,
AR.\IIED FORCES INSTITUTI:OF PA,TIlOLOGY
omu of Ih~ Armt'd FOff" Mdkal [ullllner
14lJ Rcscareh Blvd., Bid&- 102
Rockville, MD 208SO

1-800·944·7912
AUTOPSY EXAMINATION REPORT
Name: MoU5ll Al Jbori, Mahmood 151Nl1:el Mosa
lnlfrmemt Serial Numbel(b)(6)
Dale arBirth: (b)(6)
1967
o.lC of Do:athJ~(6)-----.-!200S
Dale of Autopsy: S February 200S

Al.llopsy No.: (b)(6)

AfIP No.: (b)(6)

Rank: Iraqi lIIuional. ch'ilian
Place orDcath: BucCi. Iraq
PIKe of AutoI!'Y' Baihdad. Iraq

Dale ofRepon: 14 Man;:h 200S

Cln:umsllllcn of lkatb: This 38 )'car-old mile civilian. prnllllled hqi n:lliolllli was in
US tl.lSlody at the Bucca cIc1ention facility in Iraq. By rt'pon, lie was shot during, prison
riO!.
AUlhoriUlion tor Autopsy: The "rrlled Fon:CI Mnilul El.Imlnu, IA", 10 USC
1471.

Idclulfinllon: Visual.

~r

detention raellity rteOnb: postmortem Iillllcrprinil and DNA

profile obtained.
CAUSE: OF DEATH: Gun.hol Wound or lhc Tono

MANNt:R OF DEATH: Ilomlddc

...
MEDeOM 0398

ACLU Detainee DeathII ARMY MEDCOM 398

•

,

AUTOPSY REPORTtb)(6)

"'OUS" AL JBORI. Mahmood hhmullolOS1

FINAL AUTOPSY DIAGNOSES:

1.

Pmdratina Gunshot Wound oflheTorso
L Indeterminate ranae enl~ wound of posterior aspect (baek) arlen

b.

c.

d.

e.

r.
g.

shoulder wilh no IUlTOullding soot or lIipplina
Wound paih through akin mcI10ft ti$l\le oCtile upper left back. the Iell
scapula. posterior aspect oCtile left cllest w.1t lhrouah the.· rib, left
lower luna lobe, diaphraam, liver an(! $lomaeh
Wound u§OCiated ....ilh bilileni hemothoraces. 300 ml blood In the riant
pleural space and 1,000 ml blood in the left pleural space;
hcmopcrn:ilfdium. 100 ml blood; hemoperitoneum, SOO ml blood; frlCture
of.he left .:apula; li'acture of the postcriOf lalerll &$peel ohlle left 4· rib:
ptl"foratiOll of the left lower hmglobe and left hcmidi.phrapn: dillUplion
oflhc left lobe ohlle liver. and multiple pcrfon,liona ohlle ItomKh
No nil wound present
Multiple metallic ITagmcnlJ inc1udil18 I r,.gmenl ofcopper jackCl and
fragments ofbullctcorc are recovered from within the Ilomadr. and
5lIbmillcd 10 US Army CID
No cvidc:rw:c ofdose ranae fire Ollihe slcin
Direction of wound path: Back to !kInt. downward. iIIId sliilllly leA to
righl

II.

No evideoce of significant nalUl'llI disease, within the limitations of the
uamination

Ill.

No evilkncc of Oilier significant injuriCli
a. Minor abrasions of anterior asp«l of Icft knee
b. Mi1lOf contulion of back oflcft knee

IV.

No cvidcnec ofl'Cltraint

V.

TOJ.icoloiYIAF1P)
L Volatiles: Blood Mel vitreoul nuid negative fOfctl\ano1
b. Dnlgs: Blood ncgative for screened medications and dl\lp of.busc

MEOCOM 0399

ACLU Detainee DeathII ARMY MEDCOM 399

AUTOPSY R£PORT (b)(6)
MOUSA At JBORJ.l\b~moodI.hm.d .\101'

)

f:XIERNAL EXAMINATION
The body i. that of. well.oeveloped, werl-lIOIIriJhed unclld C.llCIIian male.. The body
weip IpplOkimlltely '60 pounds (eslimltocl). is 68" in Ilciibt and appears COIIlpiotible with
the fq)lItIN 'ie of 31 years. The body t~ is cold, ttlal of the refri;emion unit.
Rip ;. presctll 10 III eqllll lkgRe in.1l calmniriCi. Lividity is pracnt IIld fUlal 00 the
posImor IIlf'flCe of the body, except in lIaS aP'*d to pre$IIICe.
TIle sc:.lp i. eovcrcd with dulc brown lu.it lVeraJing 1..$ em irllenatJt. FlCi.11u.ir eorWsu
of. red brown bwd II'Id mUItIChe. The iriOr:s _ brown, and the eo_ _ .Iiglltly
doudy. The sc:lerae tnd eonjullCIivae iIJe pak IIld free of petechiae. Theft' are multiple
fm:klc:s ov"'" the fOlene.d. The urtobc:I 8tll 110I pi=ccl. The ClItcn'lll lUdi\OQ' e.naIs.
Qtcmal _
and 0fIl u¥ily are IRe of foreign mateO., II'Id Ibnonn.al _ions. The
tIIII1 skeleton is palplbly intICI. The lipI_ wilhoul evidmt injury. The: t«lh are natural
and in fail condition.

The n«;k i. rtrIigllt and the !neW i. midline ItId mobile.. The chest i••ymmetne IIld well
~Ioped. No injury of lhe ribs or .IIemwn i, evident atemalJy. The Ibclomat is
ItId
lOR. HClIed turgic.llllCll1 _ not IlllIaI D111lx IOI'JO. The almnilicllf'C well dcvdopod
with normal range ofmolion. Theft i•• I x OJ an Kiron the rislll knee, II'Id Ibm: is a I ..
2 em tan lTIKult 00 the antmor apca of the riglll thigh. The linlll:l'llaill arc inllCL The
lOki of the feet are eallous«l. but they I/"C: clean ItId Itmlrnllic. No tailOlll ~ noced, and
~Ie Incks are noc obIavoi The cxten'IIl &mitalil are those of a IlOmIIl Idult
eircumc:iKd mUe. The: lC$1Q are dcac:CI'IdocI and he of m-. The pubic: llail is ""val
bUI present in I normal dilUibution. The bIl110cks llIld IIIU, iU"C unrcmattabJe.. An
idmtirlulion taB i. on the riglll lim toe.

n.

r;VIDF.Nq: OF IIiEBAPV

i. an endotl¥heal lllbt in pllCe, and thm: is III inlnvenott. CllhelCt in the riglll
antecubital fOlll. Thert I/"C 1WO Idhaivc EKG t.M on \he body, one on the uppel" &n1mor
ISpeCI of Ihe ri&hllhouldeT II'Id one on the I1ppCf wc:riot aspect of the lell ihoulcSet. There
1ft" IWO Idhcsive ddibrillllor pIds on the body, one 00 Ihe upper IIllcriot ISpeICI of the riglll
5houlder and one on the lllterior Illefal up«1 of the left ~de of lhe dlest. Thefe i. I -C'
written on the back of Ihe riglll hand in &Jec:n ink.
Theft

r;VIDENCE Of INJURY

The Ordcrini oflhe followini il\ilD'ia i. ror dcae:riptlve purpose' only llId i, rool iMmded
10 imply order of innietion or relative JCVffily. All wOllIId plthwIYS are &i\"en relative 10
,Iandard an.tomie po.ition.
There i. dried blood .lreaJd"i on the back onhe Iwtdsllld eonnllCflt over the blCk oflhe
body, The p.lm. of Ihe hands Ire free or blood. There are two Ibr:uion., 0.2 em in
diameler and 1 I 0.2 em on the len knee. Then: ix I ) .. 2 em r.int purple conlU$ion on
the back ofllle left kneit,

MEDCOM 0400

ACLU Detainee DeathII ARMY MEDCOM 400

AUTOPSY REPORt(b){6)
~
MOUSA AL J80Rl, Mallmood IsllmuJ Mosa

•

GUMbot Woynd oflbe IorIO
There is an indetmninate range entralKe gunshot wound of lhe po:sterior aspecl of lhe lell
shoulder. ~ wound is round, 0.3 em in dillllder, with an eceentrie marginal abl'llllion
rim from 10 o'dock to 2 o'clock willt a TTWlimum width of 0.3 em II the 12 o'clock
position. The entrance wound is localed 14 em 10 lhe lell ofposlerior midline and 28 em
bcnCIIlh the lop of\he hud, and lhere is no SOOI or stippling sulTOunding the wound.
The wound path P'Cfforates !he skin and soli ti$Sue of the upper left back and the len
scapula, and enlen Ihe posterior aspect of lhe left chest cavily tllrough lhe posterior
latenl aspect of lhe 4'" left rib. The wound perforates lhe left lower lung lobe, lhe lef\
hemidilllhragm, the liver, and stomach.
The wound is usociated wilh bilateral hcmochonccs with 300 ml of blood in the right
pleural eavily lind 1,000 ml of blood in lhe left plellrtl cavity; II hemopericardium witll
100 ml blood in the perieaniial sac; and I 1Km0pmloneum wilh sao ml of blood in the
abdominal cavity. The wound is also asso<:ialcd with fractures of lhe left scapula and
posterior literal aspect of the Jell 4" rib, pllmlchymal defects of tile lell lower lung lobe
and lhe lef\ lobe of the live:r. perforation of the diaphragm; multiple perforations of the
slomaeh; and hemorrhlge and sof\ ti$Sue dcstNCtion ,dooS the wound path.
A fragment of copper jacket and mulliple small melallic fragments of bullet core arc
recovered from within lhe stomach. No uit wound is present, and there is no aoidence of
close range lire on the skin. The direction of the wound path is from back to front, left to
right, and downward.
INTf:BNAL EXAMINATION

ROpy CAVITiESi
The body is opened by lhe u:sual !horlCO-abdomina\ incision and the chest plate is rernovo;l.
No adhesiQnll arc present in any of !he body uvitics.. All body organs an: pn:senl in !he
noJTDaI an.alomicil position. The vertebral bodies are visibly and palpably intacL The:
SubcU!lncoU5 f.allayerof!hc abdominll Will is 2 em thick.
!lEAP; (CENTRAL NERVOUS SYSTEM)
The $Clip is renoe:tcd. and !here is no skull fractures found. The ul\"';um of lhe skull is
removed. The dura mater and fill. cerebri arc inUoct. There is no epidural or subdural
hcmon'hagc: pn:SCOI. The: leptomeningCll an: thin and delicate.. The cerebrospinll nuid is
clear. The cerebral hemispheres are Symmetricll. The SU\lCtures II the base of the bra.in.
including cranial nerves and blood vessels, are intact. Comnal scclionslhrough the cerdlral
hmlisphen:s reveal no lesions. arK! there is no aoidencc of infcelion, tumor, or trawna. Thc
vcmricles arc of normal size. Tran$VCf$l: sections throujh lhe bmn stem and cerebellum are
unmnarka.ble. The dura is stripped liom the basilar skull, and no fractures are found. The
.allanto-occipital joint is liable.. The brain weighs 1480 g&ms.

MEDCOM 0401

ACLU Detainee DeathII ARMY MEDCOM 401

I

AUTOPSY REPORT $)(6)
MOUSA AL JBORI, "hhmood hhmlel MOil

,

Nf:CKi
Examinalion of the soft tissues of the neek, iTK;llIding str;Ip mU3Clu, lhyroid gland and larse
~essels. reveals no abnormalities. The anlerior 5lnp muscles of the neck are homogeneous
iIIId red-brown, without hc:mol'Thage. The Illyroid ear1i1age and hyoid bone are intacl. The
larynK is lined by intKI white rnUCOSlll and is unobS\JUCled. The thyroid glmd is symmetric
and red·brown, without cystic or nodular change. ~ is no e~idenc:e of infcclion, tumor,
or trauma, and the airway is ~tf11.

qRDIOV ASCUUR SYSTEMi
The perieardialswfKes are srnool!l. glistening lAd unremarkable; the perkaJdial sac is free
of signiflcarll fluid and adhelioru. A mOOc:nte amounl of epican:lial fat is present The
coronary anenes arise normally. rollow I right dominanl distribulion and are widely palenl.
without e~idencc of significant atherosclerosis or Ihrombosis. The ctwnbers lind ~a1~es
exhibil the usual size-posilion relalionsltip and are unremarkable. The myoeardiwn is da1l(
red-brown. firm and unremar\ulble; the atrial and venlricular septa are intact. The left
ventricle is 1.1 em in thickness and thc righl ~entriclc is 0.2 em in thickness. The aona and
ilS major branches arise normally, follow lhe usua! course and are widcly palent. free of
signifiCUll athCfQ5Cll:l'O$il II'Id otlter abnormality. The ~enae cavae and Ibcir major
tributaries rftUn\to the heart in the LIIlIal distribulion and are &ee of thrombi. The heart
weighs 27g 8J'WT15.
RESPIRATOR)' SYSTEM;
The upper airway is clear of debris IIJId foreign mllerial; the mucosal surfa.ces are smooth.
)'Cllow·tan and unremll'kable.
The ph:unlll ,lUrfi>CCS are smooth, glistening and
unremarkable bilatentlly. The pulmonary parenchyma is red1l'lrplc. exllding 0 slight
amount of bloody fluid. The injuries ofllle Iell. lower lung lobe are as pre~iously described.
No OIher focal lesions are noled. The pulmorwy lII1enes are nonnatly de~eloped. patenl
lAd without lI\rombus or embolus. The right lung weighs 383 grams: the left 237 grams.
LIVER Is 811,IARy S¥STt:Mj
li~er are lIS previously described. The hepatic capsule is otherwise
smooth. glistening and intact. covering dart red-brown, modenlltcly congesled plJtnchyma
with no rocallesions noled. The gallbladderconwns 3 1'111 of green·brown. ~coid bile: lite
mucosa is ~el~ely and un~marltablc. "The extrahepatic biliary tree is patenl. without
cvi<.!cnce ofcaleuli. The liver weiKbs 1169 grams.
The injuries of the

AI.IMENIARY TRACT;
The longue i, free orbite muks. hemorrhage. or oth<:r injurics. The esoph.a.&us is lined by
lI"'y-whilC. smooth mucOR. The injuries of the slomilCh llrC ill previously described. The
gaslric mucosa is othuwise arranged in lite usual rugal rolds and lhe twnen contains a film
of 111'1 fluid. The smlll and large bowel are lllIm11<lrltab~. The panc:reu has a normal pinkIan lobulated appc:arwlce IIJId lhe duelS are clear. The ~ppendi~ is present and il
unremar1cablc:.

MEDCOM 0402

ACLU Detainee DeathII ARMY MEDCOM 402

AUTOPSV Rt:PORT(bH6j
~IOUSA AL J80Rl, fthllmood "lImnl

MOIl

•

C[NITOVRlNARY SYSIEM;
The mull c.apsull:l are MMlOIh and thin. aemj-lrwuplmll and Slrip wilh cue from lhc:
underlyinJlITlOOlh, red-brown conical J\II'f~. The cOl1icCi Ire IhIrply dclinCiled from
lhc: medulluy pynm;dl, which are m1-PlUJl\e LO Ill'Iand unmnll'lr.able. The c.al)'tl:l, pclVCI
and W"elCI'lI Ire unremarkable. While bladder mllCJOSa overlies III intacl blllddcr will. The
urirwy bladder conlaiN 60 ml of clear, )'tl1ow urine. The prostate gland il nomutJ in size,
with lobular, yellow-llll ~hymL The seminal vesiclcl Ire UII1eJTlnable. The lelles an:
free of mUll lesIons. contusions, or OIher abnomlllil;CII. The ri&hl kidney wei.... t 11 pams:
lite left 119,r.uns.
RETICULOENDOTHELIAL SysTEM;
Thc spleen Itu alfllOOllt. intact clpMlle covain& m1.pwplc. modcntely firm pamx:hyma;
the lymphoid follicles Ire uruemarkable. The regional lymph nodal appear nomJll. The

spleen w~gtts

~9

pnu.

END9CRJNt: SYSTEM;
The piluiluy, Ihyroid and adrenal Slands Ire unremarkable.

MUSCULOSKELETAL SYSUM;
Muscle development il normal. No bone or jl)inl abnonnllllies arc noled.
MICROSCOPIC EXAMINAT'ON

Selecred porlionl of organl are relained in fonnllin, Wilhoul prcpllralion of hillolollic
Ilides.
ApmTIONAL PROCEDURES

Full body radiogJlpha were obtained and rcnco;:tlhe injuries described lbove.
Documcnluy phOIOlP'lP1Is arc I&kcn by OAfME pholOil"lphcra
MClallic fraamcnll ro;ovcred are Illbmined 10 US Army CID
Specimens retlined for loxicologic lesting and/or DNA idenlification arc: vilrcoll$
nuid, femoral blood, helrt blood. leA chesl cavily blood, urinc, bile. liver Ind
splcen
The dilSCCled 0lllaM ate fOlWlrdcd wirh lhe body
Personal errcell arc releued 10 tile appropriale mortuary operalions representalive

MEDCOM 0403

ACLU Detainee DeathII ARMY MEDCOM 403

A.UTOPSY REPORl1,,:(b~)(~",-..,..,-,-----,
MOUSA. AI. JBORI, Mahmood Ilhmad MOlia

7

OPINION
This 38 ycu-old male Iraqi civilian in US custody died ofa gunloot wound of the IOrso,
which perforated hilleR lower lllng and livcr. ClIl1sing inlemal bleeding. 8y report. he
was shot during a prison riot althe Bucca detention facility.
The I1UlI1Ilcr of dealh is homicide.
(b){6)

C,(b)"b"'I''''----''M'''cdical Examiner

MEDCOM 0404

ACLU Detainee DeathII ARMY MEDCOM 404

O£PAATMENT Of DEFENSE
#JtMEO JOIICES lfrItTlTUTl!

rx '''1lfOI.OGy

WAIHlNGTON, DC 211. . . _

......,........
...... to

".lIEN! IPENTlflCATION
AFlP A«......... N•• be.

Soquu.co

[(;)(5)

TO'

]

I'bm~

MOUSAIAl JBOIll, MAHMOOD l,

OFrlCE orTIlE ARMED rORCES MEDICAL
EXAMINER

ARMED FORCES INSTITUTE or MTHOI...OGY
WASHINCTON, DC 21lJM.6llllG

$SAN:

To.~1ot1 A«
Dot.R.porIC

AUIoPJIJ(bj(6)
lon ",f{~(§)
tnl: f.bRwy2.o,2l:llH

J

__

I

CONSULTATION REPORI ON CONTRIBUTOR MATERIAL
AFI' DIACNOSIS

REPORT Of TOXICOLOGICAL EXAMINATION

Condilion orSpecim.nl: GOOD
Dlle or Incid~nc,{b)(6)J:OOS

....

Dlle Re«[\'rd.: UI6l200S

VOLATILES: TlIe BLOOD AND VITREOUS FLUID were exarnilKd for the
ofethanol all eutofl' of 20 mgldL. No ethanol was detttted.

p~stntt

DRUGS: The BLOOD was screened for amphetamine, unlideprcsSlrtts, Ifllihisl.Imincs,
barbilurales, benzo<liazcpines, tannabinoids, thloroquine, toeaine, deltlromelhorphan, lidocaine:.
narcotit ana1sesics, opiates, phencytlidine, pllenothiazinn, sympathomimetk lIllines and
verapamil by gas chJOmatopp!ly, tolor test or immWlOlSSay, The rollowina dNp were
detected:

None we~ fowtd.

(b){6)

Offia ohll. Armed Fon:es MedicII EumiMf

Omce ofl.he A...md

FO~I

Medic:.al E.umi_

MEDCOM 00405

ACLU Detainee DeathII ARMY MEDCOM 405

_'"-_-_,--_--- -_.- ----- _. -_
_.-.-.---- __-- -- -- -- _
- __
--,,--,,_....... _--.....-._............no_..__..,..---_
-_
-_.
_ " ...."001:0 _ _ _ _ ... _ _ .. _

...... .

"~"'

BTB MouS.lIJ Jbori. Mr.hmood. l~ ".,..

....

... ....

0,

(b){6)

Iraqi Detainee

..n" .......
(b}(6) 1'967

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.......
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e-... _ _ _ _ _ _ .... _

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.......

Gunshol wound oI11le 10110

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MEOCOM 0406

ACLU Detainee DeathII ARMY MEDCOM 406

IREMOVE REVfRSE AND RE·INSERT CARBONS lJEFORE COIJPtETtNG THIS SlOE}

.....

DlSPOSITlOH Of' AEUAlNS
H.Ud 0# MCWI'ACWl ~AIUCI AEJr,WMS

UCEHS(

HUloIlIVI AND ITAJE

I.....

""~"""

INSJ.... U.~ Ol" AIlClM:SS

"'"

........ 0# a ~ ClI' CJIE. TCft't

lOCATlCIN '" alrEJ(A'f ClfI CAIE"""TOIII"

CATt:"'~

"""'''''''*''''''
~

REGISTJl.AT1OH Of VITAl STATlSTICS
FlEGISTW'f' tf_ _

MAIlE '" ~ CMlCTOlt

CATE AfOll1Ulm

--

tTATI

'U_

I'm...

SlGJCAJ\ft. '" AUJ~lNCll'tIClUIil

""

It VI.

00 FORM ION, APR , , " (BACK)

MEDCOM 0407

ACLU Detainee DeathII ARMY MEDCOM 407

"'{(\lEU FOlKES INSTl1'lJfE OFI'ATUUI.OC.¥
Officc ur lhe Armed F..,Cfli Mftlinl f.uminer
I·U) K~~;\n:lIl11\·Ii.. llIdll. 102

Roxh'ilk;\ll} :!Q8.S0
1·l\00....-I-I.7'1l2
AUTOI'SV F.XAI\IINATION ItHOItT

Namf: 11;lmfd AI Mu I'lIlii. Klt;II~~l1...Y~n Illun:..J
lntermcml Scriall:ilunh.:, (b)(6)
D;lIC ufBirth: Jbl!~9
Datc ofDcnth (b){6)
2lkl5
Datc of Autops)': 5 february 2005
D;lt"ofR~-pon:

AUlullS)' NQ)(b)(6)
,\1'11' No.l(b)(6)

!tanl:: lralli natiol\al, civilian
1'lKc ur Ikatll: lluec:L, ''''''
I'lnee "r AlIlnps)': 1l1lShd;ld, IrollJ

14 March 2005

Cif'umJlllnCU of DCllth: Thi.~ Jb yC'lf-nld Ql:llf eiviliwI. pr"~um,,d Itl><ji nntinnal w:.. ~ in
liS cllstoor 'It lllc 1l1..·CU Ii\."t\."mion (:leili.)' in IroltJ. Ilr rep',n. he w,,~ ~1I<,t durinll n prlll<ll1
ri,~.

"ulllori'~1.lon

ror Aut"I'~": Tile ,\ ,",cd hrc<'ll l\1.dl<,,1 EX:llnjtter, lAW III USC

1-171.

Id<nlifitntioll: Visual. per detentiun Cad lit~·
IlTOJilC oblained.
CAUS~:

ree"r<.J.~:

I'l'Stl1hllt.'11I

1i1l~"rpri11t~

,,,Id DNA

OF nEAT": GIIII_,IIOI WUllnd Uflk.I"·uU

MEDGOM G408

ACLU Detainee DeathII ARMY MEDCOM 408

,

AUTOPSY REPORT (6)(6)

•

IlAMl:DAL MlJ FAIUJ,Q'leld VaIIeD H• .ad
flNAL AUTOPSY DlAGPIOSES:

I.

Paforuinj; GWlIbot Wound oCOIe Head
.. lIldetenninate ranae IllIIrInCIIl wound of posterior -.peet (baek) of lIle head
just below the hairline at poslerior midline with no ,unound.in,1OOt or

b.

e.

d.

o.
r.
g.

ltipplillj
WoW1d path throupskin Illld.lOlt tiaue oflhe Iowa oc:cipillllt&tp II. the
tuperiof bMe of the neck, Ihe IIflCOnd cervical vertebra and Ipinal coni,
~arym;. and brid. of ! a t
Wound NtOCiated with hctW'efi of the IeCOIld eervieaJ vertebn.
tmDcIction Clftbe cerviaillpin.ll mil the level ohbe IWlCOnd eervieal
vencbn, IUbc1lchnoid helllOiill... over !he bRIn, uK! hchrM or the
nuaI. dhmold Illd nwdllarybonet
Stellate exit wound p_1 at the bridp ortbe I'IllK
No mcta1lic projectile. recovered or evident l'Idiopphically
No evidencoofclole l'IIIp lireOll tlte akin
Dilution of wound path: k t 10 front and upward

n.

No lIVidmu ofsiptificant I\Itul'I.I ditetlC, within !be IimitariOlII orlbe
exmUrwlon

m.

No evidellce
lignifiant il\iuriet
.. Minonbtuiolll ofrorebo.d

IV.

Noevidencoofrettraint

V.

TodcoJosy(AFIP)

orotbel'

VolatilCl: Heart blood and villwull nuid negative for ethanol
b. DnIp: Hean blood ncplivo rot IiC\'C!eMd modiutiOlll and drugs ofabuM

L

MEDCOM 04Q9

ACLU Detainee DeathII ARMY MEDCOM 409

•
AUTOPSY REPORT (b)(6)

)

HAMED AL MU FAlUI, KIt*ed V.... " • .ad

f.XTIBNAL IiXAMlNADON
The body is I!IIl of. well-developcld. well·nouriIhcd W'ltlld C-'CMiIll nWe. T'he body
weip ~ d y 160 polllIlk (ettirNIlcd).ls fIT' in hei&ht -.I ~. ~blc with
the reponlld qe of 36)U11 The body lerDperallIre II cold, dwl of !he I'dii.,...uon IlIUt.
lUgor is praent to ... c:quaI dep In all atremilica. Lividil)' is praenl aDd fiJ:ed on !be
poe1erior sun.uo(1he body, exeqJC in IItlU aP*d to prcaurc.

