsiOlll nOled. The pllbl:addcr eontains 10 ml of
grcen-brown. mucoid bile; the m\llCOU is velvety and unremllritablc. The exUlhcpalic
biliazytRe is palent, wilhoul evidence ofealculi. The river weighs 1450 gams.
ALIMENTARy TRACT;

mns.

hemonh&&c. or other injuries. The esophagus is lined by
pay-white, IIl'IOOlh mueosa. The psrric mllCOSl il &rIlI111cd in the USUI! ",pi foltls and the
Iumcn ill asmlially ctnpty with only a film of muco.... The Imlll and lUi': 00-1 iIt!:
lUImTlaIbble. The pancraI hal a normal pinlt.lart lobulated apJ)CIlI'al>CC iInClthc ducts are
clear. The appcndia: il prncnl and is unterl\lricable,
The IOngIIC il fi'ee of bite

MEOCOM 0175

ACLU Detainee DeathII ARMY MEDCOM 175

AUTOPSV REPOKTf(b)(6)

7

Mobamed. Fnhd

GeNITOURINARy SYSTEM;

The renal cllp$ute;, are smooth and thin, semi-transparent and strip with case from !he
underlying smooth, red·brown cortical surfaces. The cortices are lIIarply delineated from
the medullary pyn.mids, which are red-pulllle 10 Ian and lIlUemarkable. The cal~, pelves
and 1Ifda-s are wlI'~lTwbble. White bladder mucosa overlies an iIHad bladder wall. Thc
urirwy bladd« contains 200 ml of dear, yellow urine. The pr05tate gland is nol1Tl.al in size,
lIrIml\arkablc. The Icslcs are
withlobulilT, yellow-till p#CllChyma. The seminal \'csicles
ftee of mass lesions., contll5ions., orother abnormalities. The ri~l kidney weighs I SO grams:
lheleR t60gnms.

=

Rt:T1ClILOENDOIHELIAL SVSTEi'li
The spleen has a smooth, intact capsule covainll raj·purple. moderately finn parenchyma;
lhe lymphoid follicles are W1I'emlliable. The tcgional lymflh nodes appear normal. The
spleen weighs 160 p1I$.

f:NpOCRINE SYSTEM;
The pituitary, thyroid and lIdrenal glands are untcmarklbl~.

i\lUSCUI,OSKELEIAL SystEM;
Muscle development i5 normal. No bone or joint allllOmlalilies are llDled.

MICROSCQPIC EXAMINATION
HEART: See "ClIIlliovasculllJ Pathology Report" below.
LUNGS: The alveolar spaces and small air passages are expanded and conlain no
significant inflammatory component or edema Ouid. Thoe alveolar walls are thin and
stighlly congested. The 3tIerial and \'COOUI vascUlar systems are normal. The
pc:ribron<;hiallymphltics are unremarkable.

UVER: The hepatic an;hilettUtc is intllCl. The port31 areas show no incrused
infilUMlatOl')' component or fibrous tilSUC. The hepatic parcnchymal cells arc wellpn:scrved wilh no evidence of cholcslllSis or sinusoidal aboormalitics. Sce "Hepatic
Pathology Repon" below.
SPLEEN: The cajnulc and white pulp:ft un.remartable. There: is minimal congeslion of
lhe red pulp.
TESTES: Unremarkable.
THYROID GLAND: Unremarkable.

"DRENALS: The conical:tOnes:ft dislinclive. and lhc medullae are nOl remarkable.

MEDCOM 0176

ACLU Detainee DeathII ARMY MEDCOM 176

•

AUTOPSY REPORT(b)(6)

Mobamtd. Fnbad

KIDNEYS: There ia moderate autolysia. The subcapsular tonc:l are unremarkable, and
the Jj.IomeruH are mildly lXlf1iested without cellulv prolifeRlion. mesanpal prominence,
or Jelerosia, TIlere il no inlelltitial fitmnil or s.ignincallt inf\ammllion. Then: il no
thKkenina of the walls of the ll1erioles or SlTllllI anerial dwlnels.
BRAIN: See "NeuropllholoiY Report" below.
CARDIOVASCULAR PATHOLOGY REPORT

Oqar1ment ofCardio...asc:ul.,. PIlhoIoBY, MIP:
"AFIP DIAQNOSIS: (b)(6)

No specific pathologie ehanses

HillAry. ABb male dehlinee, death in eustody

tIua: 4SO vams; normal epic:ardial fit; c\o$ed foramen O\IIle; nonnal eardiac: ehamber
dimensions: left Y1:ntriclilar ca...ity diameter 30 mm.lcft ...entricular frr:e wall thickness 13
mm, ... ~riclllar sepllIm tlUekness IS mm; righl ventriculardilllItion: righl venlricle
Ihickness4 mm. without groll Jean; or abnon'llal fll infillrales: BJOssly nonna! "'Il...es and
endoeardium; no groll myoc:anlialfiblOlilor nco:rosis; histologic sections show left
...entricular myocytc hypcrtrophywith foal mild lu~iaJ in1efllitialfiblO$is;
lXlf11rXlion band necrosis, anlerior ristu ... entriclc; II'lildly thickened intnmural coronary
arteries
Coronvy Meriel: Nomuol oSlia; right dominance; no iJOIIllhcrosclerosis
CondUCljon ''fI!m: The linoatrial node is histologically Ilnrcmarhble, bUllhe«: is mild
mcdiallhickenina of the linU' nodal anay. The compillClalrio"'cntricula, {AV) node
$howl mild fragmentation (MalWm fibcrs)wilhin!he central fibrotl$ body, but ia
otherwise unremarkable. Thc pet".clJllini bundle is centrally located withoul
inflammalion, increased fll, 'lUCulirity or proteogl)'Clll. The pTDximai bundlc branches
Ire intact and unremarkable. There 's focal mild dysplasia of ptnctratina branches ofthe
AV nodal artcry, but no significanlly increued fibrosis in the crcst of lhe ...entricular
$eptum.
CommeOl; The heart weisht of 4S0 anms may renco:tl(lmedcifClC of lell ventricular
hypertrophy, dependina on lhe subjoct's body weillu,"
NEUROPATHOI.OGY REPORT