The ap is co~ witIl dIIt brown hair ~ 2 em in Ieftilh, Ftci&I blirCOl1liJtl of
• bfooMl with &feY bcIrd and mlllllthc.. The irideI UI:l brown, and Ibe eomcu II'C aliahtIY
cloudy. 1110 Iclene and conjUlltlivae _ pale IIld he of petechia.. Thc . . 1otw:a.-e1lOt
plcrccd. The: cxtenW auclilOly QI1&II; and onI cavily II'C he of romp IIIIllrial ....
IbrlUtnW tel3ti0l'll. The lip' II'C wilhoul evidenl injury. The toeth are natut&l and in fIir
oondidon.
The neek l._abr and !he lIlleheI it mlclLinl= and mobile.. The chell is Iyrnmelric and well
developed. No injury of !he ribs or Itcmum it evident alemlJly. The tbdomm it fill .nd
10ft. Healed llII'Jieal '"'" are nol noted 01\ !he IOnO. The ClltremiDelIl'C well ckYcIoplld
wilh normal ~ge of motion. 'I'bere fa I 4 em U
on the llJIPa" ria'ulhin, and tI1Ilfll
if. S an linear _ on the bid: oflhe
calf. The IIngemaiIs we In*L Tbc IOIcs oflhe
feet _ callou1ed. No WIOOlI are noted, IIld need1e I!1lcb are not obIeI>'od. Tho exlanal
aenitalil _Ihoec or. normal adult cirt:wDciled male. Tho tea.ue dacendcd and !tee of
fTIUICS. The pubic: hair if plaall in • nonnaI dabibulion. The buttocb and anUi _
UIRIlWbbJe. An idenlilicalion lq i, on the right lint toe.

riam

EVIDENg OFDIIWY
Thm= i. 'II orophar}!lpl airwroy in p'-ee, and lhero il an inbavellOUt eaibeter In the left
anteeubilll fouL Thel'll il an ~ A" wrillen on !he badl o(lhe left hand In peen ink.

eymENCEQFINJURY
The ordainj oflhe followloa injwielia for clesaiptlvc putpOIet only and if notlnlerKkld
to imply order of infliction Of rcll,iYC IlCYCrily. All wound Plthwl)'llU'C &IYC1l rellliYe 10
Jtandard Illilomic POlillon.

Gunsbo! W9U!MI or!be HC"
There is

lin

indclamil\llle I'IIIgc

CllU'lllU

iWllhol wound of the posterior qp«:t or !be

tae-I, jua:l bdo.... !be hairline. Thc wound II lll'Ulld, 0.2 em

In dltmeter, willi III eccentric
0.1 em marJil\lllllbruion rim Iivm !be J o'clodr; 106 o'cloek potilion. 'The entnDl:e
wound i. lOClI"'" in the ~erior midline. 18 em bencIth !be top or the 11*, Ind I em
beneath the edae of the hllrline. l1lenI is no IIOOl or .applln, on the Jlc.in JUJ1VWItlillg !be

.......

MEDCOM G410

ACLU Detainee DeathII ARMY MEDCOM 410

•
AtrrOPSY REPORT(bX6)
HAMED AI. MU FARn, Kh.leed Y _ Hl..-d

4

The wound path publiCi lIIe U:in and .. 1I: tillUC ofw lower oceipita1_1p and uppcf
poIIcrior neck II the potterior midline, continuet throuab the JeQOlld "hical vertebra
(uis) Irld CCfYiCl1 'Pinal cord, and duooah the ~ jusc below the Ipbemid
aillUS mil eribifonn plate, and ex!u IhrouIh !be I11III bonea OUI the bridae of the DOte
dUeetly bet-.ceD tbc c)'CI.

The WOIlnd is -.ocialed with fr1ll::tuIa of the IeCOIld cc:rvieaI vcrtcbn, c:omplclc
tranacdion orlbe cel'Vie.11Iplnal coni II the level of the IIeIlI;lnd cervical vmebra, ditl'ux
fUbarxbnoid hanon1IIJ' OVIIlI" lhe bnin, I film ofJUbdunI hlllllOrlha.ae III the baM orlbe
bnin., frKtura orlbe muiUIt)'. ethmoid and I11III bones, md hcmorTfwae.d 10ft li$suc
dcacnJetion
the wound pIlth.

_I

Th«e I, • ) • 3 em .teUalC exit wound III lhe bridae or the noae. Ioel!td on the IIIteriof
midline, 10 em beneath the top orlbe IIl*I and di~y between tbe eyeI.
NG metaltk projectilCi Ire retoYm Of evidem ndioppbkally, Irld ~ it no
cvidc:nce ofcloK ~ tire on th' skin. The dire:tion orlbe wound. plIlt1 il from b.ek 10

front Irld upwlrd.

INTIRNAL IXMUNADON

BODY CAYII'llSj

The body it opened by the IIIUIl ~ iDcUian and the chat p1Ite it .e1t.... ecL
No IIdhcsionI or IIbnofmaI col!oedorll of nuld -.: pr'*'lll in '"Y of the bDdy ClIvities. All
body oraan- ~ jA m in the nonnal ~ position. The
bodies ~ vi.ibly
II'Id plIlplbly inlaet. The IUbeutaneoul (II II)U oCthubdominal wall is 2 em lhick.

Vl!It'"

HEAPi (CENTRAL NERVOUS SYSTEM)
The injuriel oCtile bAd U1l U pmriouIIy dctcribed. The IItIIp Is ~ftc:clcd, and thefe are no
otherlkull hctwa found. The calvwiwn orlbe IkuII it ranoY1d. The dun m_ and falx
em:bri U1l ilUlCt. Tbcn il no epidunl hallOnt. praenL The 1ept0lTlllrliD,gel1l'e tIM and
delieMc. The: ..... eb~ IIcmbp,",ti.. _1)1M'lelric:al The ~ at the t-eoflhe bnin,
inclu4iJlt; ennIlIl'lCfYCIand blood ~ e'l, are inlltl CoronalIl:lCUoIII tnrough the cerebral
hcmifpt..... revealed no l..ioN, and there iloo cvi~ of infection, tumor, or trauma.
The ventrie1cl are of normal Iiu. 1'nrtIYerJe ICCtiooI lhrouBh the brain aem and
CCftIbellum ~ W1I'CIl1&I'kIble. The durI it lllipPOd from !he basilar skull, and no hctum
_ found. The ItJmalOoOoCipilll join! illlable. The br1in weigha 1440 grcDI.

NECKi
Examination of lhe 10ft tillU.. of lhc amerior nock, irdudina flnp 1ll1Lle1... thyroid aJand
and larae vessela. revaIa no abnonna1itiea. The IDlCti« ItI'Ip Illuaelcl of the neck are
IlomoICl1OOUl and fW.bI'OWI\, without Mno"tlap. The thyroid eartilqe and hyoid bone are
int-=t. The 1ar)1IX I. lined by intIf:t while mUOOll and i.lIIlObmIcted. The lhyroMl aJane! i•
•ynunotric: and m;iebrown. wilbout cystie or nodulal' chartae- Then: II no evidence or
infection, tumor. or lnUmI, and lhc IIrway b patent

MEDCOM 0411

ACLU Detainee DeathII ARMY MEDCOM 411

•
A.UTOPSY REPORT'(b)(6)

_ ]

,

R.\MtD AI. MU FAIUl, K...leed Yaqea HI..-t
CABDIO\'ASCVLt\R, SYmMj
The paicardialllllfllCel &R ImOOIh, slillmin, and \II1f1:lmafbb1e; the pericanliaI ~ is Ike
of signilk8nt .DuM! and tdheIiom. A modcnIe amount of epicanlial fll Is p-mL The
CGroMIY arterieJ an'll nomWiy, follow. riglll domiDallt distnlNtion and lie widely patent,
without evi<lcnce of signilieml Ilb:rosclaosi.l; or thrombosis. The chIrnbm Jnd valva
exhibit tIul UIlla.I siz.c..position rdatiOlllhip and are UllI'eIl1EbbIe. The m)'OC'ldium it datk
rW-brown, fum II'Id I.lI1mDII'kIble; the Ilrial and veatriCllIar septa lie intacl. The left
valtricle is 1.I em in thickneM and the Fishl Wfltriele i, 02 em in th.idm , The IIllftI. and
its mljor bnnehcI .nil: normally, follow the uauaI COIIDe and arIl widely patent, ftcc of
li&nificant athr:roscleJwis and ote lIbnonnality. The venae eav., and tbeir major
tributmes relLlm to the beart in the uauaI distribulion and &R fRle of thrombi. Tho heart
weip 420 grams.

AMPIWQRX SXSDMi

The upper airNJy i, clear of dc:brU nI foreign ll'IIlerial; die ITIUCOSII -r.oe. Ire lIIllOOlh,
)'l'lIoW-tall and unrcmarbblc.
The pleural IlUftcc:I &R IlTIOOth, &lisleninl and
=arklbk: bilatc:rally. The pu/molwy pIl'mChyma i. rcd-purple, exuding a .light
..-nour'I of bloody fluid, and 110 fOCllIesionl &R noted.. The pulmorwy Irteries Ire normally
developed,
and wilhout thrombus or embolus. The right l\11li weigtu: S40 grwns; the
left S20 8JlIlIlL

.-tent

LIVER" BIUABY SYSTEM;

The hcpati<: capsule is lIIllOOlh, aJisb::nina: and in*t. ooverina dirk rod-brown. modaateJy
congested parenc:hyma with no foeallCliona noted. The pJlb'-kler eontaint J mI of
bn:Iwn, mllCOid bile; the mucou i, velvety and um:mubblc. The exll'lhcpatie biJiary tree
i, pllcnt, without evidau:c ofcalculi. The Iiva' weiahs 1370~.

sreen-

ALIMENTABY TRACI;

The lonJUe il he of bile nwb. bemoll'bap. or other i'liwica. The eIOJlhaius if; lined by
gray-white, smooliI mUCOlL The psb'ic muc:osa i, W1'aIlpI in the uauaI rupI folds and the
tl'll\Cln conwllS 'lJPI'Ollimllely 500 ml of while thick liquid. The na1Ilrld Iarp bowel ~
unn:maJtab1c. The pmereas hII. nonnal pilj;-tan Iobulaled appeennce and the dllCts are
clear. The appmdix ill present and is ~Je.
CENrroUBINARX SYSUMj
The ..-J CIIpSU1c:s ~ amooth and thin, scm.ioVlnSpUCllt and strip with ease &om the
1lIIderlyinj: smooth, rod-brown corticalllllfllCCS. The corticc:s arc lhuply ck:lincated fi'Orll
the medullaly pyrwnidt, which .., rod1llaJlle 10 tan and 1II1I'al1Il'bb1c. The e-Jycc:s, pclvc:s
and urctenI ue unrcmubblc. While bladcIer l1IIICOSIo overlies III inlld bIaddtt wall. The
urinary bt.dckr contains 15 mI of clew, yellow urine. The pro$Ule gland is l1Ol'TlIIl in.izc.
with Iobuiu", ydkrw·tIn parench)'lllL The KlIlirW vaiclclue 1IlIrCmIIbb1c. The teslCI; arc
he ofllWS lesions, conlUliOlll, or other abnormaIitiCL The right kidney weight 120 pnI;
the lefll20 gJ3llIL

MEDCOM 0412

ACLU Detainee DeathII ARMY MEDCOM 412

•
t
AUTOPSY REPORT (b}(6)

J

6

HAMED AL MU FARJI, KIlaleecl Vu*u a_IUd
RlJlgJLOENDOTIIELIAL S)'mMj
The IpIccn bIJ • smooch, iDtael capsule covering Rd-purple, modtnlcly firm pImlCh)Tlla;
!he lymphoid follicla ~ unremarbble. The regional l)'mph nodcI appear normaJ. The
spleen weighs ISO grIIllS.

IiNDOCRINI SXSTEM;
The pituiWy. thyroid and adrenal g1andsm unmnafbble.
MUSCVLOSKlLIjIAL SYmMi
Muscle development is normal. No boneorjointlbnom1l1.iliCl arellDtcd.
MICROSCOPIC EXAMINATION

Selected portions of orpnI are retained in formalin, wilbout prepInItion of histoJogie
rJides.
ADDJDQNc\L PRQCEDVRfS
Full body radiognpht were obtained IJld reflcct the ~uriel deleribod above,
Documentary photognphll are taken by OAFME photogrlp/lm
Spccimem retained for toxieologie lCItina .,clIor DNA identifieation ani: vilRlous
fluid, hean blood, urine, bile, liver, sploc:n, and guttk contents
The disaec.led 0fIII'IS are fol'Wltdcl1 with \he body
Penonal efTccb' lie releued 10 the appropriate mortuarY operationl represc:tlLalive
OPlNION

This 36 )Ur-old male ~ civilian in US eustody~ or. gWLJbot 'IlIOund of the head,
causing fraetures orlho 2 cervical vetlcbra(uis) with lrI!lSCCtion ofw cervical 'Pinal
eoni. By report, he.,.,.. abol durilll' priJon riOi11 the BlX:CI. detention facility.
The

llWlllCI' of dca1h

i. homicktc.

(b)(6)

(b)(6)

_---'Medical Enminer

MEDCOM 0413

ACLU Detainee DeathII ARMY MEDCOM 413

--

.~.

AI1J'. (b)(6)

r.upmWMlltn11Qft
AnP'
' .N...... S i n .
j(b){6)

..........

omaornu ARMED roaca MlDICAL
......n rr-n' NUl lift or PAtHOLOGY
WA.SIIJHGTOI'(. DC 203M I .

,-

HAMED AL tofU PAM, JOI.&I FED

S\W(,

•

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........... e.-w: Nl_)24,2OIn

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CONiULTADOf1 punn ON C9NTBWWlR MATIiRIAL
.......1 orTOXlCOlOGICAL IXAMIPlAT1Of'I

e....,.....,s'. ' .

OOOD
DII.fllIadd.I.{b)(§l2005

VOLA11LIS:

tho pt

u.IIoR

rud: 211612005

on. HEART BLOOD AND VI'J'REOUS n.vm -.. "mined Cor

_;eo(etbmo! lit acukl6oUO 1DJIdL. No ctbIDol_ .Ire:tm.

MEDCOM 0414

ACLU Detainee DeathII ARMY MEDCOM 414

_. _-

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evoflPOCATi 01' _no _ K A S j

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MEOCOM 00415

~

ACLU Detainee DeathII ARMY MEDCOM 415

tREA«)V!: REVERSE AND RE-INSERT CARBONS BEFORE CtJAIPf.ETWG THIS SJOEJ
m$,ogmoHOFREM~S

No\tIlII! Of WOllI11CUIH P'AU'1o/lIfG N:lMIHS

......

UC%H5E . . . . .fttoN:l ST"TIE

.........

INSfAUA'nOlII 0" o\ClllMSi

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LDCATlOM OF CE.~'I'0" CN:.... ,Cll'h'

0II11! Of 0iISI"0Si IIOfII

T"IftCl~Tl(IlrII

REGISTRATJOH OF VITAL. STATISTlC$
MGl$nl'I' IT_ _ e-.w

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DGNll'll,.N: 0' .wntOfllUD lNCII\IlDUIrIL

USAPA'II1.oo

DO FORM ZOU, APR tin (BACI(}

MEDCOM 0416

ACLU Detainee DeathII ARMY MEDCOM 416

\

ARMED FORCES INSTITlff[ OF PATHOLOGY
Offk~ orlb~ Armro Flll"cn Medical Eumioer
141] Research Blvd.• Bldg. 102
Rockville. MD 20850
1·800.944-7912
fiNAL AUTOPSY REPORT
Name: Moluunmed SaJun, Sollaib MlIll500r
Inlermen1\ SeriaJoNumbeJb)(6l
Date of Birth!(b)(6)
1973
Dale ofDeattl(b)(6)
200S
Dale of AUIOPsy:-04 Felmwy 2005
Dale ofRepol1: 12 ApriI200S
Circumstances of !k.tb: This 32

]

AlIlop$Y N,o.:!lb}(6)
]
AF1P No.: (b)(6)
]
Rank: Civjlillll. Iraqi nllional
P]IICC ofDealh: Butta. Iraq
Plact of Autopsy: B~ IfMl

~aro()ld

male, presumed Iraqi nalional. civilian
delllinee WlIS found I,lNesporIsive wl\ile in US custody lIllie Bucca detention fllCUif)' in
l~.

and resuscillllion cfrons _rc unsua:essful.

Alilhorizalion f"r Autopsy: om« orchc Armrd Forcci Medlnl Eumillu, tAW 10
USC 1471

Identification: Visual,

pel

detcntion facility records; posIIJIOneTn fingerprinu and DNA

profi Ie obtained.

CAUSE OF DEATH: Atherosclerotic <:ardiOYll5Cular diseaw
MANNER OF DEATH, Nalural

MEDCOM 0417

ACLU Detainee DeathII ARMY MEDCOM 417

J

AUTOPSY REPORT ~)(6)
MOHAMMED SAlUN, SOhlb Mlosoor

2

nNAL AUTOPSY DIAGNOSES:
I.

AtheroKlerotic eardiovaseular disease (Cardiovascular Pathology
conrollation)
a. Modcnte coronary artery athel'O$Clerosls
i. L.en arIteriordesc:ending artery (LAD): 40% luminal nilfTOWing of
proKimal LAD by pathologic intimaltltickcning with amooth
muscle rich intimal proli feration
11. L.efl circumflex artery (LeAl:.5O% narrowing ofproKimal leA by
proKimal intim'll thickcning
III. Righi coronary arlery(RCA): 60% narrowing ofproKimallo mid
RCA by patllologie intimal thickening with Imooth muscle rich
ncotintimal proliferation
b. Mild dysplasia of atrioventricular nodalll1cry with increased tibrosis in
branching bundle and crest of ventricular acptwn
c. Heart, 39.5 19TI

11.

Diffuse h)1lOKie-iJc:hemic changes of bBin
L Bnin, 1674 gm
b. AFIP Nellropilthologyeonsuhation
i. Sh.rvnken eosinophilic cytoplasm and indistinct nuclei and glia
with pyknotic nuc:lci and eosinophilic cytoplasm in eerelml cotteK,
basal ganglia, hippocampal formation, brainslem and cerebellum

IU.

No evidence of significanl injllr)'
a. No eKtemal Of internal evidence of Irawna

rv.

No evidence of physical restraint

V.

Early dc<:ompositionll changcs
L Mold growth over face and back ofneek
b. Green diacolontion of upper abdomm
c. Focil skin slippage
d. FOClIl drying offingelS
Co Dark diaeolol1ltion of intemal organs. including bnin
f. Decompositional fluid in bilatel1l1 pleural cavities,.50 ml each side

VI.

TOKicology {AFIP)
a. Volatiles: Blood negative forcthanol
b. Drugs: Heart blood negative for aerccned mediutions and dnJgs ofabulC

...

MEDCOM 0418

ACLU Detainee DeathII ARMY MEDCOM 418

AUTOPSY REPORT ~b)(6)

I

)

MOHAMMED SALUN, Soh.lb MUloor
F:XTERNM EXAMINATION
The body is tMl ofa well-developed., _n-nourisllocl C.ueasian male<;lad in a pairofbllll<;k
swc:al pllllS witli I wbite NBA logo and I pair of white lloJIer shorts. The body is received
on lOp of I grey and red blanket wilb multiple loose mcdi<;al devi<;a including IlIUl:lion
conlainc:r wi\h appamll gastric contents, a white plastic boII'd, a facial mask, I 1ll1}'llgostOpe
and I While wire. Tbe body weighs IppI'OXimalcly 180 pounds (estimllcd), is n" in height
and IppclfS compaliblc wilh lhe rcpol1ed age of32 yean. The body lempmllurc is cold,
thll of tile rcmgCl"llllOll unil. Rigor has diuipaled, and \he body is flaaid. Lividity is
pn:sent and filted 0l'1 lhe posterior lUfface ofille body, exCepl in arC&l exposed 10 preDUre..
The scalp iscoveml wilb dafk brown hair in I normal disl1ibution av~illll.S em in
length on the lop and Ihortcron the $ides. Facial haireonsisu ofa dafk brown beard and
musu.che.. The irides are brown. The oomeac: areeloody. The sclepe and eonj\ll}Ctivac are
pale and free of petechiae. The earlobes are nol pien:ed.. The external auditOfY canals,
exlernal na:u ando!1ll cavity are freeoffOl'eign mller111 and Ibnormal5eCfClions. The
nasaJ skeleton is palpably intacl. The rips arc without evident injuty. The let:th are natural
and in fair condilion.

TheR are early dCCOlTlpoliliol'lal changes including tile previously dCliCribal corneal
elouding and 1000ofrigor. There are a150 multiple palelies ofwliite and green mold growth
on fau and bllCk of the neek, llle mljorityofwhidl wipcl free easily. ThcJe is gmm
diseolontion of the upperibdomcn and darIc dryingoflhe lingers and hands. There is focal
slcin slippage around the anlda.
The neck is Sb'Iight and the b"lehea is midline and mobile. TbeehCSl 15 symmetric and well
developed. No injutyof\he ribs or Slernllll1 is evidenl extemally. Theabdomal is nil and
$On. Healed surgica1 SClIQ of the tono are I'IOIlIQled. The CIl~miliesare well developed
with normal nmgeofmolion. The fingernails are inlact The $O!cs orllle feel arc ealloll5cd
and hyperk.tr.ltolie. There i. a 4 em seaton the len hand at the base of the thumb, and there
is I D.S em pusNle on the back of the len upper thigh. No tsnOO5 are noted, and needle
Inch are nol obsel'ved. The clttcmsl genitalis are those of a normal adult cireumcised
mile. The testes are deseendc:d and free of masses. Pubie hair is presenl in a normal
distribution. The bunoeks snd anus are unremarkable. An idenlificationtag is lltM:hed Ul the
first toe on the right fool.

EVIQENCEOfTIIEMU
~

are I lOla' ofnine adhesive EKG psds on the body, ooeon the right shoulder, one on
OTIC on the upper right side orthc~ five on the upper left sideoflhe
ehcs! and one on the lower left side of the Ibdomm. Then: is an innvenous eatheter in the
righl antecubital fossa. secured with white 1apc, and tllcn: is • xwnd piece: of while Iapc On
lhe lower aspect of the upperrighllml. There is no O!bcr evideneeofmedieaJ intervention.
the len shoulder,

MEDCOM 0419

ACLU Detainee DeathII ARMY MEDCOM 419

R~b)~(6~(=,=,~

AUTOPSV REPORT
MOHAMMED SALUN. Sohalb

4

Man~oor

EVIDENCE Of 'NJURY
On external examination orthe body and internal examination orthe head. chesc and
abdomen. there is no evidence of injury.
INTERNAL EXAMINATION
BODY CAVITIES;
The body i~ opened by the u~ual thoraco·abdominal incision ilIld the chCSl plate is removed.
Other than accumulation of decomposhiorIIJ fluid (SO ml darlt fluid each pleunl cavity).
the pleural. pericardial. and periCOIIeal cavities are unremarkable. All body 0fPIl' are
present in the normal anatomical position. The verttbnl bodies are visibly and palpably
intaet. The su'beulallCOUS fallaycrofthe abdominal wall is:l cm thick. There is no internal
~idcncc of blunt foree or pmctnlting injwy to the thora<:o·abdominal regiOt1.
HEAD; (CENTRAL NERVOUS SYSTEM)
The scalp is reflected. and there is no subgalcal hemofT!lage or skull &ao:tures found. The
calvarium ofthc skull is removed. The dura maier and falx cm:bri arc intac:l The blain is
darltlydiscolorcd from docomposition, but lhcrc iJ no epidum or subdwal hemonhage
present. The leptomeninges are thin and delicate. The cerebrospinal fluid is slightly darlt
buc tree of blood. The cercl:nl hemispheres ale symmclrical. The s~t\lres at the bucof
lIle brain. including cranial nerves and blood vcascls, are intact. COI'lllllI sections thn:lugh
the c:crdlraI hemispheres rcvcalcs no lesions, and there is no cvidc~ of infection, nunor, or
t..uma. The ventricles are of JJOfTl\a1 si!e. Transverse 5CCtions through the brain stem and
cerebellum are unmnarkllble. The dun is ~trippcd liom lIle builar skull, and no fractures
are found. The atlamo-occipitaljoint is stable. The blain weighs 1674 pams.

NECK;
EJr:aminaliOll oflhe soft tissues of the neck, inclooing Slfllp muscles, lIlyroid gland and large
vessels, reveals no abnormalities.. The antcr10r strap muscles of lIic neck are homogeneous
and red·brown, without hcmontuoge. The th)Tllid ca:lilagc and hyoid bone are inllet. The
1ary1lX is lined by intact white mu(:O$/l and il LmObsttuclcd. The th)'fOid Sland is symrnctric
and red·brown. without cystic or nodular change. There is no evidence of infoction, 1lUTlOf,
ortnuma, and the airway is patCl1t. Incision and dissoc:tion oftllc posterior n«k
dcmonslr.iltes no deep paraccrvical muscular injury. IIcmormage, or fracrures of the dorsal
spinous processes.
CARDIOVASCtJL,;R SmEM;
The pericardia! sutfaces ate smooth, sliSlenirli and iIIlrcITIalkablc; the pcrieardisl $;I(; il ne
ofsignificant fluid and adhesions. A modcrale lIITIO\l.I1t of epicrial fat is present. The
coronary arteries arise nonnally. follow a right dominant distribution and arc widclypatenl,
without evidence ofsignificant atherosclerosis or thrombosis. The charnbtn and valves
exhibit the usuallizc·positiOll relationship and ate UMmlarkable. The myocardium is dait;
red-brown and unrcmarkable: the atrial and ventricular septa are !nllel. The letl. ventricle il
1.0 cm in mickncss and the right ventricle isO.2 an in thickness. The aol1a and il5 m~or
bmnclles arise nonnally, follow lIle usual cowse and are widcly patent, tree ofsignilicMl

MEDCOM 0420

ACLU Detainee DeathII ARMY MEDCOM 420

AUTOPSY R£PORT (b)i6)
MOHAMM[DSALUN,Sohlb M.._r

,

alllerotelcosil and otIler abnormalily. The venae cavae

the hart in the lWal distribution and ~

and !heir major tributaries I'dUl'TIIO
he of thrombi. The hart ~Bhs 395 ~

RESPIRATORY SYSTEM;

The upper airway il clear of debril am foreign mllCrial;!he mucoul turflCCS ~ smooth.
yellow-tan and unrerTII1UbJe. 111m an; plew'aIldbcsioN involvinJ the lower lett lung
lobe. The plWrallurfKCS ~ othcrwille smooth. Jlillmins and unmrwbble billlenllly.
The putmorwy parmch)'llUl il rai·pwple. exudina Il1iiht IIllOWlI of bloody nuid; no focal
lesions an; notal. The pulmonary ancries .e normally c1cveloped. palent and without
thrombus or nnbollll. The rish! hans wcishs 629 pms: the lett 859 grams.

LIVER" BlLlMY SYSTEMj
The hcpaIK: capsulc is 1Il'lOOth. Jli1lel\inallld intIcI, covcrillS dark rai-brown. rnodentely
COl1SCS1ecl plftllChyml with no focaIletionI notal. The pl1blaclttcr contains Ics1lhan I ml
of green-brown. mucoid bile; tl1c mllC(lll i. velvety and unmnarbbk. The n~c
biliary tree il pIltcnt, withoul r:vidr:llce of ealculi. The liver wciJhs 1936 pms.
ALIMENTARYTRACTj
The IOt\JIlC illi'eeofbite maritI, hallOftha&e. «other injuria. The CIOphIglJ1 is lined by
ply·white, IIIlOOlh mucosa. The pstric IIUlO1I issmngcd in the UIIlal rupl lOlds and !he
lumm COl'Itains 200 ml of lCI'tlitolid diSCStin, matr:riaI inerudinS rice and pieca of orange.
~ arelbdomlnal adhesions involvins the nsht IIppCI" qudanl. The Imall and Jarge
'Do_'are ~ unnmarbble. The pancrus has I normal pink·UIn lobulated
~paw"lCf; and the duets are clear. The: appc:ndia is presmt and is unremarkable.
CEN'!TQURI NAllY SyUEMj
The raW eapsula are smooth and thin, sem;.1nIIIpimlt and strip with ease from the
undcrlyin,s smooth. rai·bfown conical
The cortices an; 1hIIply c1clincated from
the: medullary pyranUds, wllich an; red·purple 10 UIn and unmnarbblc.. The clll}'l:a., pelves
and ureters ate unrunarbble. While bItdOet mUC05l overlies an int.c bla:ldcr wall. The
~rwybllddcr contlins5 ml of cloudy yellow urine. The prost.1e Jland il normal in du.
with Iobullr. yellow-lll'l plImlCh)'II'IL The seminal vaicle:s an; unmnarkable. The testes are
free of mus lesions, comusions.. or other abnormali,ies. The n&ht kidJlcy weiJ,hl 170 pms;
lhe left 115 pams.

-rICa.

REIICULQ£NOOTHELlALSYSU:\lj
The sploen has I $Inoot/l, intaet capsule oovcnl\l rai·purplc, moderately finn parenchyma;
the lymphoid IOllicles are IUIrUlIII'bbIe. The regionIllymph nodes appear normal. The
spleen wc1shs 322 srams.
ENpocBINE SXSTEMj
The pituitary, lhyroid and admwl

....

sJarv;Is are ~u1uble.

MUSCULOSKELETAL SXSUMj
Muscle dcvelopmcft iI normal. No bone orjoin! abnormIlilic:s are noted.

MEOCOM 042\

ACLU Detainee DeathII ARMY MEDCOM 421

AUTOPSY REPORT (b)(6)

6

..... OIlAMMEO SALUN. SohJlb MaDloor

MICROSCOPIC EXAMINATION

HEART: See "Cardiovascular Pathology Reporf' below.
LUNGS: The alveolar spates and small air passap show evidence of autolysis. Where
well prCSCf\led, lhe alveoli are expanded and «lIltain no significant inflammatory
component or edema fluid. Then: is nidmce ofperi·monem food upiratioo (no
inflammatory reaction). The alveolar walls are Ihin and nOI congcsled. The ll1erial and
venous Ylitular systems are notlnal. The peribronchial lymphatics are unremarkable.

LiVER: The hepatic IKhiteelure is inlact. The portal aniLS show no inereued
inOammatory componenl or fibrous lissue. The hepatic parenchymal cclls are wellpresaved wilh no evidence of eholeslasis. fall)' melamOfllhosis, or sinusoidal
abnonnalilics.
SPLEEN: The capsule and white pulp are unremarkable. There is minimal congestion of
lhe red pulp.

ADRENALS: The conical zones an dislinctive, and lhe medullae an not remarkable.
KIDNEYS: The subcapsularzoncs are unremarkable. The glomeruli are mildl)'
congested wilhoUi cellular prolifcralion. mC$lllgial prominence, or sclerosis. The lubulCl
sllow aUlolysis bUI are unremarkable. TIlere is no interstitial fibrosis or significant
inOammllion. There is no lhiekening oftlle walls of the arterioles or smsll arterial
cMnnels. The lransitional epilhelium oftlle collecting syslem Is normal.
BRAlN: Sec "Neuropalhology Report" below.
THYROID: Unremarkable.
TESTES: Unremar:li:able.

",,,,,,_,c• ,•sp
..""O<v<•.,"CJU.k:....UPO••Tll""O'k""OG
.....LJ.'ElJ:P01UR,TL
CV Palh]{b)(6)

"D1AGNOSIS:~(b)(6)

]r..todrutr eoTOury ariel')' albuoselrro,lJ; mild
d)'spllill of alriovenlrlcular nodal ariel')' "lIb lae~1HiI fibrOib In brancblal
bundlc and creU ohUlrleular stplum
History: Approximately 32 )'tar ok! male Iraqi delainee found dead in COl

Heart: 39S grams normal epicardial fal; closed foramen ovak:; biventricular dilatalion:
lell venlricular cavily diamcter 45 mm, !ell venlricular free wilithickncss 9 mm,
vClllriclllar sCJllum thickncss9 mm; rigllt ventricle lhickness 4 mm, withoul gross scars or
abnormal fat infiltrates; mulliple iIJl()rnalO\lS delicale cortin in rigltt venlricle between

MEDCOM 0422

ACLU Detainee DeathII ARMY MEDCOM 422

AUTOPSY REroR~(b){6)
MOHAMMED SALUN, Sob.lb M.nloor

7

papillary muscles and free will; feneslrated non·coronary cusp ofaonic valve; olha"
valvn lUIl'Cmartable; early myocardill d«Oll1position, otherwise ullJ'Clllartlble;
IUslologio; IICIClions show unrctl'l8ltable myocardiW1l
Coronary lI1eries: Nonnal oSlia; riglll dominance; moderate Itherosclerosis:
Left anlmor descending 1I1CT)' (LAD): 40% luminal narro.....ing ofproltimll LAD by
pathologic intimal thickening with smooth muscle rich intimal proliferation
Left cireumnn arlery (leA): 50% narrowing ofpl'OltimlllCA by pathologic intimal
thickening
Right coronary artery (RCA): 60% narrowing ofproltimalto mid RCA by pathologic
intimal thickening .....ith smooth muscle rich neointimal prolifCTlltion
Conduction s)'Slem: The sinoatrtial node and sinus nodallr1cTy are hislologi<:ally
unremarkable. The compact atrioventricular lAY) IKldc shows right downward
displacement, and mildly incrused ral and vascularity. The AV nodal lI1ery is mildly
dysplastic with predominantly medill thickening and advenlitial fibrosis. Focal
subendocllidalll'ld perivilS(ular in\c1Slitial fibrosis is presenl in the crest of the
ventmuhl1 seplum. The penetrating bundle is centrally Iocaled in lhe fibrous body and
uhibils increased Prolcoillycan and decreased cellular components without
inflammation. There are no discel'llible increased proleoglYCIII and fibrosis. The proltimal
bundle branches pre inlll;.I.nd also demonstrate increased proteoglYCI:l and dec:reased
cellular componenls wilhoul inflammation. There are IllI discemable bypass tracts
between the AV node and venlricuJlIJ septum.
Commenl: Histol(lgic eltaminaticln is suboptimal due: 10 I'O'I·mortem dec:olfll'Osition:
however,lIIe dyplulic AV nodallr1cTy and fibrosis in the bnnchinll bundle and crest of
ventricular seplUm are nOl lI1ifactual. Allhough the histologic findinll' would be m(IfC
likely to produce bundle branch bIrd, similar chanlles have bun described in
usociation with sudden cardiac dealh, tikelydue to ventricular atThylhmia. The etiology
of the fibrosis is unclear, pClssibly due to small vessel narrowing or I resolved prior
iflnammat<lr)' conditkln:'
NEUROPATHOLOGY REPORT
Deplrtment ofNeuropalllology and Ophthalmic PllholollY. AffP:
"We examined the multiple portions offilted bnin·tiuuc, measurinll2Q II 15 It 2 em in
a~gate. submitlcd in reference to this case. This includes liagments consistent with
cerdlrum, cerebellum, brainstem and dura. No gross lesions are idenlified.
Hist(llOllical sections submilled: I. Cerebral corlelt. 2. Medulla. 3. Mcdull&lllppem1ost
cervic.l spinal coni. 4. Cerebellum. S. Pons. 6. Cerd>ellum, dentate nucleus.. 8. Bu.1
pIlllli.. 9. Hippocampal aru. to. Ou,,"

MEDCOM 0423

ACLU Detainee DeathII ARMY MEDCOM 423

AUTOPSY REPOR~(b}(6}
MOHAMMED SALUN, Sohllb MlnltJOr

•

All sections wcre processed in pllnllmn; hisLOlogical slidell were stained. wilh H &: E. This
matcnalwu rcviewed in COnfCftinCC by 51alTin the Dcpanment of Neuropathology and
Ophthalmic Patllology.
Histologic sections sho.... neurons with shrunken ClO$inophilic cytoplasm and indistinct
nuclei, and glia with pyknotic nuclei and eosinophilic cytoplasm, in cefebal C011ex. basal
aangU.. l\ippocampal fOTTlUltin, bminslem and «:rebell\lm. These eelllllar features an:
consistent with diffuse hypoxic-isebemic chlJlgn. The: din shows no diagnostic
histologic changes."
AQQlTIONAL PROCEDURES
DocWTIenl.lry photognlpfls Ire liken by OAfME pllotognphcrs

Specimens retained for lo~ieolollic teSling and/or DNA identification Ire: vitrcO\l$
fluid, femoral blood, hcan blood., unne, bile, spleen. liver, and gaslric contents
The dis.sco;tcd organs lIe forwuded wilh the body
PCfSOn<ll effeets arc relcasal to the appropriate mortl1ll'Y operations rcpt"esentalive
OPINIQN

This )2 year-<lld rrWe Iraqi detainee died in US cl1$tody of atherosclerotic cudiovaselliar
disease. with modente coronary artery atherosclerosis (three vessel diSCISC) and mild
dysplasia of the auiovcntric\llar nodal artel)' wiltl inereased fibrosis in Itle branchinll
bundle and cre51 of Ihe ventricular septum. Fibrosis within Ihe heon, panicularly around
Ihc conduction system msy initiate cardiac an1lylhmias. There is rIO evidence ofsny
external or inlemal trawna or evidcnec of physical reslraint. No other significant naNrsl
disease within lhe limitations of the a\ltopsy was found, and toxicologic siudies arc
negative.
The mllR1lef ofdcath is natural.

(b)(6)

",(be'""O'---''''Mcdieal Examiner

MEDCOM 0424

ACLU Detainee DeathII ARMY MEDCOM 424

DEPARTMENT OF DEI'EN&E

AAMEO 'OIlCEa IM1'ITVT'I rw ~"'TMCIl.OO'l'
W.... _TOIl. tie.. : .DOI

onlCEOFTHE ARMED mRCES MEDICAl.
EXAMINER
ARMED rORCES INSTlTlJT! or PATHOLOGY
WASHINGTON, DC JOJ06-6000

MOHAMMED SALAM, SOHAIB MANSOR
$SAN:

Awlo","

.8(~b)~(6~)~==J

To.koloo -,"...10_ .,'{bJ16j r;

hie RtjlO" C~","lod: rot-u.y27, 200~

CONSULTATION REPORT ON CONTRIBUTOR MA,TERIAL

...rIP DIAGNOSIS

REPORT or TOXICOLOGICAL EXAMINATION

COlldllloll ofSpccbll~D.t: GOOD
Dall ofJaddllll(b}(6} 200S

...

VOLATILES: The BLOOD

WlIII

Dall Rtaivrd: 21161200s

examined for the presem:e of ethanol at a cutoff'of20

rniVdL, No ethanol was lklected•
DRUGS: The H£ART BLOOD was JCftened for amphetamine, anlidepresS8nIS,
aatihiswnines, barbiturates, belUDdillZepines, cannabinoicls, chloroquine, cocaine,
dexlrometholphan, lidocaine, narcotic analgesiC$, opiares, phencyclidine, phenothiazines,
S)1Tlplthomimclic amine, and vcrapamil b)' gas chromatogr1pl1y, color lesl or immunoassay.
The following dr\Igs wcre dctected:
None wcre fowld.

...
MEDCOM 0425

ACLU Detainee DeathII ARMY MEDCOM 425

_. _....... -_..__. - _._&1_._.r__
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-'(b){6)

CU'l'lP1CloTi 01' _YHIOn'!t"""

eTe MoIIammecl Salun. SOl'oalb. ManllOOf

(bl(6)

Iraqi Ot\ainee

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MEDCOM 0426

ACLU Detainee DeathII ARMY MEDCOM 426

(REMOVE REVERSE AND RE4NSERT CARBONS BEFOAECOMPl£T1NG THIS SlOE)
olsposmOH 0' REMAINS
OIAIolf 01' ~

~AIlINO

AE_S

.......

NSTAU.ATIONORAODM$$

''''

NIoME Of' a~ (If' CJIl"*,,TOfn'

l.OCAl~ Of'

UUHSl! HUYIlEJI N«J STATE

"""""'"
C6lITUIY ORCl'llEWolOl'Y

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OATt OJF IASl'OIIIIOH

AEQlSfRAnON 01' VITAl SfAnsncs
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USAPAV1.ClI

DO FOR" 2otU, APR fJl1I8ACK}

MEDCOM 0427

ACLU Detainee DeathII ARMY MEDCOM 427

ARMED FORCES INSTITUTE OF PATllOLOGY
Office oflhe Anned Forces MediCiI Eumioer
1413 Research Blvd.• Bldg. 102
Roc:kvi1le, MD 201150
(301)319-0000
FINAL AUTOPSY REPORT

Name: Mlll"U6. Ali HlIJ'Clo.
Interment Serial (b)(6)
D.lcofBinh:(b)(6) 1946
DaleofIkath~)@) 2006
Dale of Autopsy: II DEC 2006@ 1200
Date of Rcpon: 28 fEB 2001

Autopsy No:1(b}(6}
AFlPNo(b}(6}

J

Place of Death: Camp Bucca. Iraq
Place of Autopsy: Dover AFB Pon Monuary.
Delaware

Cireumll.oe~ or Dealh: (b)(6)

an lraq; National male. was held as 0 detainee ill
Camp Bucca. lIaq. I Ie w~ admilled to the lhrater ImClJllelll facility ~IF) Oil 11 November for
hean and blood lJ"S."un: problems. On (b)(6)
• (bl(B)
became hypotcn~i"e and
unm;ponsi\'~. He eltpil\'d despite eatdiac n:suscillllive lTICaiUres,

AUlhoriulion for AUIOp5}': Offi« of the Armtd
Title 10 US Code. Sa:lion 1411 (10 USC 1411),

FOI'CC~

Medieal Examiner. in aceordWJ(:e with

IdenriflClltion: Positive identification CS!Iblished by invesl;pli"e agency

CAUSE OF DEATH:

MANNER OF DEATH:

,~alu ...l

Pall.e 1 0{6
MEDCOM 0428

ACLU Detainee DeathII ARMY MEDCOM 428

MUTLI.B l<b)(6)

AUTOPSY FINDINGS:
I. Seven:: Atherosclerotic Cardiovascular Disease
I~eatl; CardiOmegaly, 710 gram~

Coronlll}' arteril'$;
i. Left main coronary atlcry - 60"10 stenosis with eoncenuic calcification
it Left antmor descending coronary atlery - mullifocal 95% stenosis
iii, Right coronary artery - muhjfoca' 95% stenosis
COr\Cenuie left \'entriculu hypenrophy -left vemricular thickness - 2.5cm;
septwn 2.4 cm
Remote myocardial infarction. posterior-latcralleft venmcle
Diffuse atherosclerosis of the abdomiNlI aona and iliac vessels with multiple
ero~ive plilljllC$
II. Lungs:

...
b_
c.
d.

Marked bilateral pulmonary c<lcrna (combined weight 2220 grams)
Diffuse anthraootie pigment, pleW1l and parenchymal
Emphysema
Dmnchopneumonia

Ill. Kidneys;
a. Marked ancrioloncphmsclemsis (clinical history ofhypenension)

IV. Drain;
a. lncidcmalan.eriovenoll.'l malformation of the left pons. 0,5 em
V. Toxicology:

•
•

•

•

VOLATILES; The blood and vilrCQus nuid an: cumined for the presence ofeth.nol at a
cutoff level of 20 mgfdL. No ethanol is ddl:eted.
Peripberal blood contains less than 1% CIIrboxyhemoglobin (COHllb) detcrmined by
spectrophotometry with a limit of quanti\ation of 1%, COHllb SlItullltions of 1).3% are
expected for non-smokers and 3-1 (lOA. for smokers. SlIturations above I (lOA. are: considered
elevated and are: confirmed by gas chromatography.
Thcre is RO cyanide delected in the blood. The limit of quantitation for cyanide is 0.25
mgfl.. Normal blood cyanide cotJ«ntratiol\S are less than 0.\5 mgfl. LetI1aJ
conecntrotions of cyanide an:: greater than J mgfl..
ORUGS, The blood is screened for acctaminophen. amphetamine, antidepressants,
antihistamines. barbiturates. hellUldi&l.epines, cannabinoids. chloroquine. eocainc,
dextromethorphan, lidocaine. narcotic w\lIlgcsics. opiates, phencyclidine. phenothiazincs.
sallcylales. sympathomimctic lilllines and vcrapamil by gas chromatography, colol test or
immunoassay. 'llic rollowing drugs arc detccted;
o Lidocaine is detecled in the blood by gas chromatography and confirmcd by gas
chromatography/mass spectrometry
o Acetaminophcn is detected in the blood by color lO:St and CQnfirmed by
immunoassay. The blood contains 17mgfL of acetaminophen as quantitated by
ImmullOllSSllY·

Pagl' 2 of 6
MEDCOM 0429

ACLU Detainee DeathII ARMY MEDCOM 429

MUTLlOllb}(6}

EXTERNAL EXAMINATION

Thc: body is thaI of a well-developed, well·oourished, 71·inch lall, 202 pound male. Lividity is
fixed on lhe posterior aspect of lhe body. Rigor 1w plIssW and tile temperature of tile body is
cold. till'll of the refrigerator.
The 5ealp is covered wilh gray IuUr, with frontal balding. Faciaillair consists of a gray beard and
mustache. TItc irides an: hv-..el and the con.junctivae are cloudy. The pupils are round and equal
in diameter. The eKtemal auditory eanllis are unremarkable. The ears lobes have prominent
creases and are otllerl'ise unremarkable. TlIe nares are patent and the lips are atl'llurDatic. TIle
110~ and maxillae are palpably stable. 1110; teeth alO' nlltul'll!.
The ne<:k is sU'llight. and !hi' trachea is midline and mobile. l1le chest is symmetric. The
abdomen is protuberant. TIle genitalia arc: l!lose of a /lOnnal wul! eircume-ised male. The: lesles
are descended and free of masse5. Pubic hair is presenl in a normal distribulion. The bUllOCks
and anus nre unremarkable.
1ltc upper and lower extremities arc symmetric: and witoolll clubbing or edema.

•

CLOTHING AND PERSONAL EfFEqS
The deceased is dad in a hospital gown. Personal effeels do nOlllttOmpany the body.

•

MEDICAL INTf:RVENTION
Endotr.lCheal intubalion; inU'llvc:nous access devices in the right neck and left groin; needle
marks in both wrists; Foley catheter; eardioc monitor pads antmor ehcst; bandage covering
surgical incision right knee (stapled closed)

•

RADIOGRAPHS
A complete sct nf poslJn(>rtl:m radiographs is obtained and deOlQnSlratc:s no acute injuries
aside from tllose discussed in lhe evidence of injury

•

•

EVIDENCE Of INJURY
External if\juries consist of mid·sternal contusion and internal examination reveals fractures
of lateral right ribs 2·7 and lateral left ribs 2..{i ( Injuries consistent with cardiopulmonary
resuscitation)
Two contusions On the posterior right calf and ankle. 2 I'. x I and 3 x I-inches. respe<:t,,-dy

Page 3 of6
MEDCOM 0430

ACLU Detainee DeathII ARMY MEDCOM 430

MUTLlB (b)(6)

INTERNAL F.XAMINATION

.I:if8I!: Thc

galeal and subgalcal son tissues of the scalp ~ frec of injwy. The calvarium is
intact, as is till: dura mater bencath it. Clcar ~rebrospinal fluid surrounds the 1340 gm brain,
",..hich has unremarkablc gyri and sulci. Coronal sections demonstrate sharp demarcation
between whitc and w-ey maller, without hcmOlThage or eontusivc Injury. 11lc ",entricles an: of
normal size. The basal ganglia, cerebellum, and arterial systems are fiw- of injwy or othcr
abnormalities. Examination of the mid-section oftbe pons on the left side sho....'S a O.5cm area of
appan:m hemorrhage. There an: no skull fractures. The atlanto-occipimljoint is stable.

~:

The anterior strap muscles of the neck are homogenous and red-bro....n, without
hemormage. The thyroid cartHalle and hyoid bone an: inlltCl. The larynx is lined by intact white
mu<'OSli. 111e thyroid is symmetric l\Tld red·bro",n. without cystic or nOOullll' change. The tonguc
is free of bite marks. hemorrhage. or other injuries.

Incision and disse<.:tion of the posterior neck demonsulltes no deep paraccnrical muscular injury
and no cervical spine fractures.

BODY CAVITIES: Contusion of the sternum and rib fractures have been describl:d. Otherwise.
the ribs. sternum. and vertebral bodies an: visibly and palpably intact. No e,;cess nuid is in the
pleural. pericardial Or peritoneal cavitics. The organs occupy their usual anatomic positions.
RESPIRATORY SYSTEM: The right and left lungs arc markedly edematous and weigh 1100
and 1120 l!JII. resp«tively. The c,;lemal surfaces are smooth and deep red-purple w;lh marlled
anthracotic pigment deposition on the plewa and in Ihe parenchyma. The pulmonary parenchyma
is diffusely conl:csted and cdematous and displays emphysematous changes at the upper lobes ..
No mass lesions or areas of consolidation are present.
CARDIOyASCULAR SYSTEM: The enlarged 710 gm heart is cOlltained in 811 imact pericardial
cpi~ardial surface is smooth. with minimal fat invcsmten!. The coronary aneries ltfC
present in a nonna! distribution, with a right-tlominant [)Rum!. Cross s.:ctions of the vessels
show 6O"Ao stenosis of thc left main coronary artery; 95% multi-focal slenosis of the left Wlterior
descending coronary artery and 95% stenosis of the right coronary aner)'. The myocardium is
homogenous. red·brown, and finn. The valve leanels arc thin and mobile. The "''alls oftbe left
Wid right ventricles an: 2.5 and 1.0 cm thick., respectively. The endocardium is smooth and
Glistening. A 2 Cm area of apparent fibrosis on tbe postern-lateral left ventricle is g.mssly
consistent with remote myocardial infarction. The anrta shows malted erosive atherosclerosis
along the enti", length. The renal and mesenteric vessels IUl: calcific witlt marked
alherosclerosis.

sac. The

LIVER & BILIARY SYSTEM: The 1970 gm liver has an intacl. smooth capsul~ and a sharp
anterior border. The parenchyma is !an·bro"'011 ond congested. with the usual 10bIJllll'
architeclure. No mass lesions or other abnormalities arc seen. The gallbladder ~ontains 25 ml of
llIccn-black bile and no Stones. The mucosa! surface is green and velvefy. The c,;trnh~patjc
bi liary tree is patent.