Department or Neuropalhology and Ophlhllll1ie P1lholoIY. AFW;

I

"NeuropalllolOiY conlull (b)(6)
We re...iewed the Ii... e H&E stained
mieroscopie seetions aubmitted in reference to Ihis case.
Microscopic seclions demonstrate multiple 1ICCii0ns ofitey and while matter. cerebellum
and spinll cord/modulla. Sections show widened pericellular and peri... ucul .... Spices and

MEDCOM 0177

ACLU Detainee DeathII ARMY MEDCOM 177

AUTOPSY REPORTi\"fbbj><iO"'===
Mohamed. rarhad

9

scattered neuroll$ with cytoplasmic eosinophilia and shrunken, pyknotic nuclei, moSI
prominent in !he dentate nucleus and cermeJlum. These morphologic features represent
cerebral edema and early acute neuronal injury.
This material was reviewed in conference by the stafTOfLhe Depanmenl of
Neuropathology and Ophthalmic Pathology:'
HfiPATIC PATHOLOGY REPORT
Division of Hepatic Pathology. AF1P:
"Liver: (I) Microvesicular stcatosis, etiology lmdetennined
(2) Marked congestion
Some tOllins ean cause microvcsicular fat. usually &SlIocialed wilh profound metabolic
disturbances, but it can also be stress-related. There is no way to distinguish between
these by histology alone.. The congestion is presumably agonal. There is some lipofuscin
pigment in centrilobular hepatocytcs. but no bile stasis. The Masson stain shows no
fibrosis to suggesL underlying cl\ronic livCT disease. The PASO and iron stains show no
lipofuscin or hemO$idcrin laden macropbages Lo sussest hepatocellular necrosis."
ADDITIONAL PBOCEDYRJiS

Documentary photographs arc l..JIen by OAFME photographers
Sp«imcm retained for toxicologic Lesting and/or DNA identification arc: vitreous
fluid, hean blood. urine, bile, $pleen, liver, lunll, blllin, kidney, and psoas musclc
The disS«tcd organs are forwarded with the body

MEDCOM 0178

ACLU Detainee DeathII ARMY MEDCOM 178

AUTOPSY REPOR1\b)(6)
Moham~, Farhad

::.:J

10

OPINION
Based on available investigation and complete autllp5y uwnination. no <.Icfinitive .:ause
of death for Ihis approKimately 27 yeal"-old male Iraqi civilian in US custody in Iraq
could be determined, There is evidence of multiple minor injuries: howevcr, there is no
definitive evidcnce of any lrauma significanl e:nough to eKplain Ihe death. TIte injuries
indude bilateral periorbital ecchymoses ("blackeyes'l: abrasions and contusions of the
face, torso,;md eKlremilies: contusion of the side oflhe neck: and subgaleal hemonilage
orthe scalp,
There is evidence ofres1rain~ consiS1;ng or"neKicufTs" around the wrists with associated
minor contusions, and asphyxia from various means cannot be completely excluded in a
restrained individual.
There are non-specific cardiac findings, including mild medial thickening of the sinus
nodal artery and focal mild dysplasia ortlle penetrating br.w:hes of tile atrioventricular
nodal artery. However, there is no associated increased septal fibrosis. which can be a
potential substrate for cardiac antlythmia, There is no gross evidence ofatherosclerosis
ofthc coronary arteries, A cardiac arrhythmia related 10 various ion ehannclopathies OT
corona.ry vasospasm c:mnol be eKcluded.
The: decedenl was al$O subjecled to cold and wet eonditions. arid hypothermia may have
contributed to hi. death.
Therefore, the ClIUK of death is best classified as ulldetenninCll, arid the manner of death
is Undetermined.

(b)(6)

(b)(6)

Medical Euminer

MEDCOM 0179

ACLU Detainee DeathII ARMY MEDCOM 179

DEPARTMENT OIF DEFENSE
All_ED ~ INSmuTlllf '41MOl.OG'1'

W,ullllillOii,De 21... III

AFrY. (b)(6)
'AIIIan IOErqlllCAI,ON
An' Ac,",loft. N~ ..IIt.
s.q...a..
(b)(5)

""

N....
MOHAMED. r4SHAD

OFfiCE or THE ARMED FORCES MEDICAL
EXAMINER
ARMED FORCES INSTITUTE OF PAT1fOLOGY
WASHINGTON,DC 211JOllillOO

SSAN'

AYlOptE ,(b){6)

T..lle• ....,. A.........: .lbK6)
Itopor1 D.c., IotAY 11 2004

CONSULTATION REPORT QNCONTRIRUXOR MATERIAL
AflP DIAGNOSIS

REPORT OF TOX1COLOGIC4L EXAMIN4TION

Condition of S~ti.mcnl: GOOD
Date .fTDclcknll~~L)OCM

Date Rrcelnd: Sl312004

VOLATILES; The BWOD AND URINE wcneumincd (or the prtsence of ethanol
(cutoff 0120 msldL). acetaldehyde, acetOflC, 2-ptOpaIlOl, I-propanol, t-butanol. 2-butanol. isobulanOl and I-butanol by hcadspaee g.u dIromalOil'aplly. The (ollowing volatiles were detected:
(COllCClltmtiOn(S) in mgldL)
A_

BLOOD
URINE

20

"

,,

2-PropanoI

DRUGS: The VRINE wa.I serttned for acctamirIophcn. amphctlm.ine. antidqnessanl.l.
antihistamines, bart!itw1lICS, bcnzodiu.cpillCS, cannabinoids. cocaine. ckll.tromeihorpllan,
lidocaine, narc:olic analKcsics, opiates, phencyclidine, p/lenothiwncs, $IlieytalC$.
sympathomime'lic aminu and vetlpltllil by SIS chromatopp/ly. colo. tcst or ill\tTlunoassay.
The (oUDWin; drugs were detttTed:
Positive Lidocaine; Lidocaine WIS dclCCted in the wine by guchromaloinlphy and confirmed
by gas chromatography/mass spectrometry.