Page 4 of6
MEDCOM 0431

ACLU Detainee DeathII ARMY MEDCOM 431

MUTLIB1(b}(6}

SPLEEN: The 190 wn spleen has a smooTh, intact red-purple capsule. The parellChyma is
maroon and congested, with distinct MaJpighian corpuscles.
PANCREAS: The pancreas is mildly autolytic but otherwise firm Ilrld yellow-tan, .....i lh lhc \lSUIII
lobular architecture, No mlW lesions or other abnormalities are seen.
ADRENALS: The righl and left adtenal glands are symmetric.......ilh yellow C<ll1ices and grey
medullae, No masses or areas ofhemonilage arc identified.
GENITOURINARY SYSTEM: The righl and len kidneys arc reduced in size and weigh 90 Ilrld
80 gm, respeclively. The extema.lsurfaces are COI\fSCly granular. The CuI surfaces are red-tan
and the conicomcdullary junclions an: poorly differemialed. The pelves are unremarkable and
lh., uret",." an: normll in coun;o; and ClIliber. ....'hite bladder mucosa overlies l1li intact bladder
"'all. The bladder is empty. Thc prUS\lle is normal in size, Wilh lobular, ~lJow-tan parellChyma.
The seminal vesicles are unremarkable. The testes are free of mass lesions, contusions, 0< olher
aboormalili.,s.
GASTROINTESTINAL TRACT: The esophagus IS mUlCt and lined by smooth. gray-white
mucosa. The s\Qmach C<lntains approximately 350 ml of brown nuid. 11Ie gastric WIlli is intact.
The enlire small and large intestines arc examined along lheir enrire lengTh and the: mucosa is
unremarkable. The appendix is present.
MUSCULOSKELETAL: No evidence of chronic disease: incision of the soft lissues oflhe back,
bUllOCks. lhighs, leltS and wrists show 00 el'idence of injury.

MICROSCOPIC EXAMINATION
Selected portions of organs are n:tained in formalin and the following histologic slides are made:
# I, #2. and #4: Histologic se<;tiolls of the coronary arteries wnfirm the ItTOS5 descriptions
113 and 115: Left Venlricle: multifocal fibrosis
#6. Cardiac S(.-ptum: muhifocal fibrosis
RighI Ventricle: lUlremarlrable
N7 and #8: Lung: bronchopneumonia; pulmonary edema; emphysematous change
119: L.i\"er: no palhologie diagnosis
#10: Kidney: hyaline arteriolosclerosis: ditfuse fibrinoid ne<:rosis of arterioles and hyperplasic
arterolilis (onion-skin change); tubular a1Il)phy, intcrstitial fibrosis and chronic
innlllnmalion: focal glomerular fibrosis
11'11: Pom: arteriovenous malformation
Medulla: no pathologic diagnosis
1112: Cortex, main: no pathologic diagnosis
#13: Aorta: marked calcific erosive atherosclerosis confinning the gross obsen:alions
#14: Left Ventricle (poSlerolaleral): remote myocardial infarclion

Plll>dof6
MEDCOM 0432

ACLU Detainee DeathII ARMY MEDCOM 432

MUTLIB ~"b)","")- - -

ADlllJIONAL PROCEDURES
•
•
•

•

Documentary photographs are taken by the OAFME Photographer
Identifying marks incilide a $Cars on tlte ~terior righl leg (call)
SpedmellS retllineil for loxicological testing and/or DNA idClltification are: vilreOUS
fluid, blood, urine, splcen, liver, kidney, IWlg, brain, bilc, gastric contentS, psoas muscle
IUld adipose tissue
The dissected organs are forwarded wilh the body

OPINION
BlIsed on these autoJl5>: fintlim"ul1'IlLlIt"-.invemigative infonnalion available to me, lhe cause of
dcath of Iraqi detaineel(b)(6)
is severe ttuee vessel atherosclerolic cnrdiov8'SCular
disease. The markedly CIII~1ieiti SIIoW!l histologic evidence of ptevioll.'l myocardial
infarction (bean altaek) and lell ventricular Itypertroplly. Thc lcft ventricle of the hean and lhe
kidneys show bolh gross and microscopic change:. consi$letll with long stllllding It)'pC'rtension
(high blood prelsure). An incickntaJ arteriovenous malformation of the brain (likely congenital),
located in lhe pons. had no bearing on tbc cause of death. Toxicology examinalion is positive for
acetaminophen IUld lidocaine. medicatiollS utilized in hospitalized care.
The manner ofdealh is natural.

l(b)(6)

Armed Forces Mediul Examiner Synem

(b}(6)

Page6of6
MEDCOM 0433

ACLU Detainee DeathII ARMY MEDCOM 433

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MEDCOM 0434

ACLU Detainee DeathII ARMY MEDCOM 434

ARMED FORCES INSTITlfTE OF PATHOLOGY
omcc oflhe Armed Forcft Medical Examiner
1413 Rest'an:h 81vd., 8Id&-l02
Rockville. MD 20850

(30 I) ) 19·0000
AUTOPSY EXAMINATION REPORT
Name: Atiah..J(haIifah..Hamadi
l5N; (b)(6)
Dalc ofBinh l (b)(6)
959
[)ate ofOtoatll (b)(6)
2006
DatcITime of AutoP5)': 06 DEC 200611100
Datc of Repon: 09 FEB 2006

AutOp$y No.L(b)(6)
AFIP No.: (b)(6)
Rank: DctiTn«
Place of Death; Iraq
Place of Autopsy: Pon MonUllt)'
Dovet' AFB, Dovcr, DE

Ci,..,umstancCl of ~alb: This 57-ycar-old. detllinee was inlcrned at Camp
Iii
RC1I1C:mbrance, Iraq durinll Opc:l1Ition Imqi F~om. InvCSliglll.ivc n:poru Stille lhat, (b)(6)
{b)(6) jWU admilled to the 21" Combat Suppan Ho,pilal (C5H) wi!h complaints of chelL
~ and was diagnosed with an acule m$K:ardial inflltClion. On (b)(6)
(b)(6)
.{bli61 lc:ondition ""Orscncd and he became unresporuivc. Allll<cssive attempts til
reSliscitalion were unsu(:CC'$Sful.
Authorization for Autopsy' Office oflhe Armed Fon:cs Ml'<lieal Examincr. lAW 10
USC 1471
Identillullon: Prcsumpli"e identification by accompanying rcpon~, A ONA sampk is
laken for prol1le PUfJXlSCS should an excmplll1 becomes available for positive
identification.

CAUSE OF DEATH: Acute myo... N1ill infl,..,!;on
MANNER OF DEATH: Nalunl

MEOCOM 0435

ACLU Detainee DeathII ARMY MEDCOM 435

AUTOPSY

REPORTI"'(b~)(~')'--,

,

ATlAH, Khlllifll.h Hllmlld;
FINAL AUTOPSY DIAGNOSES:
I.

Natural disease diagnoses
A. Atherosclerotic cardiovascular disease
I. Acme thrombus middle dre:lIl1lnex coronary artery
1. Luminlll ni\lTO"ing, 70% Ortlle kft main coronary artcry
3. Luminal narrowing; 80% or'lle proximal, 90% ofthc middle and 900/. or the
distal left ,,"lerior descending corol1M)' anery
4. Luminal narrowing; 60% of the proximal. 900/. orthe middle and ncar 100ai
occlll$io n (pinpoim lumen) of the distal riij.hl coronary arteries
5. Ciffus<: aneriosclcrotie and IItherosclcrmic plaque fOl'Tl1ll1ion throullhoutthc
thoraeic and abdominal aorta
6. Cakific plaque fOl'Tl1lltion and Iwninal narrowing of Doth renal arteries
7. Acutc and healed myOClll"diai infarction involving th(' left vemriele
8. Cardiomegaly (horderline); 450-lll1lms (expa;ted heart weillht J44-grams,
upper limit 439-grams)
B. BilalerDJ alrophied and granular kidneys (right- 70·gnlms. left - JO·grams)
C. Bilateral pulmonary edema (right lung - 64Q-grantS. left lung- 670-grams)

II. Evidence ofmedkal inlervemion
A. OrotraeheallUbc, approprilllel)' placed
B. Angiocatheter sutured in till: leA subclavian vein
C. Multiple (14) sel f-adhesive elcctroeardioKJ"'ffi elcclrodcs affixed to Ih" 'Interior
cllest. left arm and left thigh
D. Urinary catheter
E. lntnlVenou5 catheters in the dorsum of both distal foreanns
f. Multiple lherapc'Ulie punchu.: marks on the left neck and shoulder. righl antecubital
fosSll. and right lower quadrant of the abdomen
G. Identification bracelet On the right wrist printed withl(b)(~
I
~l. Hemorrhage into the wperficial strap mll5Cks and leA lobe of tile thyroid gland

\ II. Traumalic diagnoses
A. Trauma of the head lind neck
I. No evidence of ligature: marks or slnUlguJation On Ihe neck after external
e1l\"amination and layerwise antcnor and posterior neck di=tions
B. Trauma of the 10rso
I. Faint red contusion On tbe lower ehesl along the right anterior axillary line. I ~
" Yrinch
2. Healing contusion on the lo"'erebest along the left mid-cluvicular line. 1 " '4inch
3. Area of ecchymosis aoove tile left IlRterior superior iliac spine associated "ith a
lherllpeulic punCture. 2 113" %-in<:hes
4. Comusion below tbe angle of the lefl scapula, I )( Yrinches
S. Superficial hemorrhage ;nlO the left middle lrapezius and rtIomhoid muscles. 4
1'>" I ''''-inches, "ithout injury 10 the underlying paraspinal muscles

MEDCOM 0436

ACLU Detainee DeathII ARMY MEDCOM 436

AUTOPSY REPORT{b)(6)
ATIAII, Khamah Hamadl

)

6. No evidence of additional trauma aftet external uamination and disseelion of
the subcutaneous tissues and muscles
C. TtlIuma of the utremities
I. Contusion of the right antecubital fossa associated with therapeutic ptlllCtures. 2
~ x 1 'I.-inches
2. Contusion on the tip of the distal phalanx of\he I" digit of the right fool. 1/8inch
3. Ecrhymosis in the right popliteal fosSll, 3 x 2 I'S-inches
4. No evidence of additional trauma after external examination and dissection of
the SUbcUUlnCOUS tissues and mUs<;les
IV. Post-mortem changes
A, Lividity is fixed on tile poslerior surface ortlle llody except in areas exposo.d 10
pressure
B. Rigor is present 10 M equal degree in all extremilies
C. Grttnish discoloration of the skin of the right lower quadrant of the abdomen
V, Toxicology results
A. Volatiles: The blood and vitreous fluid were examined fOf Ihe presence of
ethannl at a cutoffof20 mgldl. No ethanol WIIS detected.
B. Drugs: The blood "''as scrc<:rted for amphetamine, antidepressants, antihistamines,
barbiturates. bcnrodiazcpines, cannabinoids, chloroquine, cocaine.
dextromeLhorphan. lidocaine, natrotic analgesics, opiates, phencyclidine..
pheoothiazit'ICS. symJlllthornimetie amincs and V<:raparnil by Jllts cllromatngraphy,
color test or immunoassay:
1. Positive meloprolol: Metoprolol was detected in the blood by IP'S
chromatography and confirmed by gas ellromatography/mass
sp«lrometry. The blood contained \I, mglL of mcloprolol as quantiUlted
hy gas chromatography/mass spectrometry.
C. Carbon Monoxide: The Carboxyhemoglobin saturation in Ihe blood is less than
1% as determined by spectrophotometry with a limit of quantiration of 1%.
Carboxyhemoglobin salW1ltions of 0-3% are expected for non-smokers and ),
10"04 for smokers. Saturations above 10% are considcmi elevated and arc
confirmed by gas chromatography.
D. C~'anide: No cyanide is detccted In the blood. The limit of quantitation for
cyanide is 0.25 mgIL. Normal blood cyanide concentrations arc less than
0.15mglL. Lethal concentrations of cyanide are ~ater than) mg/L

MEDCOM 0437

ACLU Detainee DeathII ARMY MEDCOM 437

,-

,

AUTOPSY REPORlj(b}(6)
ATIAH, Khalifah Hamidi
EXTERNAL F.XAMINATION

The body is lhal of a weJl-developed. well-nourished appearing aduh male whose
appeariUlce is consistent wjlb the reported age of 57-yean. The remains are 69·in<:hes in
ICnglh. and weigh I82-pounds. Lividit)' is present and fixed on the POSU:TiOT surface of
the body, except in an.:as exposed to p=sun, Rigor is present 10 an equal degree in all
cXlmllilies. The temperature of the body is thaI of the refrigcl1Ilion unit
The scalp is covered wilh curly short black hair with gn.y 81 the tanples and early male
patlem baldness. The fllCe has grey and brown stubble wilb a trim ~'Tey streaked black

moustache. The irides an: brown, the oomeae hazy. and the pupils are round and equal in
diameter, The selt", are white, the conjllf>Ctiv3e congested with no evidence of"",techial
hemormBge, The extcm.11 auditory canals an.: free of foreign material and abnormal
sccn'lions. The ears are unremarkable. "The nares are palent and the lips are atraumalic.
The nose and nuxiJlac arc palpably smble. The teeth appall" nBlural and in poor
condition, No evidence of trauma is noted on the head.
1llc ned is Straight, and the trachea is midline and mobile. The chest is symmetric. The

abdomen is nat. The genhaJia a~ lhose ofa normal adult circumcised mal~. "The l<;Stcs
are dcscended and froc of masses. Pubic hair is prer.em in a nonnal male distribution.
The bUlloclls and anus are unremarkable. No evidence ofsillnificanttrauma is noted on
the torso.
The upper and lower e/(tremities are symmelric, without clubbing ur edema. No evidence
of significanltrauma is nOled on the ulTm!ilics.
Ide111ifying marks include the following:
• Mulliple h)'popigmented scars on the anterior leflleg, up to ....·inch in greatcst
dimensions
• An obliqucl)" orienled (along the 5 to 11 o'clock 8llis) elliptical scar on the
inlerseapular skin oflhe back, 2 .... " \f.-iTIChcs
• A hyperpigmented scar on the medial border oflhe niht scapula. 'I. /( ~inch
• A hypopigmented scar below the righl glutcal crealie. 2 /( 'h-inchcs
• Hyperkenllotic patch on the rilj.hl latcnll malleolus. 7/8 /( \f,-inches
CLOTHING AND PERSONAL EFFECfS

"!lie following clothing ilems and personal effects accompanied the bod)' to lhe mortuary
atlhe time of autopsy:
• One pair yellow pajamas
• A light green quillo:djaeket
• A white shon slccve cotton tcc shin
• A pai r of brown socks
• A knit ski cap
• Pair of brown shower shoes
•
1\ single knit black glove

MEDCOM 0438

ACLU Detainee DeathII ARMY MEDCOM 438

AUTOPSY REPOR1(b){6)
ATIAH, Kh.lifllh Hlmldi

5

MEDICAL INTERVENTION

•
•
•
•
•
•
•
•

OrolrllCheal Nbe. appropriately placed
Angiocalheler sulured in lhe left subclavian vein
Multiple (14) self-adhesive eleclrocardiogram electrodes affixed to !he anterior
chest, Icft arm and left thigh
Urinary catheter
Intravenous catheters in the donum of both distal forearms
Mulliple therapeutic pUllClure mms on the left neck and shouldeT. righl
antecubital fossa, and right lo,,"-cr qUDdrant of !he abdomen
Identificalion bracelet on lhe right wrist printed wilh l(b)(6)
Hemorrhage inlO the superficial map muscles and left 10~"'~"r".c,CmC,ro=i'd glund
RADIOGRAPHS

A complete sel ofposlmonem radiographs is obtained and demonS\nlle no evidence of
sillni flcant lrauma
EVIDENCKOf INJURY

The ordering of the following injuries is for dcscripti\'e jI\lrposcs only. and is not
intended to imply order of inlli"ion Or relative severity.
There is a faint red contLCIion on the lower chest along the right anterior axillary line
measuring 1 '/, x V,·inch, On the 10wCl cheSllllong lhe left mid-clavicular line is a
healing I x Yo-inch conNsion. There is an area of ecchymosis measwinll2 1/8 x ,/<inches above the Jeft anterior superior iliac spine associaled wllh a therapeulic punclure.
Injuries to the back include a supmicial hemorrhage into lhe left middle lrapeuus and
rhomboid muscles measurill1l4 ~ x 1 ~-inchcw wilhoUl injury 10 !he underlying
paraspinal muscles.
Injurit:S 10 lhe exltemilies Include a contusion, measuring 2 l', x 1 Y...inches, in the tight
anlecubital fossa associated with therapeulie punClures. l1lcre is a contusiol\ on the tip of
the distal phalal\X of the I ~ digit of the right foot measurinlll18.inch in diameler, In the
right popliteal fossa is a 3 x 2 y.-inch tImI of ecchymosis.
Ir"oTERNAL EXAMINATION

HMD:
The galeal and subl:llleal soft lissues of!he scalp are free of injury. The scalp is renCCloo.
The ca1~arium is intact as is the dUnl mater benealh il. There are no epidural or subdural
hemorrhages presem. The leptomeninges arc Ihin and delicate. Clear cerebrospinal nuid
surroWlds the I280·gratn brain, which has unremarilable gyri and sulci. The cerebral
hemispheres are symmelrical and dcmonstnlte mild vascular congestion. The structures
at the base of the brain. including cranial nerves and blood vessels are intact. Coronal
sections demonslIate sbarp dcmllfC.lllion between white and grey malter. wilhout
hemonh.sge or eontusive injury. 11le ventricles lite of normal si7.e. The basal gatllllia,
brainstem, and cerebellum are free of injUl). or olher abnonnalities. The anerial S)'SletnS

MEDCOM 0439

ACLU Detainee DeathII ARMY MEDCOM 439

AUTOPSY

REPORT~)(6)

6

ATlAH, Khallfah Hamadi
are free of injury. Focalatherosderotic plaques are noted in the basilar and vcnebrlll
arteries. The atlanto-o<:cipiUlI joint is stable.
NECK:

11>e anterior stmp muscles ofthc neck are homogenous and red·brown. Focal
hemorrhage is noted in tbc superficial left strap muscles and the left lobe of the thyroid
gland and described under "Evidence of Medical Intervention". The thyroid cartilage and
hyoid an: intact. The laI)"ll!< is Iined by intaet white mumsa. The thyroid is symmetric
and red·brown, without cystic or nodular change. l1lc Ionllue is free of bite marks,
hemorrhage. or other injuries. Incision and layerwise dissection of the anterior and
posterior neck demonstrntes no evidence of trauma. deep plIrnccrviCllI mUllC:ular injury, or
cervical spinc fnlctlUl:s-

eopy CAVITIES:
The body is opened by the usual thol'llCo·abdominal incision and the cllest plate is
removed. No adhesions are present in any of the body cavities. There is a 3D-milliliter
collection ofserosanguinoU5 fluid in the right pleural cavity. The remaining body
cavities havc no abnormal wllections of fluid. All body organs are present in the nonnal
anatomic position. There is no internal cvidence of blunt foree or penetrating injury to
the thoraco.abdominal region.
RESPIRATORY SYSTEM:

The upper airv.-ay is clcarof debris and foreilPl material: thc mucosal surfaces are
smooth. ycllow-tan and unremarkable. The pleural surfaces aft: smooth, glistening and
unremarkable bilaterall)·. The external surfaces are smoolh and dark red. The pulmonary
parenchyma is diffusely congcstcd, bol:8Y red, and edematous, exuding moderate
amounts of bloody fluid. No mass lesions or areas of consolidation are present. The righl
and left lungs weigh 640 and 67o-grams, respectively.
CARDIOVASCULAR SySTEM;
The pericardial surfaces lire smooth, glisrening and unremarkablc: the pericardial sac is
Ii"« ofsignific.ant fluid or adhesioltS. The coronary arteries oriS(: nonnally: follow the
usual distribulion in a right dominant pattern. Three vesSieI athcrosclefOlie coronary
artery disease is presenl with luminal narrowing in lhe following distribution: left main
coronary Mery - 70%; left anterior descending coronary artcry _ prox;mal (gO%), middle
(90%). and distil (900/.); righl eoronary artery - proximal (60"/0). middle (90%). and
distal (ncar occlusion -pinpoint lumen); left cireumflex coronary artery (900/.) with acllle
thrombus formalion in the middle segment of tile vcsscl. Scaning and fibrosis is rIOled in
the 5Cptum and posterior free wall of the left vcntricle. The remainder oflhe myocardium
is homogCTIOus, red-brown. firm and unremarkable. The valve leafletS arc thin and
mobile. The walls of Ihe left and rigln ventricles are 1.2 and D.3-ccntimeters thick.
respectively. Th¢ endocardium is smoolh and glistening. The aona and ilS major
branches arisc normally, follow rhe usual course and are widely patent. There arc
mulriple calcific atherosclerotic plaques along the thorll(:ic and abdominal aorta. There i~
caleific plaque formation and ncar occlusive luminal narrowing ofooth r<:nal arteries.
The venac cavae and its major lributaries n:tum to the heart in the usual distribution and

MEOCOM 0440

ACLU Detainee DeathII ARMY MEDCOM 440

AUTOPSV REPORT(bX 6)
AnAH, Khlliflh IlImldl

7

arc free oflhrombi. The mesenterie vessels Ire llI'n~mlrklble. The heart weig.h$ 45().
KJWTlS (pmIieled hean weighl 20S-4J9·gnms for I ISI·pound 11llIl'l).

LIVER" BILIARY SYSTEM:
The hepetic capsule is smooU1. Jlistenilllland imlCl, oow:ri"i dirt,; red-brown.
moder.tely Congesled perenchynuo with no focallesiOlIs PRlenl. The gellbladder
roIlllil\$ SO·milliliters of y.ree:n·brown, bile; lhe m\ICOSI ""'" velvety and unmTUlrk.blc.
The exll'llhepalic biliw'y I , " is plteDl. "';lhoul cvidcn« of nkuli. The liver ...'Cighs

1960·grlms.
SPLEEN:

The 300·grarn spleen Iw DsmooIh. inllC1, red-purplc ceplule. The perench)'I1U. is
maroon and congested. willi d;S\incl MaJpighian corpuscles.

PANCREAS:
The pancrcu is finn and )·ellow·lan. wilh lhe usuallobull1 IfChileclure. No mw lesions
or olller Ibnormalilics IfC seen.
ADRENALS:
The rillhl Md left edrenll Jlandsare symmetric. with bright ycllow conices and grey
medullae. No m3.UCS or areas of!lelT\OT1'fl&&e are icH-nlified.
GENITOURINARy SySTEM:
The right IIl1cl len kidneys weigh 70 and lO·g"""s. respccliw=ly. The eXlernal surfaces
arc inlact and g"lOull1. The CUt surftlCes are rc<!.tln and conge~ted .....ilh uniformly thick
c<lnio;;cs and blurring of the conicorm-dullary junctions. The pelYes are unr<:nllirkable and
lhe Urelel1llrt nonnal in course and caliber. While bladder mucosa oYcrliu an imacl
bladder ....all. The blllddcr conlDins no uri~. Thc prulilate is normal in size. with lobular.
ycllu..... tIr\ parenchyma. The seminal ''<'siclcs are unremarkable. The lCSlCS lU'e free of
mass lesion~. conlusions. or olher abl\Ormalilies.
GASJROINTESIINA L TRACT:
The nophagu, is inlact and lined by ",,1001h.l!Jey-whitc mucolil. There is a 3 x 2 'h-inch
area of hemorrhage oflhc mucosal surfaC<' in the fundus of the stomlll:h. The slomach
contains approximately 2S0'mi llililers of lhick brown nuid with fragments of p.anially
divcsted food. The duodenum. loops of snlall bowel. and colon arc llnl'l!marlulblc. The
appendix is pre~n1.

Museu La-SKELETAl. SYSTEMi
MU$Clc development is normal. No bone or joint abtlormalilics or i'liuries are noted.

MEOCOM ().4.041

ACLU Detainee DeathII ARMY MEDCOM 441

•

AUTOPSY REI'ORT (b)(6)
ATIAIt. Khllifah Jbll:lldl
ADDITIONAL PROCEpUR£S
•
•

•
•
•
•

Documentary pholOpphs we taken by QAFME stalT pOOI0Jr8.phers
Specimens ~tlinoed for 10.ic:ologic: testillg and/or DNA identification are; han
blood, vitreOus 1111id. ea5fTic eolltentS. bile, $JlIeen, livC!", IlII1¥. kidney. brain,
Iclipose tissue, and psoas mUKle
Full body ~ioaraPhs we ob~ned and dnnonsttate the Ibove findings
Selecla! portions of 0l'lans all' retained in furmalin, histological slides all'
p~ed of selected orsans
The di!Rctcd 0fi&IIS ~ fOfWankd with the. body
Pet'$OlIDl dfecll are released 10 the mortuary arraiB repre5enlilives

MICROSCOPIC EXAMINATION
Selected ponions of O\illns all' retained in formalin.
SLlPl; SUMMARY;
I. Left Ulterior delCcndine eoronary
~.ry

2. Riehl coronary artery
3. Circuml1ex coronuy artery
4. Circumflex coronal)' artery with

""""bo,

S. Rieht ventric:le
6. Septum

7. Left venukle
8. Anterior left ventricle
9. Lat~-nJ left ventticle
10. Kidlie)'. lune
II. Spleen. lung
12. Liver, hUll
lJ. Kidney, lung
14. Aort&.lung

l. Canliovasculal (/l1·9, 14); IlillOloeic sections of th<' letlc Ullerior descending and
righl coronary amries demonstrate al leasl9O'K luminal narrowing by fibroea!eiflC:
plaques. Sections of 1M !eft circumflex oomnary artery show Kute ruplure ofa
fibroalhcroma with occlusive thrombus and ~terthen 90% h,rminallWlOw;ng. Focal
myocyte hypertrophy is Ken in mJcrolCOpic s«tLonS oflhe right ventricle and "'!"urn.
Hislolog;c Jeelions of tile left ventricle show the Pl'C5l:llee of contraction bands, a
Ileutrophili<: ;nfihlllte, tr&n5mullll replKement fibrosis, intC\'$litial fibrosis. and focal
myocyte hypertrophy. Fibroc:alcifie plaquoe:s are iIffi\ on microscopic evaluation of
rcpresentatlve- sc<;\ions of tile aona.

II. Pulmonary (III 0·14): Vascular ron~Jtion. no significant patholoeic diagnosis
Ill. Liver (~12); Vasclilar eon~stion. no siGflifieant pathologie diagllO$;s
IV. OenitOllrillary (1110, 13): Kidneys demonstrate aneriosc1erosis, focal
~Ieros;s and focal tubular necrosis

~Iomerular

V. Spleen (III I); Vascular con~stion. 110 sill"ificarll p3loologic diagnosis

MEDCOM 0442

ACLU Detainee DeathII ARMY MEDCOM 442

AUTOPSY REPORT (b)(6)

,

]

ATI"'H, Khalifah Hamadi
QPINIQN

This 57_year_old detaine~Jb}(6)
died Man Acute Myocardial
Infarclion. An acute thrombus was identified in the left circumflex coronary artery.
Microscopic and gross eXJllllinalion of the hean demomtraled evidence of an Kute and
healed infarct ~vere coronary atherosclerosis ofthrcc vessels (left anterior descending,
righl and leA circumnell coronary arteries) WlIS noted both on gross and microscopic
examination. His heart weighed 450-groms and the expected hean .....eight for his size
(11l2-pounds) is 344-grams with an upper limit of 439-IV3fIIS. No signifiCllnt traumatic
injuries were identified at aUIOpSY. Toxicology lesL'l fOI ct/wnCIl. sc",ened drugs of ahuse.
carbon monoxide, and cyanide an: negative. Supratherapeuli<; levels ofmeloprolol .....ere
detected in th<; blood. TIlcsc levels an: significantly below toxic or lC'lhallcvels and an:
u~lated to the <;ause and maimer of death.
The manner of dealh is natural.
(b}(6)

(b)(6)

@'b~'~"~'==JMMed;<;al

Examinel

(b}(6)

MEDCOM 0443

ACLU Detainee DeathII ARMY MEDCOM 443

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MEDCOM 0444

ACLU Detainee DeathII ARMY MEDCOM 444

ARMED FORCES INSTITUTE OF PATHOLOGY
orner oftbe Anned Foret:! Medlnl Euminer
1413 Research Blvd.• Bldg. 102
Roch·ille. MD 20850
1-301-319·0000
AUTOPSY EXAMINATION REPORT
Name: BTB Muhammad H1lJ]Iad, Bnayyan
Internment ~~LNnllP)(§}
Dale OfBinttj(bU&t_JJ93 1
DaleofOtadrb)(6)
2006
Dale!Time of Autopsy: 04 DEC 2006
@12oohrs
Date of Repon: 17 JAN 2007

AUlopsy

NO.~~g{b~)~{6~)::::~
-----l

AFJP No.: (b}(6)
Rank: Dcuinee
Pl~o(Dealh:

Iraq

PiKe of AUlopsy: Pon Monuary. Dover
AFB, DE

of Death: This 75 ycar-old elderly ma.le civilian detainee suffered a
prolonged hospitalization due 10 pnewnonia and eventual !ltplie and eardiog"nie shock
wlliell progressed to mulli-organ system failure. '1l1e ethies committee of llie Camp
Cropp"r TlF Hospital determined that eontinuation oftreatmenl ",as nol warranted due to
futility. Aeeordin,gly, <:ardiac support (vasopresoors) was Wilhdrawn and the detainee
expired.
Cluum~tlneel

AUlhoriZlltioD for Autopsy: Officc ofllle Anned Forces Medical Examiner, lAW 10
USC 1471
Identification: Presumptive identification based on accompanying p3p"rwork
CAUSE OF DEATH: Acute and OrgaaWDI mrru.st AlveOlar I)lmagt
MANNER OF DEATH: Natural

MEDCOM 0445

ACLU Detainee DeathII ARMY MEDCOM 445

AUTOPSY REPORT~(6)
BTB Mullamrnad Hamad, Bnyyan

2

FINAL AUTOPSY D1AGNUSIS
I.
Pulmonary Systcm:
A.
Aculf and OrganWnl mm.lSf Al~tolar I>amagf (Lunl WfillllSRighi 1ll8o.gnnu; Lth 17SO-gnms)
B.
Silico-allthruOlic NGlluies
C.
Bilal"..1Plfu...1Adllnions
D.
Bilalfnl ~I"1lUS Pleu...l Effusions (Leh lOO-milliliten; Righi 100·
mlllililen)
n.
Cardiovascular System:
A.
Hrart Wfilhl 460.gnm,
B.
~I"1lUS Perkardial Effmlon (50-mlllilJlfn)
C.
Mild AlheT'OulrrOlls of Ihf Aorta
D.
Chronic Innammation of the Epicardium
Ill.
Hfpalobilliary Sy~tem:
A.
Panl~e Congntlon {Livfr Wfigbt I'SO-gnms)
B.
Adhesions BrtwKn lbf Liv... and 80lb Hfmidiaphnlms
C.
Mild Portal Triadhis and Fibrosis
IV.
Rfhculoendolbflial Systfm:
A.
CongtsliOllllftbf Splfftl (SplKn Wfigbl2SO-gnms)
B.
Adbeslons Bttwun lllf SplKn and Mulliplf Loops of Howfl
V.
Gastrointestinal Sy,tfm: Abdominal AdhfsionJ
Cfnilourinary Systfm:
VI.
A.
Simplf Cortical CySIS of BOlh KidnfyS
B.
MUd Cbronic I')'floafpbrllil
C.
Benign NfpbrosclcroJis (hyallnf artfriol05clfrosls)
VIl. Othfr findings:
A.
Anasarca
I. !SO-millllfn ofucitn
B.
Multiplf Decubllus Ukfn:
i.
Rigbt forearm, \Ii-inch
Ii.
Right BUllock (4), Ranling From II,-inch 10 I-inch in C~lflll
Dimcmion
ill
uft BUllock (2), 2-lacb and 2 'I.-inch
iv.
Left PostftiorThigh (2), Yo-iacb and Y,-inch
v.
Righi Knu (2), I-inch and I \Ii-inch
~i.
Lfft Knef, l-ineh
vll.
Righi Leg, Y....incll
viii.
Righi Latfrlll Malltolus, \Ii.inch
ill".
Ldt Latf... t MaUtoluJ, Y,·inch
C.
Blister of Illf Righi Hul
D.
Skin Tag: Right Should...
E.
Mulliplf Brown and Whitf Macules On thc Torso and [.I",mllics
F.
Dryillg and Cndl.ing oftbf Lips
C.
Drying and CradrJng ofthf Planfar SurfaCfl of Both PUI
VIII. Evidfnce of SignlficanlllljuF}': None
LX.
[vldellee of Medical Inlfrvention:

MEDCOM 0446

ACLU Detainee DeathII ARMY MEDCOM 446

AUTOPSY REPORT J~"j)(~6)~=~
8T8 Muhammad Hamad, BoaYYIlll

X.

A.
8.

Traeb_tomy
EKG Lead! on th~ Antuior TOl1lo

C.

Right Chest Tllbco

D.

PerculllIIeCllll EndOicopic Gastrostomy

Eo

Stapled Vertlcallllcbl(lD orlbc Abdomen, 7-lnches

F.

Dressings:
Runock.t (3)
l.
Ii.
RighI Knee
AbdQmtn

I...

Cbtst

v.

Ne<:k

G.

Foley Catheltr

H.
I.
J.

Ar1crial Line, RighI Wr\1I
)otrntnOUI ActuS, RilCbl Subdavillll
Multiple Needle Punclure$;
i.
Subclavian (4)
IL
Left Wrist (1)

....n

POIl-morlem Chlngu:
A.
B.

XI.

m.

J

LividIty;' fixed on the posterior ,unaet of the body u«pl in Ire.,
uposed to prQ.$ure
Rigor hu pund
Skin IHppag.

C.
T01kology (AFtP):
A.
CARBON MONOXIDE: The carboKYhemoglobin uturalloo in lb.
blood is 1·,..
B.
CYANIDE: No cyanide is defected in the blood
C.
VOLATILES: No fIb_polis detected in Ibe blood and "llreolls nuid
D.
DRUGS: No sereeotd drugJ of abu.w or medicalions are delected in
tbe blood

MEDCOM 0447

ACLU Detainee DeathII ARMY MEDCOM 447

AUTOPSY REPORTl~b}(6}
BTB Muhammad Hamad, Bna}'}'aB

I

4

EXTERNAL EXMUNATIQN

The bod}' is lhat of a wei l-dcveloped, well-nourished appearing 611 >'rincll lall. 198pounds malc wllose appearan<.:e is comment with the reponed age of7S-yelll'S. There is
gel'll9"a1iw:! edema of the torso lllld extremities. Lividily is fixed on the posterior !lIIface
of the body except in areas exposed to pressure. Rigor has passed. The body is cold 10
the touch. The body is lying on blue hospital chucks.

There is a male p8nem baldness hair distribulion. The irides are bown, and lhe pupils an::
round lllld equal in dilllllcter. ~ extemal audito!)' canals and can are lIIUCmatkable.
The nares are palenl and lhe lips are all1lumalic. The oost: and maxillae arc palpably
slllble. The teelh appear nalu!'lIl with excess WcaT. The denlition is poor. The face is
edemalOus. The li~ arc dry and c!'llcked.
The neck is straighl. lllld the tl'l1Cllea is midline: and mobile. The cllest is symmetric. The
abdomen is pmtuberanl. There. is a \trincll muoo scar on the luwer abdomen. The
~nilalia arc those of llll adult male. The penis""" scrolum are edeml.lOUJ<. The lestes
are descended and free of mllSSCS. Pubic hair is present in a nonnal distribulion. The
llllUS is unremarkable.
Multiple decubitus uJeers are observed on the: righl forearm, \4·inch; righl buttock (4).
ranging from Y._inch to I-inch in greatest dimension; left bUllock (2), 2·incll and 2 'I•.
inch; left posterior thigh (2), 'I.·inch and \4.inch; right kn~ (2), I·inch and I 'h-inch; left
knee, I-inch; right leg, \I,·inch; righllateral malleolus, 'h-inch; and left lateral malleolus,
'h-ineh. One of !.he dccubilUS ulcers on lhe left bUllock extends inlo lhe underlying
mus<:le. There iii a bliSler on the righl heel. I. skin tag on lhe righl shoulder lllld multiple
tan and while macuJes on lhe extremities and torso.
The upper and

I~ ex~mitie5

are symntetric. The plantar surfacn of both feet are dry

=-::J

and cracked. [(b){6)

CLOTHING AND PERSONAL EFFECTS
The following clothing ilemS and pc~nal effccts are preliCnt on the body at tllc lime of
autopsy: The body is received unclad. There is a green personal effects bag tied to the
left wrist. The contents oflhe bag arc docwnenled photograpllically. The bag contRins
foreign and United SlalC$ eum:ncy. pcTSOnal papers, lWO pholOS and an idenlificl.tion
brncelCl
MF.DICAL INTERVEJ\TION

The follo,,·inll
•
•
•
•
•

medieal inteJ'\lentions IJe presenl on lhe body at !.he time of aUlopsy:
Trnclleostomy
EKG Leads on Ihe AnteriorTorso
RighI Cllest Tube
Percutaneous ElId~pi", GaslJm:lumy
Slapled Venital Incision oflhe Abdomen, 7·inches

MEDCOM 044B

ACLU Detainee DeathII ARMY MEDCOM 448

,

AllfOPSV REPORT (b)(6)
BTB Muhammad Ihlllad, BDayyall
0

Dreu1nas:
0
0
0
0
0

0

•
0
0

BllttOCks (l)
Righi Knee
Abd_
0...

N'"

foley Catheter
Arterial Line, Righi Wrist
Intravenous Aeee:ss, Righi Sube!avian
Mulliple Needle Punctwes:
• Left Subclavian (4)
0

Left Wrist (I)
RADIOGRAPHS

A complete sel ofposln\Oftefl'l radiopphs and eorTIpulerittd tomotnlphy ~ are
~ined and demonstrates

•
•
•
•

the following:
ColllOlidatiOIl of both IIlIIIS
Pericartiial effusion
ConUUl lnthc disul colon
No blunl force or pellet. aUrIi injuries llJe detecled radio8fllphically

EVIDENCE OF INJpRy
Thc..e is no evidence of any si""irIcanl injury.
INTERNAL t;XAMINr\DON

HEAD:
The saleal and ",bgal"1 soft tiiS\leS of the lealp are free of injury. The calvarium is
intaet. as is \he dW1l maIer beneath iI. Clear om:brospinal fluid SUlT'O\lnds lhe \44()..gram
bnin, which has unremarkable gyri and sulci. CoronalscelionJ demonstrale sharp
demarcation bet....ftII while and ll1"y manu. without hcmorTha,ge orconlusive injury.
The ventricln are ofnonnal size. l1lc bassi lanalia. brainslem. cen:bellum. and anerial

S)'SIC1TIS arc free of injury Of' otber abnormalities.
1IlanlCHlCCipital joint ill sable.

"""= ~ no skull fractures.

The

Iil&<'

1lle Interior ,trap muscle, of the neck are homoscnous and R:!d·bro,,'TI. withoul
hcmottba¥e. l1lc thyroid carliJaae and hyoid IRl intact The larynx is lined by Inllcl
while mucosa. The thyroid is symmctrk IUId recI-bro....ll. without cystic or nodular
change. The IO~ is free of bite marts, hemotthaae. or cnhe. injuries.

BODY CAVITIES:
The ribs, "emum. and vcnebral bodies an: visibly and palPl'bly inUle!. Thc~ is 100millllttrs ofserou, fluid in bolh chest cavities, 'so·milliliters of serous fluid in \he
pericardium and 2S0-millililers of serous fluid in the peritoneum, The organ' occupy
lheir usual IJIltomic positions.

MEOCOM 0449

ACLU Detainee DeathII ARMY MEDCOM 449

AUTOPSY REPORT (b)(6)

6

8TH Muhlmmad lIamad, Bnayya..
RF.,SPIRAIORY SYSTEM:
The right and left lungs weigh 1880 and 11So-Itfalll$, rrspo:etively. There arc: limK
adhesions betWttn both 1\lflllS Ind the pkWll and bolll hemidiaplnanu. The extmlal
swfaces an: rou&J1, irregular and W1-bro....lI. The pulmor'la/')' partl'lChynu. is diffuKly
congeSled, edemalous and finn. There an: mulliple SIUS of1.&ll consol~lion preKnt in
botlllungs.
CARDIOVASCULAR SYSTEM:

The 460-&rSffl heart is eonlained in an inlacl ptriurdial sac. The epicardial surface is
smooth. with minimal fll inveslmcnt. The: coronary artaics are present in I nomal
distribution, with a right-dominaru paltcm. Cross stetiollli of lhe w:ssels show wide:
palmey. Thc myocardium is homogenous. red·broWlt, and firm. The val,~ leaflets arc:
thin and mobile. The walls of the left and righl vmllieles an: 1.1 and 0.4-<:entimelCrs
thidt, respectively. The endocardhun is smooth and glilileninil. The tlQrta gives rist 10
t~ inlaCt and patent arch w:ssels. There ill mi Id Itherotclerosis consisting of filly
streaks in the tlQltI. The: reDllI and mesenterie vessels are ul\fCntarkable.
LlyER &: BILIARy SYSTEM:
The 19S0·gram liver Iw lit inlact, smooth capsule and I sharp IItlcrior border. The
parenchyma is 1.&II-broWlt and congested. with the usual lobular archileCI~. The cUt
surfICe hwi a ~nulmcl( appeantnee. No mus lesiollli or olhcr abnonnllilics Me Ken.
The gallbladder conCains I 2o-milUters of grec:n·bhlCk bile and no stones. The mucosal
surfaee iSllrecn and velvely. The excmltepalic bililry tree is patent lbcre are adhC5iollli
between the li\"Cr and boch hemidilplu'allms.
SPLEEN;

Thc 2So-gram splcen has a smooth (in areas not involved by adhesions), inlact, red_
pwplc clpsule. There arc adhesions belween llle spleen and multiple loops of small
bowel. The: pilrenchyma is maroon and congested, wilh distincl Malpillhiln corpuscles.
PANCREAS:
The pancreas is firm and yellow-Ian, with the usual lobular ll/'ChitKcure. No mass leliions
Or other abnormalities are seen.
ADBEN6LS:
The right and left adrenal Wands a~ Jymmelric. with brighl yellow cortices and Ii~Y
medullae. There is significanlautol)'s;s SoCC1l. No maJSCll or areas of hemorrhalie are
idenlified.
GENITOURINARy SySTEM:
The right and len kidne)'s each weip 22o-grams. The eJllemai swfa«s are intaeland
grtUlullll". The: cui surfaces an: red-tan and oonlCSled" ....i th uniformly thick cortices and
sharp conicomedullill)' jW1Ct;01U. lbere are mulLiple smooth walled conical cym
identified in both kidneys- The IlIfFI cyst me3$LIl'CS I \.\-cenlimetcrs in diamckr. The
pelvcs are wtremarbble and the ureters arc t>OmIll in COW'K and caliber. The bladder

MEDCOM G45Q

ACLU Detainee DeathII ARMY MEDCOM 450

AUTOPSY REPORT (b}(6)

7

BTB Mubammad Hamad, Bnayyan

mucosa overlies an intact bladder walland is focally hyperemic. The bladder oontains
approximately 5-millililers of clear yellow uril\e. TIle prostale is nonnal in size. with
lobular, yellow-tan parenchyma.. The seminal vesicles an: unremarkable. The tcstes arc
free of mass lesions, contusions. or oIlier abnormalities.
GASTROINTESTINAL TRACT;
The esopllBgus is intact and lined by smOOth, grey-white mucosa. The s!Olllach;s empty
and thert: is very mild erythema of the mucosal surface. The gastric wall is intac!. The
duodenum, loops of small bowel, and colon are unmnarkable, There an: multiple
adhesions between the snull bowel, oolon and splccn. The appendiK is prt:seTlt.
PULMONARY PATHOLOGY CONSULTATION (AIiIP)

08 JAN 2007
-Acute llrllanizing diffuse alveolar dmage
-Silico-anmoolic nooules
Lungs show mostly organizing diffuse alveolar damage \\ith focal acute areas (h),!,line
membranes). As is typical of palients on a respira\(lr, thert: is focal acute innammation.
No organisms art: sccn on OMS. Stains for CMV. adenovirus and herpes virus are
negative.
MICROSCOPIC EXAMINATION
• Lung (Slides I through 5) Sec pulmonary plltholollY consultalion.
• Kidney (Slide 6) Thert: is a simple cortical cyst and mild chronic inlerstitial
innammation with occasional sclerotic glomeruli. A rare inlerstitial eosinophil is
secn. Some of the tubules are distended and have atrophic epithelium and conwn p
pink gnmular matcrial (mild "lhyroidization There is a mild narrowing of the
lumens of aneriolcs eauscd by thickening and hyalinization of their walls..
• Liver (Slide 7) There is congestion of the ccntrilobular sinusoids and peri-ponal
and pottal chronic innammat;on. Occasional acute infllmmatory cells are seen,
Mild fibrosis is secn.
• SplecT1 (Slide 8) The splcCTI is congested and otherwise U1\1emarkablc.
• Brain (Slide 9) There are no significant pathologic findings.
• BJadderlProslale (Slide 10) l1Icre are no significant pathologic Iindiogs
• Heart (Slides II throug.h J3) There an: chronic inflammatory cdls secn in the
epicardial fal. Otherwise there arc no significant pathologic findings.
M

).

MEDCOM 0451

ACLU Detainee DeathII ARMY MEDCOM 451

AUTOPSV REPORT (b)(6)

8

BTB Mubammad Hamad, Bnayyan
ADDITIONAL PROCEDURES
I.

2.

l.
4.

s.

6.
7.

DocUIllC'IIllU)' pholOgraphs ~ lIlkell by OAfME §Illffphotographers.
Full body flIdiogrophs ~ obtained and demonslfllle no sigJIificant blunl fon;e or
penetraling Irauma
Specimens relllined fOT loltkology testing 8IId1or DNA idenlitiCllliollare: Blood,
,'ilTeous fluid, bile, urine, brain, lung, li~r, splef:n, kidney, adipose lis!il.le and psoas
muscle
The dis$eCled organs lITe forv.-arded with the body.
Selected portions of organs are retained in formalin. llislologic 51 ides lITe prepared
on: Lung. kidney, liver, spleen, brein, bladdCT and hean.
Personal effects are released 10 Ille app:opriaic mortullty-'1'Cralions reprcsenlalivcs.
Idenlifyin~ marks include: A llIttoo on[(b)(6)
t(b){6)
J
OPJNION

This 75 year·old ITUlle, BTB(b)(6)
Idied of &CUle and organizing
diffuse alveolllT damage. The eliology of this CQndilion is most likely the previously
clinically diagnosed and trealcd pneumonia. Complicalions of these wndilions included
a clinical hislory ofsepsis, shock and multi-oJ'lOlll sy!item failure. Multiple decubitis
ulcers WCrt: seen on eJllemal ex"",inalion and are most likely due tn prolonged
hospitalization with II debil itating jllne'n. The lo:ticology screen is negative for cyanide,
ethanol, and screened drugs of abuse and mediClllions. The caroo:tyh<:molliobin
salW1ltion WlIS not elevated. Th", mwmer of death is natural.
(b){6)

(b){6)
(b)(6-'-Medical Examiner

MEDCOM 0452

ACLU Detainee DeathII ARMY MEDCOM 452

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MEDGOM 0453

ACLU Detainee DeathII ARMY MEDCOM 453

ARMED FORCES INSTITUTE OF PATHOLOGY
Offiee of the Armed Forces Medical Enminer
1413 ReSCll1Ch B1~'d,. Bldg. 102
Rockville, MD 20850
(JOI)319-0000

FINAL AUTOPSY REPORT
Name: MUHAISIN. Jam~'~C==
Iraqi NationalJ)elain~[(b)(6)
Dale OfBirthi~(~t..J19J7
Dale ofDcath:(b)(6) J 2006
Dale of Autopsy: 04 DEC 2006@ 1230
Dale ofRepo": 16 JAN 2007

Autopsy No: (b}(6)
AFIP No:'(lVill
Rank: Civilian
Place ofDealh: Camp Bucca. Iraq
PlllCC of Autopsy: Dovcr AFB Port Mortuary,
Dela"'-aAl

J

[was

Circumstante$ of Ikllth:!(b){6)
a 69 ycar-old male. Iraqi National. held as a
detainee in Camp Bucca, Iraq. He reportedly S\llTered 11 myocaniial infat(tion on 2J November
""hieh Will complical<:d by post·infarttion arrhvtmias. Despite advanced care including
2006.
cardiovcrsion and inl\lbalion he died on (b)(6)
Authorizalton for Aulopsy; Office of the Armed Forces Medical Examiner. in aewn1ance with
Tille 10 US Code. Section 1471 (10 USC (471)
I dentifiutlon: Identification established by invtst;g.llh·e agency

CAliSE m' DEATH:

Atherosc]erol;e CardlovlUculir DiselUe

MANNER OF DEATH, Natural

Page 1 of7
MEDCOM 0454

ACLU Detainee DeathII ARMY MEDCOM 454

Muhauin!lb}(6}

AUTOPSY DIAGNOSES:
I.

A.Heart:
Cardiomegaly, 540 grams
Calcific slcnosis. 60% of the lell main coronary artery
Calcific slenosis. 99% of the proximal left antcriordescending coronary artery
Slenosis, 8O'Y. of the proximal righl coronary arlery
Acute myocardial infarelion. left venlrieulo--septum
Severe aortic alherosclerosis with plaque erosions

B. Lungs:
Marked bila1eral pleul'lll and inlraparench)"lTIa.l anthrocolie pil:"lcnl deposition
Marked pulmonal)' edema (combined lung weight 2000 gm)
Bilateral pulmonary effusions; 500 ml right, 400 left
Acule bronchopulmonary and lobar pneumonia
Emph)'scma

C. Kidneys: Arteriolonephroselerosis
D. Thyroid Gland: Pollicular adenoma and nodular hypelplasia

E. Proslale Gland: Benign nodular hyperplasia
II. No eXlernal injuries

III. E"idcncc: of medical lrl:almenl includes placement of a rlJlSOgllSlric lube: cndotrocheal tube
intravaseuJor devices in the left side of the neck. boih antecubital fossae. ldl wrist and
len groin; needle puncture marks with $UJTounding ecchymosis on the back oflhe right
hand: cardiae monilor/defibrillator pads on lhe anlerior chest and abdomen; a Foley
catheter is in thl: penis
IY. Toxicological eUOlinlitron:
VOLATILES: The blood and vitrt:OlLS fluid are DCgalive for ethanol at a cutoff levd of
20 rng/dL.
CARBON MONOXIDE: The carboxyhemoglobin (COHgb) SIItutlltion in the blood is
less than 1% as delennined by spectrophotometry with II limit of quantibtion of 1%.
Salurations above 100Ao are oonsidered elevaled and are confinne<! by gas
chromalograplly.
CYANIDE: There is no cyanide detected in lhe blood. The limit of quanli18\ion for
cyanide is 0.25 mg/L. Normal blood cyanide concenlralions are less than 0.15 mg/L.
Lethal concentralions of cyanide are g.rea.1er than 3 mglL.
IJIWGS: The blood is screened for amphetamine, antidepressants. antihiS!lllttines.
barbiturales. benzodill7..epincs, calU1abinoids. chloroquine. cocaine. dextrometoorphall.