(b}(6)
(b)(6)

MEOCOM 0180

ACLU Detainee DeathII ARMY MEDCOM 180

·.~.

ARMm FORCES INSTlTUTE OF PATHOLOCY
Onke of till Armed FoTta Mtdlul ElIlDller
1413 Rnan:k Btvd.. Bide. lin
Rod(~llle. MD 101S0
1-100-944-7911
PRELIMINARY AUTOPSYEXAMlfiATION REPORT

Nallle: Abbu. Moharnad Abu!

Autopsy No.lltb}(tI)

SSAN: PrisonerNumber{t!ll§L

An' No.: Pend!n,

o.lf-O'BIrtll:LblI6) 194B
Dale ofloddtor,Jb}@ '2004
DIIllorAulo,.,: IOMAR2004
DI'e (lrJleport: II MAR 2004

Rnk: EPOW
Plitt of De-Ill: a.ahdad.lraq
PlutorAuloPl)': Baghdad
Intcmaliolll.l Airport

OretnUllaca orOnlb: Clmllllll.lca of Dellb: This '5-year-old male Enemy
PrilOller ofWu had. hi&lory ofisehemic heart dllUSC. Hil pas! medical history
ilK:ludes hypertenlion, hypcn:holesten:llemia,.oo posaibly two prevklua myoeardial

infarctions. Hil mtdicatiollll included 'lenolal. Zocar, and aspirin, IS well as lubllnaual
nilfO&lyeerill as needed. On the eYenlng o/(b)(6) 2004 he complained ofchesl pain and
IIlortnesll ofbrellh. He was Imluahl to the medical clinic for evaluation w'here he
became unresponsi~. Rcsuseillltioo efforu. ine1udina Advanced Cardiac Life Support at
• mediCi! lteItmenl (.dlily, weR unJllCcesaful,
AUlboriDdol for AUlo(IIY: Armed Forces Medical Euminer, per 10 U.S. Code 1411
Idullfkatiolll Identification is obtained by paperwork aecompanylng tile body,

including a photograph wilh a matchina pri_ nwnber.

MANNEROVOEATH: Na.. ~1

TIIISI Dadl.., an pnllmiul)'.ud .ull}ed III ..ocIIlklIllou ptlldll. filrtbcr 1a"..llptiH
..d 111110",101)' _till..
MEDCOM 018\

ACLU Detainee DeathII ARMY MEDCOM 181

2

ABAS, Mobomad A.
[<Df(6)

-

PRELIMINARY AUTOPSY DIAGNOSES:

Aibenlllduollc Cudlovucalu Dlnue

I.

A.
8.

C.
D.
E.

HIllOry ofmlle..lc bean db_
Clrdlomttlly, IDIrtud (btlrl wdlbl620 IU..I)
COroDIl')' 111Itn»c:1tnllis, focilly .... e~
DllYuH myocardlalsclniac
ArterioDtpbl'Olderosis, mUd

II.

Marked 'ulmo. .l')' Ede.lDll

III.

Remote peIIetntlDI blUlsdc lajury of tile left bllttock
A.
Eatuou: I.rerlor-mtdllli IIptd of left buttock (sclr)
B.
WOlad Pltb: Sltlll. subcullatoal Ilpu, lad muscle of Itft
buttock, mu.clt of prcuflmll Idt Ibicb
C.
Recovered: MrtlWc (onlcD body eOCllplllillltd III fibrO\ls IISIlIe
",Ubla mOlclt af praxllllllltft ~l&b
D.
Waolld DlrKlloo: Len la rl&~t, blCk 10 froot, lod dowa"'lni

IV.

Frlctlres o(!be ~ lad 6 rlbl oa tbe rllbt, _llltd wltb btmorrbl,e
lalo dlnl "'IU mllcullture lid IbrlSloDlilbermlllDjlry oftbe cbnl
(raulCllltlOll drorb)

V.

LI«rllJoo oflbe OOH lad Ibrasloll oflbe rlgbl ludex fioler

VI.

TOlllcotoc 'eDdln,

Q

(b)(6)

(b}(6)

Depal)' MedicI! EllImJur

MEDCOM 0182

ACLU Detainee DeathII ARMY MEDCOM 182

,
ARMED FORCES INSTITUTE OF PATIIOLOGY
O~ o'lb~ Armed Fon:n Medkll ElI.mlller
1413 Research Blvd., BId&- 102
Rocll;ville, MD 20850
1-800-944-7912

FINALJI,.UTOPSV EXAMINATION REPORT

Name: BTB Abdullah, Sud Mohammed
SSAN:N/A
~
Date of Birth: Erm (b)(6) 1950

DatcofDeath7b)(6)
2004
DfIte of Autopsy: 28 FEB 2004
Dale ofRepol1: 25 JUN 2004
~

~

~'~(b~)(;6);=:::j

Autopsy NOO..

"FIP No.: ~b)(6)

Rank: Iraqi Civilian
Place of Death: Abu Ghraib Prison
PI~ of Autopsy: SlAP Monwuy
Baghdad Airport. Iraq

ClrCllmslallCC'S of Dtalb: This believe<! to be 54 yel1r old Iraqi male civilian ....:15 •
deuinee of the U.S. Armed FCKt:e5 at Camp Ghanci. Abu Ghraib Prison, Iraq, when lie
was brought to the main pte unconscious by other detainees. The decedent reported IIIl
inability to urinate to medics culier on the day ofllis death. When broughtlo llle gate the
othel" . detainees reported the decedent W8$ diu)' and nauseated prior to Io$ing.
ConSCIOusness.

AUlhoriJ:lltlon for AUIOPSY: omu ortlle Anned FolU5 MedicJl Examiner, lAW 10
USC 141\.
IdenllrlCatlon: ldc:nlifiealion is nttlblisl1ccl by visual CXaminalion by CID agents.