Page 20f7
MEDCOM 0455

ACLU Detainee DeathII ARMY MEDCOM 455

M"haisin (b)(6)

lidocaiM. naR:Olic: analgellic:s. opiates. phenc:yelidi~. phmothillZines. sympathomimetie
and verapamil by gas ehromatography, eolor tesI or immllllO&SS&Y. The followina
drugs are detected:
(I
Beruodiaupine, Miduolam, is detected in lhe blood by immWlOllSSay and
eonfirmed by ps ehromalographylmus spectn;lmelry. The blood eontains 0.08
m&fL of Miduolam as quantitated by gas ehromalOgraphy/mass SptClfOn1etry.

ami~s

Benzodiaupine, Alphahydroxymidazolam (a metabolite of MidI201am). is
detected in me blood by gas ehromalOllraphy and eontinned by gas
ehromatography/mass spectrometry. The blood eontains 0.03 mJl/l of
Alphahydroxymiduolam as quantilaled by gas ehromatography/mass
speetromc\Ty.

(I

o Bell7.odiaupine,

(Lornepam), is ddeeled in the blood
chromatography/ll\lU speetrometry. The blood conlains 0.033
Lol"Uepartl as quanlilllted by gas chromatography/mass spectrometry.

by ...
m¥il of

Lidocaine is delected in the blood by immunousay and eoniimled by gas
ehromatography/mass Speclrometry.

(I

EXTF.RNAI, EXAMINATION

The body is lhat of a well.developed 67·ineh laJi. 164 pound Caucasian malc whose appclU'llnee
is consistent with the reported age of 69·yea.,. Lividily is fixed on the po~lerior aspecl of the
body and rigor has passed. The lempenl1un:: is cold, thal ()f the refr;geraliOl\ unit,
The scalp is ~'Ovt:n::d wilh brown hair ",ith fronlal balding and lemporal lP"eyinll. Flll:ial lllir
consists of a brown mU5laehe. The irides arc brown and the pupils an:: round and equal in
diameter. The external audilOry canals an:: free or rortign malerial. The ears an:: unremltkable.
The nares are palent and lhe lips are atraumalie. The nose and maxillae are palpably liable. The
teelh are nalural.
and the traehea is midline and mobile. The ehesl is symmetric. The
abdomen is moderalcly protuberant The gcnilalia are those of a normal lIdull eirtunleised male.
The lesles an:: descended and fn::e of masses. Pubic hair is pn::senl in a normal dis!ribut;on. The
bunoeks and anus are unranarkable.

The nt:ek is

The

~tr1lighl,

up~ and

lower extremities are symmetrie and without dubbing or cdema.

CLOTlUNC AN" PERSONAL EFfECTS

The deceased is unelad and pcl'J'lOnal efTeclJ arc not pn::sent on the body at the lime: of autopSy.

Pa.,.e) of7
MEDCOM 0456

ACLU Detainee DeathII ARMY MEDCOM 456

Mubll'inl (b}(6)

MEDICAL INTERVENTION
E~idence ofmedicaltreatrnent includes placement of a nllSOgllStric tube Ind endotrachealtubc;
inuavascuJar devices in the left side of the neck, both antecubital fossae, left wrist and left groin;
needle puncture marks with surrounding ecchymosis are on the back of the righl hand; cardiac
monitor/defibrillator pads on the anterior cbest and abdomen; II Foley catheter is in Ike penis

RAmOGRAPHS
A complete set of postmortem mdiogmphs is obtllinc:d and shows no acute injuries or
abnomtalities_
EVlDENCEOF INJURY
l1lere

are 110 external injuries.
INTERNAL EXAMINATION

HEAD: The galea! and subgalelll soft tissues of Ihe sulp are free of injury. The calvarium is
intact. as is the dUTll mater beneath it. Clear cerebrospinal fluid SUrT(lunds the 1320 gin brain,
which has unremarkable ll)'Ti alld sulci. Coronal sections demonstrate sharp demlUCll.tion
between white and grey mailer. without hemorrltage or eontusive injury. l1tI: ventricles are of
normal siu. l1le basal ganglia. bniinstem, cerebellum, alld arterial syslems are free of injury or
other aboormaJities. There are no skull fmclures. The atlanto-occipital joinl is ~le.
~: The anterior slrap muscles of the neck are homogenous and red-brown. withoul
hemotthage. The lhyroid cartilage and hyoid are inla(:t. The larynx is lined by intact white

mucosa.
The thyroid gland is bilaterally enlarged llIl(\ nodular wilh cystic changes. greater on lhc righl
rhan left. A well circumscribed I em nodule is on lhe lefl lobe and frequenl cysts, mnging in size
from \ to 2 .. m. are present. The right lobe shows sevenll cySts ranl:ing from Ito J em in ~alest
dimension. A poorly defined 2 em nodule is present and on se<:tionih8 contains dark brown fluid.
The longue is free of bite marks.llcmorrhage. or other injuries.
In<:isioh and dis.<;ectioll of the posterior neck demonstrates no de<:p paraeer\'ical muscular injury
and no cerviCIII spine f1'&Ctures. 1.(lngitudinal inci,ions of the: back. bunocks., thighs. ankle, and
"'Tist r.how no evidence of injuries.
BODY CAVITIES: The ribs, Sternum, and vertebral bodies are visibly and palpably intact. No
excesr. fluid is in the pericardial or peritoneal cavities. The righl cher.t cavity conlains 500 ml of
serosanguinous fluid lind the left contains 400 ml of ICrosanguinous fluid. The organs occupy
their usual analomie positions.

Page 40f7
MEDCOM 0457

ACLU Detainee DeathII ARMY MEDCOM 457

RESPIRATORY SYSTEM: The right lind left lungs are grossly edemalous and .....eigb 1140 lind
&60 gm, respectively. Bilateral pleural adhesions an:: easily broken witll gentle dissection. The
exlernal surfaces arc ol/tcrwisc SlIlooth IIlld dcql red-purplc wilb marked deposilion of
antlwcotic pigment on tile pleura and wilbinthe lung parencbyma. The pulmonary parencbyma
is markedly congested and edemalOus. No mass lesions or areas of consolidalion an:: pTCSCIlt
CARDlOVASCULAR SYSTEM: The 540 gin Ilea" is contained in lin inlact pericardial sac.
Tile epicardial surface is smoolll, wilh minimal falinveslment Tile coronaT)' aneries arc presenl
in a normal distribution. Wilh a right dominant pallem. Cross scuiolls of lhe vessels show
marked allieros<:lefOsis:
- 99% (pinpoint lumen) calcific alenosis of the proximal left anlerior descending coronary
aner)'
·30% calcific slenasia Oflhe proximalla mid righl caronary mery
.60% calcific slenasis of tile left coronary anery

The myocardium is homogenoll$, red-brown, and linn. The valve leaflets are lhin and mobile.
The walls of the left and rilllll ventricles are 1.7 em and 0.5 em thick, respectively. The
endocardium is smootll and glistening. A definilive area of myo-necrosis ia nol identified. The
llO"a shows marked erosi....., alherosclerosis a1anllthc loolllCic and abdominal segments.

LIVER & BII.IARY SYSTEM: The 1960 gill liver has an inlact. smooth capsule:ll1d a sharp
anterior border. The parenchyma ia lan-brown and congested, with llie usual lobular
arcllileclure. No mass lesions or Olher abnormalities are seen. The gallbladder contains J5 ml of
green-black bile and no Slones. The mucosal surface is green and velve!)'. The extrahepatic
biliaf): tree is palent.
SPLEEN: The 260 Illll spleen has a smooth, intact, red-purple capsule.
mll1'OOn and congesled. willi distincl MaJpighian corplL'I(:\es.

The parenchyma is

PANCREAS: The pancreas is firm and yellOW-ian, with lite usua.llobular arehitcclllre. No mass
lesions or Olher abnormalities are SttR.

ADRENAl S: TIle right and left adrenal ~l!flds are symmetric. with yellow cortices and grey
medullae. No ma.~s or areas ofllcmorrhagc are identified.

GENITOURINARY SYSTEM: The right and left kidneys are nodular: lhe righl kidney "'eighs
160 gm and the left weillhs 140 gm. The extemaJ surfaces are rough and granular and the
capsules slrip Wilh difficulty from the co"ical surfaces. Thc CUI surfaces arc red-Ian and
The pelves are
congesled and lhe corticomedul1ary juncliolls an:: poorly demarcated.
unremarkable and the urelcrs are nannal in course and caliber. While bladder mucosa overlies
an inlact bladllcr wall. The bladder is emply. The prostalc is moderately enlarged. with labular,
)'t'l1ow-lan parenchyma. A l.cm, well eireumscribed nodule occupies llle right lobe. The
seminal vcsicles are unremJlrk.able. The testes are free of mass lesions, contusions, or other
abnormalities.

Page 5 of7
MEDCOM 0458

ACLU Detainee DeathII ARMY MEDCOM 458

Muhlisln (b)(6)

-~

GASTRQINTESTINAL TRACT: The esophagus is intlll;t and linnl by smooth, grey-white
mucosa. The stomach eontAins approximately 50 mJ of dark brown fluid. The gastric wall is
inUte!. The duodenum, loops of $ll\aJl intestine and colon are unremarkable. The appendix is
present

MICROSCOPIC EXAMINATION

SeleeLed portions of organs are re1ained in fonnalin with prepnration of the following histolog.ic
slides:
l.
Brain: frontal cortex and hippocampus -110 pathologic abnormality
Brain: pons - no pathologic abnormality
2.
J.
Brain: ccrebellum - no pathologic abnonnwity
Thyroid gl.nd. len - follicular adenoma, 1cm
5/6. TI,yroid gland. nghl -nodular hYP"l'JIlasia (fld~malOus goiter): follicular adcllOlIl1I. 0.5

,.

om

7.
8.
9.
10.

Prostate gland - bcnill" prostatic hyperplasia
Corol1lU')· artery, proximal LAO - confinns t~ J:TOSS OOOel"\'ation
Coronary aneries,lefl and ril;ht - confirms the gross observation
Hean.ldl venlride: acute inflammation with myocyte neerosis and contraction bands
Hearts: septum - acute inflammation with myocyte necrosis and contraction bands
II.
rillht ,·crttricle· no pathologic abnonnality
12.
Aona: severe lItherosclerosis
13.
Li,·er: certlro-Iobular congestion
Kidney: hyaline aneriolosclerosis: infemitial fibrosis
14/15. Lung: acute bronchopulmonary and lobar pneumonia; emphysematoUS change

ADDITIONAL PROCEDURES

•
•
•
•

Documentary photographs are taken by tbe OAJ'ME Photographer
SpecimelU retained for IOxicoJogical testing and/or DNA identification lire; vitreous
fluid, blood. bile. liver. spleen. kidney. lung, brain. psoas muscle I\1Id gastric contents
The dissecttd organs are forwarded with the body
I'ersolllll efTects are released l<) the appropriate mortuary operations representatives.

Page6of7
MEDCOM 0459

ACLU Detainee DeathII ARMY MEDCOM 459

MUhailin[(b){6)

'1

OPINION
B~snl on lh~ autQOSV findings and the invwiga1ive informal ion availabl.. to me, lh.. cause of
death o~(b}(6~
--.Jis severe atherosclerotic cardiovascular disease complicated by an acute
myocardial infarction and acule pneumonia. Additional incidental aUlopsy findings (non
contributory 10 the cause of death) include a follicular adenoma and nodular h.)'J'CfPlasia of the
thyroid gland and benign bypertroph.y of the prostate gland. ToKicology findings show
medications consist~t with ho~pi\.lll care IlO<J resuscitation.

The manner of death. is nallll8l.

(b){6)

~

Anned Forces Mtdkal Examiner 5)'Slem

Pagc70{7
MEDCOM 0460

ACLU Detainee DeathII ARMY MEDCOM 460

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00':1:\, 2064

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MEDCOM 0461

....

~

ACLU Detainee DeathII ARMY MEDCOM 461

ARMED FORCES INS11TIITE OF PATIIOWGY
Office of the Anned .'orees Medical Enm;nu
1413 Restwch Blvd., Bldg. 102
Rockville, MD 20850
1-301-319-0000

FINAL AUTOPSY EXAMINATION REPORT
Name: FURAYII AL MEHLAWY,

SSANL(~®tasi1..H~_l!!i'_-­

Alltopsy

Date ofBinh fBTB1{b)(6) 1933
t
DalcofDeatIi(b)(6)
12006
Datdfime of AUlOPSY: 4 Nov 2006@ 1000
Dale of Report: 18 Jan 2007

NO.!,!(~b~)(~6);=~

AFIP No,I(!?f(§)
~
Rank: Iraqi Civilian ~lainec
Place of~ath: AI Qailm, Iraq
Place of Aulopsy: Port Mol1llafY,
Dover AFB, DE

Circumstances of Duth: This 18 year-old Iraqi Civilillll Detainee "'1lS found
unresponsive on his sleeping mal after reportedly being suangled by another delainee.
Authorization for Autop"Y: Office ofllle Anno:! Forces Medical Examiner,lA W 10
USC 1471.
Identification: Presumplive idenrifiClluon is establiShed by a wrist idcntificallon band. A
DNA sample is taken for profile purp<!$t5 if an exemplar becomes available for positi"!:
identification,

CAUSE OF DEATH:

ASPHYXIATION DUE TO LIGATURE
STRANGULATION

MANNER OJ,' DEATH:

HOMICIDE

MEDCOM 0462

ACLU Detainee DeathII ARMY MEDCOM 462

FINAL AUTOPSY REPOKT(b)(6)
Funyb AI Mebl....I, MUDluir HUIIIM!

P'c e20f6

FINAL AUIOpsV DIAGNOSES
VI.

E"ldtnCf! of Lig_Iu~ Slraas:ulllllon
A. Thtre is. drftllnftrtJlli.l, di$coatiauOillluptrlki.' p.nemtd .bn.sloa
o. lilt aeck dtmoastralillc 11l6-IDtb periodicity, direcled boriulD,,11y
B. Thl _brallo. croua lht lupcrior 113 Oflht lhyrold cartilas:t 10 'h-lac:het
htlO'lf thllOp oflhe hud and uttndl on both lidel of the neck, pUling I
¥... lncbet I).clo.... boLb "rs, .nd mUI.riag up to ~lIcb ill ....idtb
C. 1111 layt....wlM anltllor Deck dlu«1lon demolutralet bemom.gt in tbt
deep lDlIJoCullllun (cricotbyrold mllKln), bililenily
O. Auocl.ted injuries
I. 1111 hyoid boac IIld lbyroid artiJ.gc.n ialla
2. Tbt polltrior ntck dlss<<11011 dtmODSlnlln ao iajury 10 Iht
uadtrlyllig toft tinllt
J. Tlltn: is connutnl ptttebiu illille ...lIeculae of lilt 1lIryal,
bUIltnlty
4. Ptltchln.~ pramt oa Ihe mUCH' of Ibe lo.... u lip .ad tbe riglll
Ind left bulblr Ind inftrior palpcbnl conjuacll".e
5. CoPCettiOIl ,f bolh lunp (ri&bllunl 'OG-cnml, left Inng SOO-CnmJI)
Ind l'r'lh in botb m.lnllem bronchi

n.

No licnificlIllllalunJ distuc U Idenl1fitd ...Ithi.. tbe limiLltioDI of tbi.
cUlIllnltiCIn

lU.

Thtre 1111' evidence ,fmedlc.l Lbtnpy

IV.

Idenlifyins: Body Mlrlu or TlttOCl'
A. Sur, left upper chesl, I-Inch
B. Scar,ltft db,...., I-Inch

V.

Tbe~

VI.

TOllcolol)' (AFiP)
A. Volaillet: No tlh.nol b dcltded In the blood and bile
B. I>rup: No drup of.buse Cll medicatlonl Ire dettCltd in Ihe blood
e. elrboo Monoxide: The carboxybcmoillobialaluralion III tbe blood is less
thn I '¥.
D. CYlllldt: No CYlnldt II dttected III the blood

Is no evidence ,f phy,lnl Ibule

MEDCOM 0463

ACLU Detainee DeathII ARMY MEDCOM 463

FINAL AUTOPSY REPORT [(b){6)
Forayh Al Mehlawi, Munla5irlH".~m"'.'d~-

PageJof6

EXTERNAL EXAMINATION

The body i5 thai of a wtJl-developed, well-nourished appearing, muscular, 10-inch, 126pound male whose appearance is consiSlent wilh 1lle ttponed age of is years. Lividity is
lixed and postenor (except in areas exposed to pressutt), rigor is absern, and lhe
ternperatllte is that of the refrigeration uni!.
The scalp is covered with 3-incl1 brown hair in a nonnal dismbUlion. The irides are
brown, the comeae are cloudy and lhe pupils are round and cq..... l in diameter. There arc
pelcchiae in both inferior palpebral <:onjunctivae and on both bulbar conjunl;livae. The
extem41 audito!,), canals arc clear, and the ears are unremarkable. The n~ arc patent.
There are petechiae on the m\lC()Sl! of the lower lip. The nose and m&;\;iIlae arc palpably
stable. The teeth appear natural and in good <:ondilion.

The ne<:k is straight. and the ll'achea is midline and mobile. The ehest is symmelrie with a
I-inch sear on the upper left ehest. The abdomen is flat with greenish discoloration. The
genitalia are those ofa normal adult circumcised male. The lestes are descended and flee
ofmasses. Pubic hair is present in a normal distribution. The posterior IOrso is
unremarkable. The bunacks and anus are unremarkable.
The upper and lo~r extremilies are syrrunetric and wilhout clubbing or edema. There is
a J _inch scar on the left elbow.

CLOTHING AND PERSONAL EFFEcrs

The following clothing ilC1T15 and pclS<lnal effccts are present on the body al the time of
aUlopsy;
•
•
•

Otange shin and pants
White boxer shorts
White T-shin
MEDICAL INTERVENTION

•

There is no evidence of medical interVention
RADIOGRAPHS

A complete 5et ofpo5tmonem DJdiographs is oblaine<! and demon5lnl.lcs the following:
•

No fl'llClUKSOT metallic foreign bodies are idenlified

MEDCOM 0464

ACLU Detainee DeathII ARMY MEDCOM 464

FINAL AUTOPSY REPORT!(b)(6)
Funyb AI Mehl....i, MUDI.slr lIamad

=-oJ

EVIDENCE OF INJURY

There is a ~ir(:wnfen:ntial, discontinuous supnficial paltemed abrasion on lhe neck
demonstnl1ing 1116-inch periodicily lhat is directed horizonlally. The abrasion crosses the
superior one-third of the lhyroid cartilage 10 Y.t-inches below the lOp of the head and then
e;<tends on bolh sides of the ned., passing I %-inches below each ear, measuring up 10 Yoinch in width. The layer-wise anterior neck dissection demonstrated hemorrhage inlhe
deep musculature (cri~othyroid muscles), bilaterally. The hyoid bone and lhyroid
canilagc wen: intact The postct'ior neck dissection demonstrated no injury to the
underlying soft !iss...... The valleculae of lhe larynx demonstrate <;onfluent pete-;:hiac,
bilaterally. Petechiae were JlTC$Cnl on the inner lower lip, bolll sclerae, and both inferior
conjunctivae.
INTERNAL EXAMINATION
HEAD AND CENTRAL NERVOUS SYSTEM:
The galcal and sUbgaleal50ft tissues oflhe scalp are free ofinjury. The calvarium is
inlact, as is the dura maIer beneath it. Clear cerebrospinal fluid surround$ lhe I S30'gram
brain, which has unmnarkable gyri ltlld sulei. Coronal seclions demonstrale sharp
demarcalion belween white and ~y mauer, without hemorrhage orconlusive injlU)'. The
ventricles are of normal site. The basal ganglia, brainstent, cerebellum, and arterial
systems are free of injlU)' or olller abnorrnaJilie:s. Then: are no skull fn«:tures. The
allanlo-occipilal join! is slab Ie.

NECK:
S«: "Evidence of [njury," above. The thyroid gland is symmetric and ~-bro"'l1, wilhoU1
cystic or nodular change. The tongue is free of bile mark$. hemorrhage, or other injuries.
BODy CAVlTlES;
The ribs, Slemum, and vertebral bodies arc visibly lind pal~bly inlllcl. No e;<cess fluid is
in the pleural, pericardial. or peritoneal cavities. The organs occupy their usual anatomic
positions.
RESPIRATORY SYSTEM:
The righl and left lung:s weigh 600 and SOO-grams, rcsp::ctively. The extemalswfa>:es an:
smoolh and deep red-purple. There is froth in both mainSlem bronchi. The pultrK>l1ary
parenchyma is diffusely congested and edemalous. No mass lesions or areas of
consolidation are present.
eMPIQV ASCULe.R SYSTEM:
The 300-gram heart is ~ontained in an intacl pericardial sac. The epicardial surface is
smooth, with millimal fal investment The coronary aru:ries are pre5Cnt in a normal
dislribution, with a righi-dominant pauem. Cross sections of the vesscls show no luminal
narrowing. The myocardium is homogenous, red-brown, and firm. The valve leaflets art!
thin and mobile. The waHs of the left and right ventricles are 0.6 and 0.2-cm thick,
respectively. The endocardium is smooth and glistening. Tlte aorta gives risc to lhree
inlaCl and palent arch vessels. The renal and mescnteric vessels arc u~markable.
MEDCOM 0465

ACLU Detainee DeathII ARMY MEDCOM 465

FINAL AUTOPSY REPORT (b)(6)
Fura)'h AI Meblawj, MUlllulr lIunad
LIVER &. BILIARy SySTEM:

The lsoo.aram liver hu &rI inlaCt, smooth eap:$u1e and a $harp tnterior border. The
parmc:hyma is tM-brown and congestM, with the usU4llobular an:hitecture. No IIlU'
le$ions or other abnonnalities an: lttn. The: pllbladder contains 2·milliliters of areen·
black bile and no stollCS. The mucos.al surface Is areen and velvety. The extr8hepBtic
biliary tree is pater!!.
SPLEEN:
The I ()().gram splee:n bas a s.mootll, intaet, red·purple tapsule. The p81'C1l(b)'Tlla is
m.IllOOrI and cong~. with diSliru:1 Malpighlan. corpus.clcs.
PANCREAS:
The panl:reas is !'inn and yellow-WI., with !he
or other abnormalities are seen.

usua.llobularlll'ChileC~.

No rruw ksiOl'ls

APRENALS:
The right and left adrenal glands are symmetric. with bright ~1I0", conkes an.d llrey
medullae. No masses or areas ofbemorrhage are identified.
GENITOURINARY SYSTEM:
The right and left kidneys weigh IOO·grams ea<:h. The utetnal surfaces are inlar:t and
$ffioolh. The Cllt surfa<:es an: m:l-tan and c:ongested, wilh unifonnly thick cortices and
sharp corticomeduJlary junctions. The pelves are unmnarklble and the ureters an: nonnal
in COUf$C and c:aliber. Gray-pink bladder mucosa overlies an intKt bladder wall. The
bladder contains no urine. The prostate is normal in size, with 10bu!Br, ydlow-tan
parenchyma The seminal vesicles are unremarhble. The Itstes are fret ofmass lesions,
contusions, or otber abnormalities.

GASTROINTESTINAL TRACT:
The esophagus is intact and lined by smooth, gray-white mllCOSlI. The stomacb contains
approximately 400-miIliJiten of semi·solid rood material. The gastric wall is inlaCl. The
dU(X\enwn, loops of small bowel and eolon are unremarkable. The appendix is a*nl.
MUSCUl.OSKELETAL SYSTEM:
There are no bone or joint aboonnalities. Skeletal muscle development is normal.
Superficial JIOsterior incisions of the torso and eXll'mIities are negative for soft tiuue
hemormage.

MEOCOM ()(66

ACLU Detainee DeathII ARMY MEDCOM 466

YI1\AL AUTOPSY REPORT,(b)(6)
hrayb AI Mebla.... i. MunlQlr lI.Imad
MICROSCOPIC EXAMINATION

Sel«ted portions of organs are retained in form.alin, wilh preparation of histolngical
slides of!be following organs: heart lung, liver. kidney. and brain. The findings are:
I. LW1S;S: P'ulmonary edema ....d vascular eonaestiOIl

Heart: No significanl mieroscopie abnonnalilies
2. Kidney ....d L.iver: No significant microscopie abnonnaJilies
3. Drain: No significant mieroscopic abnormalities
ADDITIONAL. PROCEDURES
•
•

•

•

Do<;umenlUy pbolo&rll.Phs are taken by OAfME sWfpbolograp/len
Specimens retail>ed for loxicologie teSling and/or DNA identification an:: vitn:oLtS
bumor, blood, spleen, liver, bile, gastric content!., kidney, 1\1llg. brain, adipose
tissue ....d psoas
The disse<:led ori8'1S an: forwarded with body
Personal eff«1S are releued to the appropriale mortuary operalions
represenlatives
opn."ON

This 18 )'CIlI"-old Iraqi detainee died as a ~ull ofasphyxiation due to ligalure
slrMgulaliOll. There W1IS a eircwnfeTential. di.9OOlllinllOll4 superficial panemed abrasion
01l the n«k, The anterior n«k dissection demonsuated btmorrhage in the deep
musculalure (crieolhyroid muscles). bilalerally. The hyoid bone and thyroid cartilage
~ inlaet. The posterior ned: dis~ion dernolUtrlted no injwy to lhe undeTlying soft
tissue. The w.lIeeulae of the IU)'I\ll dernon!ttated hm.... ,I..age bilatenolly. Petecbiae ~
presenl on the mucosa oflhe lower lip, both xlerae, and both inferior eyelids. There was
no evidcnee of pbYlical abuse. Micl'O$COpic studies weT1: non-contribulOTy to the ClIUSIl of
de.th. Toxicology studies were nepliw for etIwtol and dnJgs of abuse. The mllllller of
death il homicide.
(b)(6)

(b)(6)

(b)(6)

Medical Examiner

(b}(6)

MEDCOM 0467

Medical Examiner

ACLU Detainee DeathII ARMY MEDCOM 467

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MEDCOM 0468

IMadc:aiI Exaomlner

ACLU Detainee DeathII ARMY MEDCOM 468

ARMED FORCES INSl1TIJTE OF PATHOLOGY
Office of the Armed Fon:n Mediad Examiner
1413 Resean:h Blvd.• Bldg. 102
Rockville, MD 20850
(101)J19-0000
FlNAL AUTOPSY REPORT
Name: HAMlD,,fadiUadwL_ _
Interment SerialJb)(6)
Date of B;"h!~bJl6f:JI978
Dale ofDeaIb (b)(6) J2006
Date of Autopsy: 25 OCT 2006@ 1230
D'lIe of Report: 14 FEB 2007

1(~b)~(6~)=~

AUllJp$Y No:
AFIP Nd(b)(6f

----J

Place ofDcath: Camp Bucca. Iraq
Place of Autopsy: O<Jver AFB Port Mortuary,
Delaware

] "'as a 28 year-old male. Iraqi National. held as a
Circumsllinces of Death, 1(b){6)
detainee in Camp Bucca, Iraq. Hc "''as discovered unresponsive in his room by cellmates.
Rcsusciuuion efTol'1S. ineluding advlllll:cd life support measuru, were unsuccessful by medical
personnel and he was pronounced dead at 10481(b)(6)-----a006.

Authorinlion for Autopsy, Office oflbe Armed Forces Medical cJI;aminer, in accordanee ...ilb
Tille 10 US Code. Section 1471 (10 USC 147\).
Idenllfication, Positive identification established by invcstigative ageney

CAUSE OF DEATH,

Probable C.rdi.c Arrhylhml. S«ond.ry to Conctntrlc LeO
Vtntriculu Hypertropby

MANNER OF DEATH: Nllunl

AUTOPSY FINDINGS:
I. A.llean: 470 grams
Concentric left venlricular hypertrophy {sec clmjillC consultation palle 5)
Coron:1J')' aneries widely patent

B. l.ungs:
Bilateral pulmonary wernli (combined weight 1450 grams)

C. No external injuries

Page 1 of7
MEDCOM 0469

ACLU Detainee DeathII ARMY MEDCOM 469

HAMlDlm(b~}(~6}'---~
II. Toxicological Examination:
• VOLATILES: The blood and urine aR' negati~ for ethanol al a c\llofflevel of20 mgfdL.
• Peripheral blood contains less than 1% carboxyhemoglobin (COHgb) detomnined by
spectropholOmeuy with a limit of quantitalion of 1%. COHgb saturaliollS of 0.3% arc
expected For lIOn-smokers and 3-10% For smok.ers. Salurations above 10% ate considered
elevaled 8J1d are confirmed by gas chromatography.
• There is 110 cY8J1idc dClccted in thc blood Thc limil of quantitaJ.ion for cyanide is 0.25
mgll•. Normal blood cyanidc concentrations Il1C less lhan 0.15 mgfL. Lethal
conccntrations of cyanide are greater than 3 mgfL.
• DRUGS: The blood is screcned for acctaminophcn, amphelaminc. anlidepressants.
antihistamincs, blIrbiturates, benrodiazepines, cannabiooids, chloroquillC, cocainc,
dcxlTomcthnrphan, lidocaine. narcolic llMIgesics, opiates, phencyclidilll:, phcnothiazines,
salicylatcs, sympathomimctic amines and verapamil by gas chromatography, color lest or
immunoassay. Thc following drllg is dClCded:
o Lidocainc is detCded in lhe blood by gas chromalography and confinned by gas
cliromalog.raphy/mllSS spectromctry.

EXTERNAL EXAMINATION
The body is that ofa wcll-devclopcd. well-nourished. 70 Y,.inchcs tall, 178 pound Caucasian
male who appears oldcr than his reponed agc of 28 years. Lividity is marked and fixed On lhe
poslcrior aspeCI ofthc body. Rigor is passing and lhe lemperalure is cold, that oflhe rd'rigeralOr.
An idenlification lall is aroulld lhe right greal1OC.
Thc scalp is covered with black hair in a nonna! disuibution. Facial hair consisls of a black.
beard. Thc irides ~ brown and thc pupils are round and equal in diamctcr. The extcrnal audilOry
canals arc: cICM. The ears Pre unremarkable. The nares arc palcnt llIld ~ lips are alraumatic.
The nose and maxillae are palpably ~lable. The ~th are natural.
Thc rocck is straight, and the trachea is midline and mobile. TIle Chesl is symmetric. The
abdomcn is nal. TIle genitalia are those of a 1lO1I11aJ &dull circumCised male. The lestcs are
descended and l'rce of masses. Pubic hair is present in a nonna! distribution. Thc bunocks and
anus arc unremarkablc.
The upper and lower exll'emilics are sfmmcuic and without clubbing or Wernli.

CLOTHING AND PERSONAL EfFECTS
The following clothing itcms arc presenl on the body al the limc of autopsy:
• Yellow coloR'd boxcr shorts
• Ycllowcolorcd l·shin
• Yellow colored Ions panlS
• Pcrson~l effects arc nol pfes¢nl with thc body

Pagc20f7
MEDCOM 0470

ACLU Detainee DeathII ARMY MEDCOM 470

HAMID(b)(6)

J

MEDICAL INTERVENTION

•
•
•
•

EndomIc:heal inlubation
Introvenous cathclers in the righl IUTTI and groin
Foley catheter in the peni~
Cardiac monitor pad on the left upper t>ack

RAPIOGRAPHS

•

A tomplete sel of postmoltcm nldiographs is obtained and demonstrales no traumatic
injurie~.

l;iVIPtlNCE Of INJURy

There are no e"temal injuries.

INTERNAL EXAMINATION

I-lEAD: The galeal and ~ubgaleal soft tissllCJl ofthc scalp are tiu of injury. The eaJvarium is
intact. as is the dura maIer beneath it. Thcre an: no skull fractures. Clear cen:brospinal fluid
surrounds the 16JOgm brain, which has urrn:marl::able gyri and sulci. The atlanto-occipilal joint
is slab Ie.
The brain is rerem;d ror consultation
follows:

llt

the AFIP Neuropathology DcpartmCllt and lheir report

We examined lhe 16JO wam fonnalin-fixed brain suhmined in reference 10 lhis case. SolM
unremarkable cerebral dura is received: no dural hemoTThage or sinus thrombosi~ is seen. The
leptomeninges arc clear wilh slight congcstion; rIO ex\lllale or henlQntJage is identified. The
cerebral hemispheres are symmelric. with Inildly compressed gyri lhat are normal in
configuralion. No softening or comusion is identified. Thc cmnia! nerve stumps are
unremarkable. The circle ofWiJlis has a normal configuralion. No ancurysm. atherosclerosis, or
ocdusion is found in the intracranial anerics. The brain stem and cerebellum an: externally
oonnal. No subfllicial, lrW1Stentotial, or tonsillllt herniation is secn. Coronal ~lions of
cerebrum show no abnonnalities in cortex. while maltcr, Or deep gray ntaller nudei. The lateral
and 3" venaides are grossly normal. The hippocampi are symmemc and nonnal in size.
•

PagcJ of7
MEDCOM 0471

ACLU Detainee DeathII ARMY MEDCOM 471

HAMIDI(b)(6}

~lorilonlal sections of the brain stem and. I;eKbcllum Kv~l unremarkable cut surfaces. The
subslanlia nigra and locus ceruleus llJ'l: normally pigmented. The lllIucduct is patent. The 4'"
ventricle is grossly normal. The spinal cord is not available for examination.
Hi~tologicaJ $«tions: I. Right superior/middle frontal gyri (superior inked black). 2. Right
interior parielallobule, 3. Right superior/middle temporal gyri atleve\ ofmamilllU)' bodies
(superior inked blaclc). 4. Bilaternl cingulatcd gyri (left inked black). S. Right calcarine fissUlt'
",ith basal occipital g,yri. 6. Right hippocampus at level of mamilJary bodies. 7. Right
hippocampus at level oflateral genirolate nucleus. 8. Right caudatelpulamen with basal
forebrain. 9. Right putamenlpallidum. IO.llilateral thalamus./hypothalamus al kvel of
mamillary bodies (left inked black). II. Right thalamus at subtllalamic nueleus. 12. Midbrain
with subslalltia nigra (left inked black).13. Pons (left inked black). 14. Medulla (left inked
black). I S. Right cerebellum with dentate nucleus and folia. 16. MedulllU)'-eervical jWlCtion
(left inked black). 17. Left hippocampus at levcl of lateral geniculate nucleus. All tissue
sections were processed in paraffin; sections were stained with H&E. This material was
reviewed in conference by staffof the Department ofNeuropalhology and Ophlh.almic
Pathology.

Histological sections show scattered lreas or ~cule neuronal injury in Ihe deeper layers of the
cerebral conex, deep grapy mailer nuclei, hippocampi (eA I and dentate gyrus).. and cerebellum
(Purkinje cells). HiflTlOClnlpal sclerosis is not identified. A sinllle small focus of perivascular
chronic inflammatory cells is noted in the right hippocampus at the level of the mamillary body.
Some scattered blood vessels throughouttbc brain have 5ntal1 numbcr9 of perivllSCular
hemosiderin·laden macrophages.
The brain sbows acute neuronal injury. 11 rUlU-specific finding that i~ commonly associated with
h)'lXlxic-iscllemie change. Features diagnostic for malformation. storage disease, infection or
neoplasm an: not identified. No contusion or IICute hemorrhage is seen.
~: The anterior strap muscles of lhe neck are homogenous and red·brown, without
hemorrhalle. The thyroid canilage and hyoid bone are intact. The laryllX is Iined by inlllCt whilc
mucosa. Thc thyroid is symmetric and red·bro"'lI, without cyslic or nodular change. 'The tongue
ill rn:e of bite maIlls, hemorrhage, 01 otOO injuries.

Incision and dissection of lite posterior ned; demonstrates IlO deep paraccrvica1 muscular injury
and no cervical spine fractures.

BODY CAVITIES: The ribs, sternum, and vertebral bodies an: visibly and palpahly intact. No
ellcess fluid is in tbe pleural, perio:ardial or peritoneal ca~ities. The organs occupy tbeir usual
anatomic positions.
RESPIRATORY SYSTEM: The right and Id\ lungs an: markedly edematous and weigh 730 and
720 gm, respectively. The external swfaees are smoolh and deep red-purple. The pulmonlI)'
parenchyma is diffusely congested and edematous. No mass lesions or areas of consolidation are
pnlsent.

Page40f7
MEDCOM 0472

ACLU Detainee DeathII ARMY MEDCOM 472

HM.UD (b)(Il)

CARDIOVASCULAR SYSTEM: ~ 470 gm heart is mildly enlarged and is contained in an
inlaCt perieanlial $&C. The hcan is IdCTl'ed for consultalion at lbe CV Path Institulc and their
rtpOn folio....,:
DIAGNOSIS: (b}(ll)

CODcntric left veDtrlclllar bypeMropb)'

Hun: 470 lUllIIIS (pmlicled normal value)SI) arams, upper limit 46) grams for a 178lM man):
1IOI'TI\8.1 epicardial fal; closed fonmcn ovale: conccntrk left ~mtricular hypC:1'lroph)': lttl.
~muicular c:avity diameter lSmm.lefl \'Cnuiculnr 11ft. WIlli thicknc:ss 15mm, venlril.:ular septum
thickness 17mm. ri~t ventricle thickllCSS 5mm. ..ithout gros$ $CI.I'$ or abnonnDI fat infillnnes;
arouJ), UllTemarllable valVC3 and mdoeaJdium: roo &ross myocardial fibrosis or nccl'(Xis;
tuSloJOKic sections $how mild left ~cntricubt mYOC)'te hypertrophy, olherwise unremarkable.

Coronary Merlo: Nonnal O$tia: riiht domilllnCc; no ifOSI atherosclerosis
COndllCtinn s)'1'tcm: The si_lrial node and nodal artcry lIlll unremarkable. ~ cnrnpact
atrioventricular (A V) node shows mild lfagmentalion ..i!hin tbe centrallibroul body, wilhnul
inflammation, necrosis, incruscd fat or proteoglycan. The pcnctraIinl bulKlle is «:nmll)'
10000ed and unremarltable. The lefl prOlIimal bundle 1Jnux:h is inlXtlllld u~markablc. The
riglll bundle branch is not Ken in these scaions. 1'1lcn: arc no discernible: b)-pIlSI IntCtS between
the A V node and vcntricular septum. 1bm! is no dysplasia Oflhe AV nodal artery.
LIVER'" BILIARy SYSTEM; The 1820 gm liver /IQ an inlXl. smooth capsule and a sharp
anlerior border. The ~nchym.& is lM·bro--on and congested, with the: lIIual lobular
lIl'CtuUlCturc. No mass lesions or olher abnonnal itic:s lIlll scm. The: gallbladder contains S ml of
gr«:n-black bile and roo StOl'lCS. The mllCOSal turfacc is green and velvety. The exlt'lhcpatic
biliary tree is palent.

SPl.EEN: Ttw: 250 gm spleen M$ a smooth, intact, rcd-pw-ple capsule. The
maroon and congested, ..ith distillf;\ MaJpighiall CClI')lI.ISClcs.

parcnch~'ma

is

PANCREAS: The pancreas is finn and ycllo..~tan, wilh the usuallobulu tlt:hitCCltlle. No mass
lcsions or other aboormaJilics arc seen.
ADSENALS: The righl and left adrcrml glands arc symmetric, wilh brighl yellow coniccs and
~y medullae. No mISses or arcu ofhernontlqc arc identified.
QENO'QURINARY SYSTEM: The right and left kidneys weigh 170 and 160 gm. Jl:'spectively.
"The external surfaces Irc intaellllld srnoolh. The cut surl"lltt.I arc !'Cd·lan and congested. with
uniformly thick c:oniccs and sharp c:ornoomeduUa/)' JunctiotU. "The pelves arc lIItI'Cmarbble and
the t.ll'C\CI"I arc normal in COUI'IC and caliber. While bladokr mucosa overlies an inlac:t bladder
wall. The bladder is empt)'. The prostate ~and is IlOITIl&I in ,itc:. wilh lobular. yellow·1&Jt

Page 5 of7
MEDCOM 0473

ACLU Detainee DeathII ARMY MEDCOM 473

HAMJDtb )(6)

parrnchyma. The seminal vesicles
(:OllIusions. or other abnormalities.

Il'e

lIl\mllarbble.

The tutes arc

free of mass lesions.

GASTROINTESTINAL TRACT: The esophagus is intact lIIld lined by smooth. grey-white
mucosa. The illOlnlCh contains IppfOlI:imately 90 ml of brown pattially digcsted food. The
pwie wall ;, inllCl. The duodenum, loops llf smal! bo_1 and colon arc unremarkable. The
appendiJI is prestnt.
MUSCULOSKELETAL:
No {Illumatic abllomlalitic:s or hc/To(IlllUlIlC of SUhcUlaIlCOlIS tissue, mU5I:lc or bone

~

idcntifi\'d.

Nontraumatic abnormalities Il'e lICK idcmiliai.

ADDITIONAL PROCEDURES

•
•

Documelllary photographs IIl'C lakcn bv the OAFME.PIlot021lohc:r,-__
ldentifvil\lt maoodn<:ludc a llU!OO (b)(6)
(b)(6)

•
•

Spc<:imens retained for loxicological testing and/or DNA idmtifleation lire: vilmlwl
fluid, blood. urine:. splecn.liV1:r. kidney. lung, bik. ga5lric oonlenu. and psoas mU5l:1e.
The disse<:ll:d organs IIl'C for....arded ",ith the body

MICROSCOPIC EXAMINATION

Selected portions of organs IIl'C retained in fonnaJin "'ith preperaJiOll of the following histologic
slides:
Hem: sec: cardia<: consultation paac.5
Brain; sec: ne:W"(lpathology consultalion pages 3/4
I. I,i~ sinusoidal and cenlrolobular congmion. otIlcrwisc no pathologic abnormalily
213. Lung: fll<;aJly mlll'kcd al yeolar congestion. otherwise no palhologic abnormality
4. Kidney; VlISCular conllcstion. oLllcrwisc no patholollic abnonnality
S. Spleen and Adrcnlll Oland: no patholoJic abnonnality
6. Pancreas: mild autolysis. otherwi.se nQ patholOSK: abnormality

Pa~6of7

MEOCOM 047"

ACLU Detainee DeathII ARMY MEDCOM 474

QPINION
Based on lh~sc nUlop$)' findilJl'\!! and tile investigalive infonnalion available 10 me. lhe caU5C of
dealh ofmis Iraqi dC1ll.inedjb5(6)
'is probable cardiac arrh)'lhmia scoondar}'lo concentric
left v(11l1icular bypl'r1rophy. ~ft ventricular hypcr1toph)' is llSSOCialed wilh cardiac arrhythmias
and sudden death. Additional autopsy findings include mllrl;ed pulnlonl1/)' congestion and
gcneralized conge:stion of the liver, spleen and k.idneys: findings consislenl wilh a fata] cardiac
liIThymmia. There are no signs of ext~maJ or inlrmal trauma. Toxicology teSl;ng is POSilive for
lidocaine: a drug used in cardiac l'CSuscilBtion allcmptS. and is otherwise negative for ethanol or
screened drugs of abuse, The manner of dealh is natural.

(b)(6)

L

Armed Forces Medical Examiner SYltel(b}(6l

Pag~70f7

MEDCOM 0475

ACLU Detainee DeathII ARMY MEDCOM 475

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MEDCOM 0476

ACLU Detainee DeathII ARMY MEDCOM 476

ARMED fORCES INSTITUTE Of PATHOLOGY
Offiee of tile Anncd Fo!"'Cfl Medinl Eumincr
141 j R~arch Blvd., Bldg. 102
Rock-ville, MD 20850

1-301-319-0000
VINAL AlITOPSV EXAMINATION REPORT
Name:

~BTB)

HAZZAA AL DOULAIMEE,

"'j6,)

~

_

=r

SSAN: Ifbl(6)_
Date of Birth: (BTBJlb}~UI982
Dale ofDeath: Ilb)(6) j2006
Dale/Time of AUlopsy: 17 OCT 2006@ 1700
Dale of Report: 17 NOV 2006

Autopsy No.: l(b)(6)

--~

AFlP No.: Ll~))6~'::cc:
Rank: Iraqi Civilian Detainee
PlllCC of Dcalll: Camp Bucca. Iraq
Place of Auoopsy: BIAP Monuary,
Baghdad. Iraq

CireumSllnCts of Duth: This 24-year-old Iraqi Ch'ilian Delainee SUSlllined a gunsool
wound from U.S. Army soldiers during a firefight on 30 SEP 2006. He was resuscitated,
=eived surgery and was stabilized prior 10 his lJaTIsfer 10 Camp Bucca. He was
ambulating with assiStance and malting prog= when he was fO\Q\d unresponsive in his
room. and could nOl be resuscilated.
Author'lulioD for AutoPS}': Office of the Armed Forees Medical Examiner, [A W 10
USC 1471.
Idenlillnlion: Presumplive identificalion is established by a wrist identificalion band.
A DNA sample is taken for profile pulpOSCs if an e~cmplar becomes available for
posilive idenlification.

CAUSE OF DEATH:

GUNSHOT WOUND Of THE BACK
COMPLICATED BY PULMONARY EMBOLISM

MANNER Of DEATH:

HOMIClDE

MEDCOM 0477

ACLU Detainee DeathII ARMY MEDCOM 477

FINAL AUTOPSY REPORT: l<b)(6)

]

(BTB) HAZZAA AL DOULAIMEE, Ezaldio A""aoau
flNAL AUTOPSY DIAGNOSES
I.

Gunshol Wouod orthe Back
A. Entnmce WolUld
I. Location: On the lower right back. 25-inches below me top of the head
and 4-inches right of the posterior midline of the back in thoc anatomic
position
2. DimensiollS: An ovoid entraoce wound measuring Yo x 3fl6-inch with
eccentric marginal abrasion up to !t.·inch on the lateral border
B. Wound Path: Skin and subcutaneous ti.!.sue of the lower right back. muscles
of tile lower right back, the spinous process of the 4'" Iwnbar vem-bra
(fractu~), muscles of the lower left back. subcutaneous tiS5Ul: and skin of the
upper left bUllock
C. Exit WO\lnd
1. Location: On the \IPper left bUllOCk. 29-inches below the top of the head,
3g V,-in<:hes above the hed and 7·inches left of the posterior midline of
the back in the anatomic position
2. Dimensions: An ovoid deft(;t measuring J !t. ~ 2 V,-inches. consistent
with a debrided e~it wound; packing material is presem surrounding the
e~it wound
D. Recovered: No bullet or bullet flllgll1ents 1IR ~eovered: multiple radioopaque metallic fragments of no evicknliary value 1IR observed
radiographically in the ~llion of the left buttock
E. Direction: Slighlly back to front. right to left and slightly downward
F. Associated Injuries
I. A non-Qbstruetive thromboembolus with valve markings and tributary
casts is located at the bifwclllion of the right and left pulmolUll)' arteries
("saddle embolus''); multiple small obstruc1ive thmmboemboli are noted
in the .smaller lmIn<:hes of the right and left pulmonary aneries
2. Deep venous thromboses in the deep veins of the right and left legs
J. Bleeding into the wound tract

II.

No lignificanl nalural diseasCl or p~listingconditions art identitled,
within the limitations of Ibis uamillltion,

Ill.

Evidenu of Medinl Tberllpy
A. A closed, 9.;neh surgical incisiOTl is on the abdominal midline

B. A medical dressing and packing an: present on the lower righl back
C. A "acuum drain and a J-inell closed surgical in<:ision with packing is on the
lower left back
D. Needle stick marks an: on the right subclavian ~gion
IV.

Pon-Mortem Cblnges
A. Rigor is passing and equal in all extremities
B. Livor is posterior and fi~ed e~cepl;n areas exposed 10 pressure
C. Marbling is present in IR'IS oflivor

MEDCOM 0478

ACLU Detainee DeathII ARMY MEDCOM 478

FiNAL AUTOPSY REPORT: [(6)(6)
I
(BTB) IIAZZAA AL DOULAIMEE, Euldin Awanad

Pagd ofS

D. Corneal clouding, bilaterally

V.

------:J

Idenlif)'ing Body Marks

A. Tauoo ~m~(6)

[(b)(6)
B. MultipleirTeguJar scars on the right ~ in a:; Y.xl'.-inch area and J8J1ging
in size: from punctate to Y, x "'·inch

VI.

Tbere ill 00 evitleoce of pbyslcal abuJt
A. Layer-wise anterior neck dissection is negative for trauma
8. Incision lUId dis:;cction of the pIIllerior ncck demonstmtes no deep
paraccrvical muscular injury and no cervical spine fractures
C. No petcchiae are present on thc conjunctivae or 011ll mw;osa
D. Extcrnal examination is negative fOT trauma
E. Radiographic skeletallUl'VCY is negatiVl: for trauma

VIl.

Toxicology
A The blood D.nd urine arc tested for ethanol and none is found.
B. The urine is scn:cned fOI medications and drugs of abuse and !he following
medications arc detcc\Jcd:
I. Oxymolphone (a nBr\;Olic analgesic) is detected in the urine. but is not
present in the blood.
2. Oxycoclone (a narcotic analgesic) is detected in !he urine, but is not
present in the blood.
EXTERNAL EXAMINATION

The body is that ofa wcll-devclopcd, well·nourished appearing, 67-inch, 150-poulll;1$
(estimated) male whose appearance is consistent with the reponed age of24-yean.
Lividity is pDllerior and fixed with marbling in lU"eali of lividity. Rigor is paSi5ing and
equal in aU extremities. and the ICmperatW'C of tile body is cold 10 lOuch.
The scalp is covered with black hair in a normal distribution; facial hair corusiSl1 ofa fuJi
beard and moustache. The irides are brown. the comcae cloudy, the conjunctivae pink.
without petechiae and the pupils arc round and C<jual in diameter. The external auditory
eanaJs are patent and free of foreign material. The eatS an: unremarkable. The n.e.n::s Btl:
patent and the lips arc atmumatic. The nOK and maxillae arc palpably stable. The tccth
appear natUl'll!.
The neck. is Itmight, and the trachea is midline and mobile. 'll1e chest is Iymmetric. The
abdomen is remarkable for a dosed, 9-ineh midline surgical incision. Injury to the
posterior torso is described below (see ~Evidence of Injury.'? The genillliia are those ofa
normal adult male. The teste3Btl: d~nded and free of masses. Pubic hair is present in
a normal dislributiQn. The bunocks and anus are unremarkable.

MEDCOM 0479

ACLU Detainee DeathII ARMY MEDCOM 479

FINAL AlITOPSY REPORT: l(b){6)

:

Pa~40f8

(8TH) HAZZAA AL DOULAIMEE. Ezaldin Awanad
The upper and lower extmnities an symmetric and without clubbing or edema.