CAUSE OF DEATH: Acute Peritonilis scwndary to Perforating Gawic Ulcer.
MANNER OF DEATH: Natural

MEDCOM 0183

ACLU Detainee DeathII ARMY MEDCOM 183

,

AUTOPSY REPORT (b)(6)
BT8 Abehlll.... Sud Mohammed
FJNAL AUTOPSY DIAGNOSES:
I.

Acute Peritonitis_dary 10 Gastric Ulcer pcrr~ion
A. PerfOllllina pwic ulcer orp)'1orie repn of 1M Ilom.cll
-oc:i:atcd wilh 900 mIl orpurulcnt lIKilQ and IibrillOlll
alldlle on the surflCe of llle inteslines, liver Inclspleen.

II.

Mild Ilhm:tsclaosis orlhc ri&hl c:oronllf'y ~tr)' « 2S% stenosis).

III.

Dense fibn:lllS Idhesions ortlle left lWllllO the paliN! pleuf1l orlhc left
hemilhotalc.

tv.

Milddccomposilion.

V.

Toxicology is neplive for ethlll'lol. drup orlbuJe Ind c)'lInidc.

MEOCOM 01&4

ACLU Detainee DeathII ARMY MEDCOM 184

3

AUTOPSY REPORT (b)(6)

BTB AWalla., Sud Mobammecl
EXTERNAL EXAMINATION
TIle body is lhal ofa well.oevcloped 11 In illth ione. 18S-I90 pounds (estimated) mak:
Inqi dvilim whole ~e il oonIiSlc:nt,..jth the reponed 1ge of S4 yean. Uviclity

beaolllCof dart 5Idn piamentlliion IIld cufydccompolition. Rip il
_ily broken, IIld the tempetature it ambient. Marbling ofllle Kin orllle anm, abdomm
~ lower lei' _ (OItIislent with cufy dec:om.poIition changes.

is llimeullto _

The lealp is coveml wilh bhK:k and ltIIy IIllir in a normal diltribution. The irides Ire
obllC:umf by eloltded c:orneIlI but appev d.alIr: colored IrId the pupilllppcar round and
equal in diameter. The conjundivK Ire free orinjuries. The e:ttenulalll!ilOryeanals Ire
city IIlCI Cree orJbnonnal scc:retionJ. The left ear il mlssina the lop portion of the helix
(remote illiury) and !be ri&hl ear is unrenwbble. The IIIteS Ire palent,the lIIJ.Illeplum
is inl*:llrld lhe lipllre atmJmatie. The nose and nwdlllC: Ire palplbly ItIble. The teeth
IppCU IUIlum and in Cair repair.

The nedc ililfliaht. A 0.7 x O.S em I\eYUI ilon the posleri01 neck. The lnehero il
midline IIlCI mobile. The ehest Is l)'IItITIdrie and rree or utemal injuries. A S.2 x 3.1 em
oval arel oChype7pigmented lkin lion lhe rigltllideoCthe abdomerL The Ibdomen il Oal
IItd rrc<: or palpable masses. The genitlliia are those ora 1'10OI\I1 adull eireumeised male.
There Ite mulliple pinlc (hypopigmented) ueas ofskin on the glans penis. The tesles lite
daemded and rrcc ormaue.s. Pubie lIair i. praent in I normal distribulion. The left
bUllock h.. I 4.9 x 1.9 em oval lear. The InUI i.ltraumatie and hll non-lhrombosed
exlcmaillemonholdi.
The upper and lower c.lternities Irc symmetrie and wilhout clubbing orederna. The
linsemlill are ehippinS and spUlIins and tile web JPaeeI between llle Iinael'5 und loea Ill:
free orinjuries. A 9.S x 3,S lrreau1ar sear il on the Interior IateralllpCCt ofthe lell thigh
lIlCIa 5.2 x 2.2 em Kif' il immediately below the left knee.
CLOTHING AND PEBSONAL EFnCTS
The followinS elothina itemlllld person.1 elTcclI arc PfQent on tile body lithe lime or
.utopsy:
The decedent waI received nude for .ulopsy Ulminalion.
MEDICAL ImRVENTION
There Ire no medical applianees on llle body 'lllle lime orlutop.y. Cardiopulmonary
te:luaeil.tion w. rcponedly done 1\ the time ortlle decedent'l eollapse.

RADIOGRAPHS
A complete set ofpoalmOl1em radioBflPIu i. obUined and
Air IInckr tile di.pllraam
No tona bone l"racturea or Coreian bollia.

MEOCOM 0185

demonat~tes

the rollawinl;

ACLU Detainee DeathII ARMY MEDCOM 185

AUTOPSY REPORT (b)(6)
BTB AbdIlU.Il. S.lId Moll.mmed

•

EVIDENCE OF INJURY
The orderin. ofille followin. injuria il fOfdescriptive PUlJlOsei only, and ill not
inlended to imply order ofinnic1ion or relative ICVcnty. All wound pathwa)'S are liven

relative to 51andanl.,atomic position.

INTERNAL EXAMINt\T'Q~
HEAP:

The lIaleal and subple.J.on tissues oftlle scalp arc rue ofinjury. The calvarium Is
intact, u Is the dUI1l mater benealh It. Clear ecrebrolpilllli nuid IUffOIlndlthe 14SO wn
bnin. which is soncncd. discolored and has lIlIm'Ililrkable Il)'Ii and Slllei. Coron.1
sections dcmorutl'lle shaf1)demarcation bctwftn white and ,""y maUer. withollt
hcmolThaac: or eont\ll;ve Illiul)'. The vcnlriclcs are of normal siM. The bull pnaliu.
bl1linstem, cerebellum and uteri.1 Iystems are flft of injury or other Ilbnol'll\lllities.
'T'IlcK arc no skllll fracturn. The atlllllto-oeeipi\.ll jo;ntll 11111 Ie.

"""',

The anterior Itl1lP muscles or the neck are homolC"lOUS and led·brown, withotlt
hcmontlsge. The thyroid car1ilage and hyoid bone arc inIac\. The larynx illinec:l by
inlaCI pay-white rnuCOSI. The lhyroid &land ISlymmetric. red-brown and wilhout c)'Slic
01 nodular change. The ton&uc il fAle of bite marks, hcmontlage. or other injuries.

BODy CAVITIES;
The ribs. sternum, and vertebral bodies are visibly and palpably intac\. 'The: right pleuflll
cavity containllppfOaimately <tOO ml of bloody nuid. The pericardial sac cont.ins
approaimalely 30 ml of serosanguineous nuld and the peritone.1 cavity contains
approaimalely 900 mJ of purulent ascites. The organs oe<:llPy their IIsual anatomic
positions.

RESPIRATORy SySTEM:

The niht and len lungs each weish I tOO gm. The ClltCl'TLQllurfaccs ale lmooth and deep
red·purple. The pulmonary parenchyma i,diffusely C1lllgesled .nd edemalOUs. The len
lunt: is densely MlhCft:ntlO the panet.1 pteul1l of entire len Ilemithonu:. No mill lesions
or arcu ofeonsoticlation are presentln either lunj..
CARplOyASCULAR SYSTEM:

"The 475 am hean is cont.incd in In int~t pericardia. SIC. The epic~rdill sur(ll:e il
$rlloolh. with minim.1 fit investment. The Cororlary ."cncs are present in a normal
distribution. wilh. rigbt-dominant paUcm. Cross sce1Mms of the vessell.now mild
.thcll)l(:lcrosis (< 25% stenosis) ofthc len IlIItcriordesccndina branch ofthc len
coronary utery lind nallt coronary utery. The myocardium is hOlTlOllenQus,l'lld-brown.
IJld lirm. The valve IClf1ets are lhin and mobile. The walll of tho len Ind rillh'
vcnlriclcs arc: 1.2 and O.3-em thick. respectively. The endocardium is smooth and

MEDCOM Ot86

ACLU Detainee DeathII ARMY MEDCOM 186

,

AUTOPSY REPORT (b)(6)

BTB Abdull.b, S..d Mob.mmed

alistcning. The aorta aives rise to tbree inlaet and palent areb vesselsancl has mild
atberosclerosis. The ~nal and mesenteric: vessels a~ unrc:mmab1e.
LIVER It. BILiARY SymM:
The 1275 grn liver bas an intICt, smootb capsule and a sharp anterioroorclcr. The

parenchyma is tan-brown and congested, wilb the usual lobular an:hitel:lure. No man
lesions or other abnonn.lities '"' _no The gallbladder contaIns a minute amount or
green-black bile and no stones. The gallbladder mucosallurrace il ~ aBel velvety.
The extrahepatic biliary tree is patent.
SPLEEN;
The 175 gin Ipleen has 'Imooth, intICI, reel-purple capsule. The parmehyma is maroon
and congested., with distinct Malpighian eotpllKles.
PANCREAS:
The pancreas is firm and yellow-tan, with the Ulual lobular an:hitecture. No mass lesions
orotber abnormalilies are seen.
AD&ENALS:
The right anclleft adrenal glands are lyJlunetric, with bright yellow conkes and gray
medullae. No masses or areas ofhc:morrllqc are iclmtified.

GENITOURINMY SYSTEM;
The right and leR kidne)'l weigh ISO gill and t30 gm, respectively. The exlenlallurfaces
Ire coarsely granular. The cut surfaces ore reel-tan and con&eSled, Wilh uni formly lhick
cortices and sharp conicomeduHary junctions. The pelves '"' unremarkable and the
ureters arc nonnal in course and caliber. White bladder mUClml overlies lUI 'nlacl bladder
wall. The bladder contains a scant amount of urine. The prostale il nonnal in size, with
lobular, yellow_tan parenchyma. Thc scmiMI vc:sicles are unremarlcable. The Icstes arc:
free ofmau lesions, contusions, orother abnonnalilics.

GASTROINTESTINAL mAeT:
The esophagus iI inlact and lined by smooth, gray-white mucos;l. The stomach contains

no food. A petforating ulcer, 1.5 x 1.0 em on the mIlCQ5l1 surfllCe of the stomiloCh and 0.6
x 0.6 em on the scroaalaurface, is in lhe pyloric repon oflhe stomach. The greater
omCl1lum is adherenlto tile serosal surface of tile s10maeh andaurrounds the pcrforolion
of the stomach 10'.11. The abdominal cavity contains llJlP'Uximately 900 ml ofpurulenl
ascitcs and fibrinous material covering the intCSlines, liver. and spleen.
The duodenum, loops of small bowel, lUld eolon are unmnarlr.ablc. The appendix il
Pl'C$col.

•
•
•

ApDITIONAL PROCEpURES
Doc:umenWy photographs are lakcn by an OAFME pholograpllcr.

Specimens retained fOl"toxicoloaie testing and/or DNA idCl1tiflcalion are: blood,
splcen, liver, lung, kidney, brain, bile, gastric conlents, ill'ld psoas muscle.
The dWccled otpnlve forwarded with body.

MEDCOM 0187

ACLU Detainee DeathII ARMY MEDCOM 187

AUTOPSY REPORT (b){6)
BTB AbdoUab, Slad
. ...

Moh.l~mC=~

•

6

elTeellI are releued 10 lhe appropriate mortuary open.tiollll
representatives.
~nal

MICRosconc EXAM!NADON
Selected portiON oflllJlllS are retained in formalin, without preparation ofhistologie
slides.

MEDCOM 0188

ACLU Detainee DeathII ARMY MEDCOM 188

AUTOPSY

I

REPORt~b){6)

7

BTB Abdullah, Sud Mobmmed
OPINION

This believed 10 be 54 year old Iraqi mille died from acute pcritonilis (innammation of
IIIe abdominal tIIVily) thaI was Cluscd by IIIl ula:r Ihllt perforated lllrouiIJ lite stomach
will. The &Ulric contents and secmions spilled inlo lhe Ibdominll tllvity causing lhe
innammalion &lid infection. The d«edenl was IIlOitlikely septic (bacteria in the blood
sYSlem) and lhat caused his dehydration and kidney failure. His kidney failure \VlUi
manifcatccl in his inability 10 form urine. Kidney flilure would then cause acidlMsc
derangements. wltich then caused a fllal etlrd;oc arrhythmia. The manner of death is
natul'lll.
(6)(6)

(b){6)

MEDCOM 0189

ACLU Detainee DeathII ARMY MEDCOM 189

_-_

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l3T8 AbllIIWI, Sucl. Mohemmed

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ACLU Detainee DeathII ARMY MEDCOM 190

,

,
ARMED FORCES tNSTITUIE OF PATHOLOGY
omre orlb Anned FOrel!l Medkal En.mlller
1413 Resean:h Blvd., Bldg. 102
Rockville, MD 208S0

1·8(1().944-7912
FINAL AUTOPSY EXAMINATION REPORT
Autopsy No.: (b}(6)

Name: BTB Ahmed, Hassan Ebb

I

-----.J

AFlP No.:I-<~l@
JUnk: Iraqi Civilian

SSAN:NIA
Dale of Birth: B:ta

1943
Date orDeath:J~)(6[:2004
Dale of Autopsy: 28 FEB 2004
Dale of Report: 29 JUN 2004

PllICe ofOeath: Tikril,lraq
Place of Autopsy: BIAP Mortuary

Baghdad Airpon, Iraq

Cin:ullUlan«ll of Delich: This believed to be 61 year old male lra.qi civilian was a
detainee of the U.S. Anncd Forca It the DetentIon Central Col1eelion Facility, Tikrit,
Iraq when lie was diKovcred deceased in his bed when he failed to rcpon 10 the morning
bead count pmc:edlll't. The deeedcnl iqIOl1cd a medical history of diabetes and renal
disease at the lime of his CIIprure.

r

AUlhoriutill. for Autopsy: Office of the Armed forces Medical Examiner, lAW 10

USC 1471.
IdtllliflCIIUon: IdenlifJelltion is establisllcd by visual cxamil\lltiol'l by elD agents. DNA
testing was pc:rfoJmed and is on file f"orcomparison should elCemplars becomc aVililablc.

CAUSE OF DEATH: Atherosclerotic Can!iovucular Disease
MANNER OF DEATH: Natural

r

MEDCOM 0191

ACLU Detainee DeathII ARMY MEDCOM 191

AUTOPSY REPORT (b)(6)

2

BTB Alllned, H _ Ekab
FlNAL AUTOPSY DIAGNOSES:

l

AlbetoKlcrol;e Canliovueular Di$ea$e
I. Moderate ealeificd alhcrosclerosis of the right eoronary .net}'
(50% .Jtenosis), the left eifQlll'\fiex ('0% .Imoail) and left
anlerior desc.ending branches ofllle len eoronlf)' Il'tety (*
7'% rtenosi.).
1. Moderate ~ie atherosclerosia with bilateral renal artery takeoff stenosis.
l. Bilateral renal atrophy with U:r.lnllarenehymal arteriole
Ilherosclerolia mid marltcd anerionepllroseleroli. and eortieal
",0.

4. Cn.nialll'tety atherose~ oflhe vertebn.l, blililar, polterior
eommuniealingand middle eerelnl arteries.

D.

Mild 10 moderate deeomposition.

1II.
Toltieolo&)' is positive for ethanol, Ketone. j·propanoland aeetaldehyde
(u.rinc only) in lbe blood and urine. ONp ofabule """ not detected..

r

MEOCOM 0192

ACLU Detainee DeathII ARMY MEDCOM 192

AUTOPSY REPORT[(_",,"C-'_ _

3

BTB Abmed, H...all Ekab

r

EXTERtlAL EXAMINAIION
The body ilIlhat or. cachctic mille InIqi Mtional. The body ....eighs approximately IJO

pounds, is 69 ~ inches in Ienilh an4llppW'5 the reported ageof61 yean.. The body
tcmperalure is ambient. Rigor b presenllO an equal degree in lilt extremities. Lividity is
diffieulllD assess because of dark Kin pigmcnlllion bul is present and lixed on the poskrior

surface ofthc body, except in u=sexposed lopre$SUfe. There is mild to ~Ie
deeomposition ofthc body with muofskin slippase on the posterior SClIlp,lhe right wrist
and anterior right lowe!" leg and marlliing of tile skin of lite back, buttocks, posterior surface
oflhc arms and legs. palms ofthc hands and the abdomen.
The scalp hair;s black and gray and lhedecedcnt hM frontal baldness. Facial hair consisu
ofa fiJlI gray and black beard and mllS1aChe. The irides are brown. The comeae are slightly
eloudy. The c::onjunctivlIe aM heofinjuries and hcmon1lages. The sclerae are ~ of
hemorrhages. The cltlCl'ml auditoryeanals, extemal nares and oral cavity are free offoreign
material8Jlll abnormal sec:n:tions. The naslIl !leJllUrn and SkeletDll is palpably intact The
lips are without evident injury. The lcdh arc natU"] and poorcondilion with multiple
WIJqllIIired caries. Examination oflhc neck reveals no evidence of injury. The hyoid bone
and tIIyroid cartilage are intact.
The chest is 1m: ofll\lurics and dcfonnitics. A 3.3;1t 1.2 em oval scar is on !he anterior !ell
coital mJJgin and a 3.2 x 2.3 em oval.car is in \he: lell upper quadrant ofthc abdomen. No
injury oflhe ribs or sternum is evident externally. TIl<: abdomen is nat and li= ofpalpab!e
masses. The Qtemal genitalia Ife lbo5e ofa nonnal cireumcised adult male with bilalel'a1
dcscc:nded tc$IeI. The testes are free ofpalpablc masses. The bUllOCks and anus are
unremarkable.
The Clltremitics show Injuries that will be desc:ribcd below. The fingernails arc inlllcl An
11.5;1t 4.5 em &rCII and an area of1.0 x 3.0em ofnon-dcscript black ink writing is on the
medial swfaceand lateral surface of the left knee. ~ively. There is I paper
idcntiflCllicm l.agaffixe<! to the right wrist and right second loe.

The back has a 2.5 x 2.0 em sear immedi81ely rightofmidlinc in Ihe thoracie R:gion and a
2.5 x 2.0 em oval sear immediltely below the sear just described.

CLOTHING ANn PERSONAL EFFErn
The following clothing items and per$Onal eITeets are present on the body at the time of
autopsy:
A blue shirt. I green sweater,a white linen Wldergarment, and two white socu.

MEDICAL INTERVENTION
There is no medical inlervention.
RADIOGRAPHS

r

Full body po$tmortem l1Idiogn:phs are obUined and demorwratealhe following:
I. No long bone fractures

2. No foreign bodies

MEDCOM 0193

ACLU Detainee DeathII ARMY MEDCOM 193

AUTOPSY REPORT[("b'",6;-,
BTS Ahmed, H.-san Ebb

_

•

EVIDENCE OF INJURY
The ordering of Ihc: following injuries is for descriptive purposes only, and is ROt
intended to imply orderofinniction or relative 5eYcrily. All wound pathways ~«= given
relative \0 ~landard anatomic. position.
A 2.4 ~ 1.4 em cn.l!lcd abrasion and a \.5 x 1.4 ern crusted abrasioo are on the forehead.
A \.0 x O.S em abBsion is on the nose.

On the volar surface orlhe right foreacm are rnuhiple oval purple eontusionslhat avenge
1.0 em in diameter. A 1.5 x 0.4 em crusted abrasion and a 1.2 x 1.2 em crusted IIbrasion
are on the medial.nd the laleralsurfaeeofthc len forearm, respectively.

On the posterior lurfau orille left hand Ire a 2.5 x 1.5 em purple ctlntusion and I loS x
1.0 em purple contusion. Then: is a 1.8 x 1.7 em crusted alxuion with $uITOundina
contusion on the lalcrallurfacc afllle lell knee Ind I 1.5 x I.Oem cnl!ilcd abruion
immediately below the len patella.
Over the spinolls proce5Se$ ortlle lumbar spine is I 1.8 x 1.1 em contusion.

INTERNAL EXAMINATION
HEAP:
The galeal and $lIbgaleal son tiS$Ues oftlle scalp are free ofinjury. The calvvium is
inlllCt, as is !he dlU3 mater benealh il. There is congestion and pooling of blood over the

posterior aspect of tile bl1lin from livor mOl'li!. Clear cerebrospinal fluid SUITOUndS tile
1325 gm brain, which has unmnubble gyri and sulci. The brain parenchyma is son and
pinklrc:d from refrigeration. Coronal sections demonstrate sbarp deman:ation between
while and grey maUer, without hemorrllagc or contusive injury. Thc ventricles are of
nannal siu. The basal ganglia, brainstem, c:crroellum, and arlcrial systems art: free of
injury or other abnonnalities. There are M skull f",Clures. Tho atlanto-«eipital joint is
stable. lbcn= is athcrosclerosis of the vertebral, basilar and middle cerebl1ll arlmes.
~:

The IlIlterior stnp mU$(:les ofllle neck are homogenous and red·brown, without
hcmonhage. The thyroid cartilage and hyoid bone are intact. The larynx is lined by
intllCt gr1Iylwhite mucosa. The thyroid gland is symmetric and red-brown, without cystic
or nodular change. The tOngue is free o(bite marks. hemolThagc, or other injuries.
BODY CAVITIES:
The rihs, sternum, and vertebral bodies are visibly and palpably intact. jO ml o(
serosanguineous nuid are in each hemithorax. No excess fluid is in the pericardial or

peritoneal eavitiCll. The organs occupy thcirusuil anatomic positions.
f1f$PIRAIQRY SYffiM:
The rigJu and len lungs weigh 7jO and ru gm, respectively. The exlernal surfaces are
smoolll and deep red-purple. The pulmonary parenchyma is diffusely congesled and

edematous. No mass lesions or U1lU of consolidation are presenl.

MEDCOM 0194

ACLU Detainee DeathII ARMY MEDCOM 194

--J

AurOPSY REPORT(b)(6"1
BTB Ablmd. Buslll Ebb

,

CARDIOVASCULAR SysTEM:

The 390 sm heart is contained in an inltoCt pericardial sac. The epieardialsurface is
smooth, with minimal fat investmCRt. The coronary arterics are present in a nonnal
distribution, with a riglu·dominant panern. Cross stttions ofthc vessels show moderate
calcified atherosclerosis of the riiht coronary al1ery (50% stenosis), the left circumnex
(50'A. stenosis) and left anterior descending branch ofthe len coronary artery(5(). 75%
stenosi,). The m)"OCardium is homogenous, red-brown, and finn. The val~ leaflelll are
thin and mobile.. The walls ofthe left and right ventricles art; 1.3 and 0.-4 em thiek,
respectively. ~ endocardium i, smooth and glistening. The aol1a Jives rille 10 three
intact and patent arch vessels. The renal al1eric:s have moderate stenosis of their origins
It the aorta from lOl1ie atherosclerosis. The IIICSCrtteric vessels Ire unremarkable.
UVEB & BIl.IARY SYSIEM:

'The 1125 gm liver has In intact, smooth eapsule and I sltarp anterior border. The
parcnch)lnla is tan-brown and congested, with the usual lobular archite<:turc. No mass
lesions or otber abnormalities are seen. The gallbladdcrcontaill$ about 4 ml of arecnblack bile and no stones. The gallbladder mucosal surface is green and velvety. The
extrahepatic biliary tree is patent.
SPLEEN:
The 80 gm $plcen hu a smooth, intad, red-purple capsule. The parench)lnll is mlltOOn
and congested. with distinct Malpigltian corpuscles.

P....NCREAS;
The pancreas is soft and yellow-tan, with the usual lobular an:hitc<:turc. No mass lesions
OTothcr abnonnalitics arc seen.

APRENAt.S:
The right and left adrenal glands arc symmetric, with bright yellow conices Ind grey
medullae. No muses or lll'ClIS ofhemorrnagc are identified.
GENITOURINARy S)'STEM:
The riiht and left kidneys weigh 55 and 60 gm, respectively. The external surfaces an:
coanc:ly granular with multiple rcnaI cortical cysts, nmpng from 0.3 -1.0 em in

diametCT. The cut surfaces arc dane red_tan and congcsted, with unifonnly thick cortiocs
and sharp corticomcdullary junc:tiolll. There i, marited intra-renal atherosclerosis of the
arterioles ofthc rmll parcnchymL Thepclves arc unremarkable and the ureters arc
nonDllI in course and caliber. White bladder mllC05ll overlies an intact bladder wall. The
bladder contains approximately 100 ml of cloudy yellow wine. The prostate is nonnal in

site, with lobular, yellow-ian parenchyma. The seminal vesieles are unremarkable. The
testes are free ofmass lesioll1i, contusions, or other abnonnalitics.
GASTROINTESTINAL TRACT:

The esophagus is intact and lined by smooth, grey-white. mucosa. The stomach conllilU
1WroximSlely 500 ml of brown fiuid and rare food particles. The gastric Will is intact.

MEDCOM 0195

ACLU Detainee DeathII ARMY MEDCOM 195

AUTOPSY REPORT[b)(O)

]

6

BTB Allmed. HUSlIl Ebb
TIle grelIter e"rva of the stomach is densely adherent 10 the duodenum. The d"odenum,
1001'$ of small bowel, and ealon are otherwise WlI'el'lIaftable. The appendix is present.

•
•

•
•

ADDITIONAL PROCEDURES
Doewnentary pholOpphs are taken b)' OAFME photographer.
Specimens mlined for tOlieologie testing tmdIor DNA identification are: blood,
urine, spJeen. liver, lun&. kidney. brain, bile, gutrie contents, and psoas muscle.
Tho dissected organs are forwarded with bod)'.
Personal effeclS are released to the appropriate monulr)' operations
representatives.

MICROSCOPIC tiXAMIl'fATION
Selected portiOfl& of organs are retained in (onnllin, without preparation of histologic
slides.

MEDCOM 0196

ACLU Detainee DeathII ARMY MEDCOM 196

AUTOPSY REPORT"'bN
"""----.,

7

8TB AbIQel1, HUlla Eklb
QPINION
TIll. believed to be 61 year okllnql male died from ailleroselerocie eudiovllICUlar
dilCllSC. The: medlaniam ofde:lth i' often eardiu: arTh)1hmi. secondary 10 the dillellllXl
myoc.ardium Ind eonduellon ')'$l.eln. The prumce of')'Itemic atherosclerosis and the
marked renal ehanp. includina raYlllrophy, is llUyatiVl: of the dccedentl\avill&
diJbetes mellituL The mamer ofdea1h i. natural.
(b)(6)

\(b)(6)

Medieal Examiner

MEDeOM 0197

ACLU Detainee DeathII ARMY MEDCOM 197

DEPARtMENT OF DEFENSE
ARIIED FORCES INIlITlIn 01' ......ntOLOOY
W.uHlNOTON, De 21»0• ....

....F1Pj(b)(6}

WIENI IDENTifiCATION
AI'tl' ACftlJIon.

N~.. b.,

Sequ •...,

N....1('l(6)
OFfiCE OF THE ARMED fORCES MEDIC.... L
EXAMINER
ARMED FORCES lHSTITlTTE OF I'AnJOLOCY
WASHINCTON. DC 203066000

l

-

AHMED, HASSAN EKA8

SSAN,
Aatoptl,lt b)(6)
Todcolall' AfftUlo. I, ~
~po"

0.1e' MARCH IS, 2004

CONSULTATION REPORT ON CONTRlBtrrOR MATERIAL
AFIP DIACNOSIS

REI'ORT OF TOXlCOLOCIC.... L EXAM INATtON

COfIdiliOfl ofSpKimns: GOOD
D.t~ oflncldenl'
D.I~ RKeivHl: 313J2004

CVANIDE: There was no cyanide detected inlhe cheSI blood. The limit ofquantiwion
for cyanide i! 0.25 IIlgIL. Normal blood cyanide concenlr/llioll5 are lesll than 0.1 5 IIlgIL. Lethal
concc:nlrBtioos of cyanide lITe grealer thin) mJlL.
VOL.ATILES: The BLOOD AND URINE were e~amined for the pre$UICC of ethanol
(culoffof20 mgldL), acetaldehyde, aulone, 2-propanol, I-propanol, I-butanol, 2·butanol, isobutanol and I-butanol by Ileadspac:e gas chn:ln\alOlJ'llphy. The following volaliles were detected:
(conccntration(!) in mildL)
Acetaldehyde Ethanol Acetone
I-Propanol
BL.QOD
69
T_e
TrICe
UIUNE
Trace
31
T~
6
Trace - value grealer thao or equal 10 ImiYdL, but less thin 5 mildL

DRUGS: The BLOOD was Krccned for amphetamine, antidepressants. anlihi!tamiroes,
barbiturates, benzodiaupiroes, annabiooids, c:oc:aine, dextromethorphan, Iidoc:aine. I\IlI'COtic
analgesics, opiate5, phencyclidine, phenothiazines, sympathomimetic amines and vempamil by
las cltromatogtaphy, color tC$l or immUllOllSSllY. The following drugs were detCCled:
None were found.

r

b

!tb)(6)

_

orrICC oClhc Armed Fon:cs Medical Examiner

MEDCOM 0198

}(6)

,

orrJCl! oflhc Armed Fort:eJ Medical Examiner

ACLU Detainee DeathII ARMY MEDCOM 198