CLOTHING AND PERSONAL EFFECTS
The body is received unclothed and without personal effects.
MEDICAL '''7ERVEl'fTION
•
•
•

•

A closed. 9-inch surgical incision is on the abdominal midline
A medical dll:SSing and packing an present on tile lower right back
A '-acuum dBin and a 3-inch closed surgical incision with packing is on tbc
lower left bad:
Needle Slick mark! Me on the right subclavian region

RADIOGRAPHS
A OOmplete set of postmortem rndiographs is obtained and demonstrates the following:

•
•
•
•
•

No long bone frllClures
No rib or skull fractures
No fractures oflbe bones oflbe hands or fed
Fracture of the spinous process of the 4" lumbar vcrtebra
Multiple small radio-opaque melallic fragments an observed in the region
of the left buttOCk
EVIDENCE or INJURY

The ordering oftlte following injuries is for descriptive purposes only. and is not
intcndcd to imply order ofinniction or n:lative severity. All wound pathways arc given
relative to S1lU1dard anatomic position.
Gunshot Wound ofthc Back
A gWlShot enlJal1Ce woWld is on the lo....-er right bad:. 25-inches below the top of the bead
and 4-incltcs right orthe posterior midline orthe back in the anatomic position. Thc
ovoid entrance wound measures 'I. x 3/16-inch with C«enuic marginal abrasion up to 'I..
inch on the lateral border. The wound path perforates the skin and subcutaneous tissue of
thc lo....·er right back, muscles of the lower right back, the spinous process oflbe 4'"
lumbar vertcbra (fracturd). muscles of the lo.....e r left back, subcutane(lus tissue and skin
of the upper left butwck. The bullet exited via an ovoid defect mcasuring 3 Y. x 2 JI,inches (oonsistent with a debrided exit wound; packing material is present surrounding
the exit wound) and located on the upper left butlOCk, 29.inches below the top of tile
head. 38 Y.-inches abo--e the heel and 7·jnches left of tile posterior midline of the back in
the anatomic position. No bullet or bullet fragments are recovered; multiple radioopaque metallic fragments ofno evidentiary value are observed radiographically in tile

•
MEDCOM 0480

ACLU Detainee DeathII ARMY MEDCOM 480

FINAL AUTOPSY REPORT: ~)
(BTU) HAZZAA AL DOULAIMEE, [zaldin Awanad

j

PIge50f8

region oflhe left bUllock. The wound pRth is directed slighlly back 10 fion!. righl to left
and slightly downward.
Associated y,;th the wound path is bleeding into the wound lrilCI; a nOIl-obstNCli\lt'
lhromboernbolus with valve markings and lribuwy castS iii localed at the bifurcalion of
the righl and left pulmonary aI1eries ("li3ddle embolus") y,;th mulliple small obstruclive
lItromboemboli noted in the smaller branchelioflhe righland left pulmonary aneries, and
deep vcnous lhromboseii in !he: deep veinli ofthe righl and left legs.

INTERNAL EXAMINATION
HEAD AND CENTRAL NERVOUS SYSTEM:
The galea! and subgalcal soft tissues of the scalp an f'r«o of injury. The calvarium is
in\lll:t, as is the dura maleT beneath il. Clear cerebrospinal fluid surrounds lhe 1,J40-gram
brain. which has IIJIJ'l:markable gyri and suki. Coronal sections demonstrate sharp
demarcation between while and gray maner, y,;tlloul hemorrhage or eomusive injury.
The venlricles an: ofoormal size. The bas.aJ ganglia. brainstcrn. cerebellum. and lI1erial
sYSlems are free of injLlf)' or Olher abnonnalities. There are no skull fractures. The
allanto-occipital joinl is Slable,

"'""',

Layer-wise dissection ofllle anterior sll'ap muscles ofthc neck reveals homogenous and
ml·brown lissue Y,;thoul hemorrhage. The thyroid cartilage and hyoid bone are intact.
The larynlt is lined by intaCl white mucosa. The lhyroid gland is symmetric and redbroy,1\, without cystic or nodular change. The tongue is fiee: of bile marks, hemorrhage,
orolher injuries.
Incision and disseclion of the posterior neck demonstrates no deep paracelVical muscular
injury and no cervical spine fraclures,

BODY CAVITIES:
The ribs and stemW'l\ an: visibly and palpably intact. No eltcess fluid is in the pleural,
pericardial. or periloneal cavilies. lbe organs occupy their usual analomic positions.
RESPIRATORY SYSTEM:

The righl and left lungs weigh 540 and 400·grams, respe<;:lively. The external surfaces
an smooth alld deep red-purple. The pulmonary parenchyma is diffusely congesled and
edematous. No mass lesions or art:as of consolidation are present Multiple small
ocdusi\lt' tIlromboemboli an: noted in the smaHer branches oflhe right and left
pulmonary arteries.
CARDIOVASCULAR SYSTEM:
The JSO.gram heart is contained in an intact pericardia! sac. The epicardial surface i$
smoolh. with minimal fBt inveslmettl. The coronary arteries are prescnl in a normal
distribution, with Brighl·dominam panero. Cross sections oflhe vessels show no luminal
narrowing. The myocardiwn is oomogenous, ml-brown, and finn. The val\lt' leafletS an:

MEDCOM 04el

ACLU Detainee DeathII ARMY MEDCOM 481

•

FINAL AUTOPSV REPORT: ~)
(BIB) HAZZAA AL I)OULAIMEEc,'FC7'",Odli:,CA".~'.nad

Page 6018

thin and mobile. The walls of the left and righl ventricles an: 1.2 and O.S-cenlimetcn.
chick,lespectivcly. The cndocardiwn is smooth and glistening. Upon opening.he
pulmonary artery while i" silu, a llono()Cclusiw. thrombocmbolus with valve markings
and tributary casts is located at the bifurcation of the right and left pulmonary arteries
("saddle embolus'i. The llOrta gives rise 10 three inlacl and patent arch vessels. The
renal and mesenteric vessels are unremarkable.
LlVER& BILIARY SYSTEM:

The 1,870-llrllm liver has an intac!, smooth capsule and a sharp anterior border. TIle
parellChyma is lan-brown and congested, wilh the usual lobular archite<;IUIC. No mass:
lesions or other abnormalities are secn. The gallbladder contai"s a minute amOunt of
green-black bile and no Slones. The mucosal !lUlface;s ~n and velvet)'. The
exlJ'1lhcpalic biliary uu is palenl.

•

SPLEEN:
The 290-gram spleen has a smooth, intaet, red·purple capsule. The parenchyma is
maroon and wngested, with distinct Malpighian corpusdes.
PANCREAS:
The pancreas is firm and yellow.tan, with the usual lobular architecture. No mass Jesioml
or other abnormalities are seen.
ADRI:."NAlS:
The right and lel\ adrenal glands are symmetric, with bright yellow cortices and gmy
nledulJae. No masses or areas of hemorrhage are identified.
GENITOURINARy SYSTEM:
The rightllIld left kidneys "..eigh 150 and ISO-grams, respectively. The external surfaces
are intact and smooth. The CUI $urfaCC$ are red·lan and congested, with uniformly thick
cortices and sharp eorlieo-medullary junctions. The pelves are lUIl'CIIIarkable and the
ureters are normal in course and caliber. Gray-pink bladder mucosa overlies an intact
bladder wall. n~ bladder conl8ins approximately 75-miHiliters ofyel1ow urine. The
prostate is r>OnnaJ in site. wilh lobular, yellow_tan parenchyma. lbe seminal vc:sides are
unremarkable. The testes are free of mass lesions, contusions, or other abnormaJ ilies.
GASTROINTESTINAL TRACT:
The esophagus is intact and lined by smooth, gray-while mucosa. The stomach contains
approximately25·milliliten of tan fluid. The gastric wall is intact. The duodenum, loops
of small bowel and colon are unremarkable. lhc appendix is present.
MUSCULOSKElETAL SYSTEM:
There is no non·traumalie bone or joint abnormalities. Skeletal mU$Ctc development is
normal.

MEDCOM 0482

ACLU Detainee DeathII ARMY MEDCOM 482

FINAL AUTOPSY REPORT: [(b){6)
(BTB) HAZZAA AL I)OUUIMEE, E:uoldin Awanad

Page 7 ors

MICROSCOPIC EXAMINATION
Sclet:ted portions of organs an: retained in formalin, wilhout preJllll'8.tion of histological
slides.

ADDITIONAl- PROCEDURESIBEMARKS
•
•

•

•
•
•

Documcntary photographs an: \lIknl by AFMES stalfphotographel'$
Specirrn:ns retained for toxicologic testinlllil\dlor DNA idnltification are: hcan
blood, vitreollS fluid. g3SlI'ic contents, urine, bile. spleen. liver. lI1/1g, kidney.
brain, lld.ipose tissue, and psoas mU'lCle
Full body radiographs are obtained and demonstrate the s\;eletaltrauma described
ahove and the presence o(multiple small metallic foreign bodies swroundinillhe
exit wound
Projectiles are not reco\'ere<!
Selected pol1ions of organs an: retained in formalin, without pt'CJllIl'8.tion of
histological slides
Tbe dissected organs are forwarded with the body

•

MEDCOM 0483

ACLU Detainee DeathII ARMY MEDCOM 483

FINAL AUTOPSV REPORT:.~(b~)'~'~'O-~
(BTB)IIAZlAA AL DOULAIMEE, Euldhl A....Il.d
OPINION
This 24-year-Qld Iraqi civilian detaiMC{b)(6)
died of"
gW\5ootofthc back he sll$Uined while in .lirelighl with U.S. Army personnel. Ue was
stabilized and tmlSpOl'IC(i to. mcdieal facilily where he ....-as ambul.til\& with assiSUUlCC
wheD he ....-.s, fDund ~nsive in his hospital bcd. A8j;rcssive re$U5Cilalioo was 10 no
avail. The gunshOi enlT1ul« wound was localed on the righl lo.....cr back.:IlId ptssed
through the skin and 50ft tissue ofme lo...-cr right bal;k. the spinous process ofme 4'"
lumbar vencbra and the soft tissue ofme left lower back before eJCitinllthe upper left
buttoe:k. There WWI no evidence of close range lire. nor were any oflhe projectile
m.gmentS thai were observed radiogmphieally recovered. A signifielUll complic:alion of
this gunshot wound ....-as multiple ocelusive and non-oecl~ve lhrombocmboli in lhe
pulmonary aru:ries. Toxieologieal tcsIing wu neg'live for ethanol. and positive for the
rwrolie analgesies Oxycodone and Oxymorphone in the urine but nol in the blood. The
nwtnerofdeath is homicide.
(b){6)

(6)(6)

IMedicai Examiner

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MECCOM ()(64

]

ACLU Detainee DeathII ARMY MEDCOM 484

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MEDCOM 0485

ACLU Detainee DeathII ARMY MEDCOM 485

-

ARMED FORCES INSTITUTE OF PATHOLOGY
Offl« oflbe Armnt Fon:ts Medi~.1 Eumlner
141J Res<:arch Blvd., Bldg. 102
Rockville, MD 20850
1·30\-319·0001)

FINAL AUTOPSY EXAMINATION REPORT
Name: (BTB) ABBASS AI.-ZUBAIDl,

~~S~N~·;~;m.M~~"iMm~~m~.~. ~=:--

ISN: (b)(6)
Dale of Birth: f,BTB!{b)(6) [1942
Date ofOeath:,(b)(6)
12006
DatcffimeofAUIoPSY: 15OCT2006@1000
Date ofRepor1: 19 JAN 2007

AUlopsy No.f{b)(6)
AFIP No.:

"(:~"')(~6).----r~

Rank: Iraqi Civili.lut Detainee
Place of Death: Camp Cropper, Iraq
Place of Autopsy: SlAP Mortuary,
Sagbdl'ld, Iraq

of Death: 'Inis 64-year-4Jld Iraqi male was a delainee al Camp Cropper,
Iraq and undergoing lKallnent for tubercUlosis. He bad no olher known medical
problems. He was foUlid wuesponsive, and allhough ACI.S prolOCQI TC;suscitation was
initialed, he expired.
Cin:umslao~ea

AUlhoriulion for Autopsy: Office of the Arntcd forces
USC 1471.

Med;~al

Examiner, lAW 10

Ideotilialioo: PTC;sumptive idenlification is establis!lcd by a wriSt identificaliOl1 band.
A DNA sample is \.Iken for profile putpOscs if an exemplar bcl:oml2 available for
posilive identifi~a1ion.

CAUSE OF DEATH:

HYPERTENSIVE AND ARTERIOSCLEROTIC
CARDIOVASCULAR DISEASE

MANNER Of DEATH:

NATURA.L

MEDCOM 0486

ACLU Detainee DeathII ARMY MEDCOM 486

FINAL AUTOPSY REPORT: ~(6)
(BTB) ABlIASS AL·Z;UBAIDI, Nljim M.
FINAL Al.ITOPSY DlACNOSES

T.

Canllovutular Dlnue
A. Coronary lIl'tery disease
I. Luminal narrowing (7S%)ofthe ld main toronary lIl'tery
2. Luminal narrowing {9O%)oflhe re-canalized left anterior descending
coronary lIl'tery with calcificalion
3. Luminal narrowing (9lW.)ofthe left cin:umflex coronary lIl'tery with
calcification
4. Luminal narrowing {>9O%)oflhe right coronary artery with calcification,
evidence of plaque rupTure and fresh lhrombus formation
5. Remote left posterior wall and seplal inf~tion
n. Cardiomegaly (helll't weighl SIO-grams)
C. Aortic atherosclerosis with uJoeralion and calcificaTion
D. Focal, diffusc glomerulosclerosis and arteriolosclerosis of lhe kidneys

n.

Otber Findings
A. Right renal calculi: Four irregular. green-brown calculi llJl: recovcred from
the renal pelvis, and range in sizc from 0.3 to 0.5-eentimetcrs
B. Prostatic hypertrophy: The prostale is enlarged in siz.c, 5.0 x 3.0 x 3.0oenlimclers (no discrete nodules llJl: idenlified), with lL'ISOCiated muscular
hypcnrophy of the bladder
C. Bullae of The tight and left upper lobes of the lungs
D. Pulmonary congestion
E. Mild 10 moderate pulmonary emphysema
F. Muhiple lung and hilar lymph node secTions are negative for mycobacterial
infection (see Atlachmcnt I for complele details)

lIT.

Evidence of Medical Thcnpy
A. A pmperly located endotracheal lube
B. An Inl"'venous line in~"ed in the righlllOtccubilal fossa
C. A surgical-1ypC mask coverinllthe nose and moulh
D. Rib fractures: anterior right 6 rib and anterior left 2"" through 61to ribs

IV.

Pos1-Mor1em Chlnges
A. Uvor is poslerior and fixed except in anas exposed to pressure

B. Rigor has plL'lsed (absent) in all extremities
C. The body is cold 10 louch
V.

Identifying Body Marks
A 0.7)( Q.S-(:enlimeler broWTl papule is on the left. groin

VI.

Nn evidence nf pbysicalabuse

VJI.

T,,~icolngy

A. The blood and urine llT1: tested fnr ethanol and none is found.

MEDCOM 0487

ACLU Detainee DeathII ARMY MEDCOM 487

FINAL AUTOPSY REPORT: j(b){6)

Plge 3 of8

(81'8) A8BASS AL-ZUBAIDI, N'ljlm M.

B. The urine is screened for medications and drugs of abuse; Ethambutol (M
antimycob$:terial medication) is detected in the \lrine but is nol quanlitaled in
the blood.
EXTERNAL EMMlNA1'ION

The body is!lult ofa well-developed, ",.ell-nourished appearing. 70 ~inch aod 150pollnd (cstimated) male whose appc8rlUl« is consistent with the ~potled agc of64·years.
Lividity is posterior and fi:ted. Rigor is absenl (passed), and the temperatUR' is cold to
touch.
The scalp is cove~d with gray hair in a normal distribution; facial hair consists ofa
moustache. The irides are hazel. the oomeac arc cloudy and the pupils are round and
equal in diameter. The external audirory canals are patenl and free of foreign material.
TIle ears are unremarkable. The nares are patent and the lips are BTrlIwnatic. The nose
and mu:illae are palpably stable. The teeth appear natural and in fair condition_
TIle neck is stTlliaJtt, and the trachea is midline and mubile. TIle chest is symmetric. The
abdomen is f1al. The genitalia are tllose ofa llOrmal adult male. The testes are descended
IIJId free ofmaS$CS. Pubic hair is presem in a nonna! distribution. The buttocks and anus
are unr.:.ma<kable. There is a 0.7 x O.S-ccntimeter soft bnlwn papule in the left inguinal
fold.
The upper and lower eX1~mities an: symmctric and "ithout clubbing or edema. The

fingernails are trimmed and inUlet.
CLOTHlroG AND PERSONAL EFFECTS
The following clothing items and personal effects are present on the body at the time of

IUropsy;
•
•
•

Yellow top
Yellow pan~
While boxer shons

MEplCAL INTERVENTION
•
•
•
•

A properly lotated endotf8chealtube
An intravcnous line iru;c:r1ed in the right antecubital fossa
A surgical-type mask covering the nose and mouth
Rib fractW!:s: anterior rigbt 6'" rib and anterior left 2001 through 6"' ribs

MEDCOM 0488

ACLU Detainee DeathII ARMY MEDCOM 488

FINAL AUTOPSY REPORT: l(b){6)
(BTB) ABBASS AL-ZUBAIDI, Nljira M.

PIge4of8

RADIOGRAPHS

A complete $tt ofposunortem radiogntphs is obtained and demonstrates the following:
•
•

No fractures of the skull, axial skeleton, or 10llg bonts
No metallic foreign bodies other than medical thernpy
EVIDENCE OF INJURY

Th~ is

no cvidence ofrecem. significant injury.
INTERNAL EXAMINATION

HEAD AND q."NTRAL NERVOUS SYSTEM:

The galeal and subglleal soft tis.sucs of llie scalp are free of injury. The calvarium is
intact. as is the dura mater benealh it. Clear cerebrospinal f111id SIlfJOllnds the 1,240-gram
brnin. which has llnremarkable gyri and sllici. Coronal se<:tions demonstnlte sharp
demarcation between white and gray mailer. witboUI bcmorrllage or COnlusive injllT)'.
Tile ventricles are of normal si7.c. The basal ganglia, brainstem, and cerebellum are free
of injury or other abnormalities. There ~ mild atherosclerosis of the arteries at the base
of the brain. There IlIe no skull fractu~. The atlanto-occipital joint is stable.
NECK:

By layer-wise dissection, llle anterior strap muscles of the neck lII'I: homogenous and redbro"'n. without hemorrilage. The thyroid cartila~ aoo hyoid bone are inlact. The larynx
is lined by intact while mucosa. The thyroid gland is symmetric and red-brown, wilhoul
cystic or nodular change. The tongue is free of bite mwb, hemorrhage, or olher injuries.
eDDY CAVlTlES:
The sternum and vertebral bodies lII'I: visibly and palpably intBCt. Injuries 10 the ribs

lII'I:

described above (see "MtdicaJ Intervention, ~ above). No CllCCSS fluid is in the pleural.
pericardial, Or peritoneal cavities. The organs occupy their usual anatomic positions.

RESPIRATORy SYSTEM:
The rigllt and left lungs weigh 840 and 72S-grams, respeclively. The external surfa«s
are smooth and deep red-jIlJrple. Bullae are grossly identifiable in the apices or both
lungs. The pulmonary parenchyma is diffusely congested and edematous. No mass
lesions or areas of consolidation an: presen!.
CARDiOVASCULAR SYSTEM:
The 5 IO-gram heart is eonrained in an inlllCt pericardial sac. The epicardia) surface is
smooth, with moderate rat inveslment. The coronary arteries arc present in a normal

distribution, with a right-dominant panCTD. Cross sections orlbe vessels sltow moderate
to marked luminal nlllTl)"ing ofthe left main coronary artery and scvere luminal
narrowing of the left anterior descending and left eireumflex COTOrlar}' arteries. The

MEDCOM 0489

ACLU Detainee DeathII ARMY MEDCOM 489

FINAL AUTOPSY REPORT: (b}{6)
(BTB) ABBASS AL-ZUBAID1, NaJlra 1\1.

PaCa.5 01S

tumen of the ri&hl toronary &nary -PJICaB 10 be of a pinpoinl diameter. All of the
&nenes an foc:ally e.kified. '\lit; myoc:ardium is homogenous, red·brown, and
firm ex~ in the posIeriOl' left venlride and posIerior teptum ~!here is a cImK
while tear. The valve leaOets an thin and mobile. The wallsofthe left and rigln
ventrio:les an 1.2 and 0.3-c:entlmcter1 thick, ~pectively. The mdoeardium is 5tnOOth
and i1i5lenin... The aorta giw:s rUe 10 three inlaC:l and palenl arch _15 and ~
multiple lIhaoselerotit plaques and uleemion with ca/tifiQlion along the enlire length.
The renal and Il1C5enleric: vessels are Ulll'tff'l.lrkable.
COfOfWy

LIVER &; BIUARY symM:
The I ,440-aram liYff has an inlaCt. smooth capsule and a sharp anterior bonier. The
parenc:hyma is Wl-broWII and congested, with the usuallobuJar archil«lure. No mass
lesions orother abnormalities an seen. The gallbladder c:onWt\ll 2·milliJil<:J$ of ~n­
blac:k bile: and no SIOI'Ie:S. The mucosallUrfaoe is green and velvely. The ~tic:

biliary llft is patenl.
SPLEEN:
The 130-gmn spleen has a 5mOOth, inUlCt. red-pwple capsule. The parenchyma is
maroon and congcsted, with distillC11ympho>d follicles.
PANCREAS:
The pllIlClUS is autolytic and saponified, ",i!h 1bll usual lobular archilecture. No tna5Ii
lesions or other abnormalities ARl secn.
ApRENALS:

Tbc righl and left adrenal Cland5 are aUlolytit and symmelrk, with brillhl yellow c:ortic:es

and il'lllY medullae. No RlU$e$ Of areas ofl\nnotThai:e ARl idomtil'ied.
GENITOURINARY SYSTEM:

The right and left kidneys weigh 200 and 160-grM1S, respectively. The eluema! surfac:es
are intaet and smooth. The cut surfaces are m1-t.an and rongnted, with uniformly thi<:k
cortices and sharp eonko-medulhu')' junclions. The pelvis of the righl kidllC)' contains
f(l\l\" imgular brown stones which range in size from 0.3 10 O.S-c:entimeters: the left
kidney pelvis is unremarkable. Both urctmlan nonnal in course: and taliber. Gray-pink
blfldder mueosa overlies an intlCt, hypcrtrophk bllldder wall with lrabeculae. The
bladder oontahu approllimalely 300milliUters of tloudy yellow urine. The proSllle is
Ullarced, wjth cy,u conlaining viKaLlS brown fluid and yellow-tao parenchyma. The
seminal vuiele$ an: unrcmar"bble. The lCSles arc ~ ofmass lesions. contusions, or
other abnonnalilies.
GASTROINTESTINAL TRACT:

The esophai!J$ is inrlK:l and lined by smooth, lUlIy-while mLll:osa. The s!Omath conlains
approximately 200-millilil<:J$ of brown-green fluid with food panicles. The gll$lrk wall
Is inllCt. The duodenum. loops ofsmaJl bowel and colon are unremarkable. The
"ppc:ndill is pnlscm.

MEOCOM 0490

ACLU Detainee DeathII ARMY MEDCOM 490

[t

FINAL AUTOPSY REPORT: b)(6)
(BTB) ABBASS AL-ZUBAIDI, Najim M.

]

Page 6 ors

MUSCULOSKELETAL SYSTEM:
Then: is no non-traumatic bone or jointl\bnQmuliities. Skeletal muscle development is
normal. Superficial incisioJls of the posterior 10130 and extremities an: negative for soft

tissue: trauma.
MICROSCOPIC EXAMINATION

Selected portions of organs are n:lained in formalin. with preparation ofselected
histological slides.
RESPIRATORY SYSTEM
~ (Slides 1-5): Muhipk sections an: ellamined which demonstrate mild
intentitial fibrosis and macrophages with anthracotic pigmcnt. Mild 10 moderalc
emphYSCl1Ultous changes and vascular coogc:stion an: noted. Special stains fail to
demonstrate mycobacteria (set: Attachment I for complete details).
HUar lymph node (Slide 6): Anthracotic pigment is present in macrophages;
otherwise an unremarbhle lymph node. Special stains fail to demonstrate
mycobacleria (see Altachment I for complete details).
GENITOVRJNARY SYSTEM
Seminal Vesjcle (Slide 7): Cystic dilatation and inspissation of secn:tions
Kidneys (Slides 8 and 9): Focal, di~ glomerulosclerosis and arteriolosclerosis.

Mild. focal chronic inflammation and focal calcification is present.

CARDIOVASCULAR SYSTEM
Left ventricular myocar(l"um and sear (Slide 10): Hypertrophic myocytes with
en1arlled nuclei, intcntilial fibrosis and dense cndocardial-based se.....
l&ft main coronary arterY (Slide II): Luminal narrowing (75%) b)' intimal
hypenrophy. cholcslCrol clefts and chronic inflammation.
!.&ft anterior descendinll cpromyy lOcO' (Slide 12): Luminal narrowing (900/0) by
intimal hypertrophy, cholcsterol clefts and chronic inflammation. Recanalization
of the artery and focal calcification an: also present.
Left cjn;umflell coronary artery (Slide 13): Luminal narrowing (90%) by intimal
hypenrophy, cholesterol clefts and chronic inflamltUllion.
Rishl wronary artery (Slide 14): Lwninal narrowiog (>90%) by intim.al
hypertrophy, cholesterol clefts and ChrOllic inflammation. Plaque rupture wiOt
hemorrhagc into Ihe media and fresh thrombus formalion are r\Oted.

ADDrrIONALPROCEDVR&~MARKS

•

DocumcntllI)' photographs nre mken by AFMES smlfphotographcrs

MEDCOM 0491

ACLU Detainee DeathII ARMY MEDCOM 491

1(~b)~(6~)':;;==.J

fiNAL AUTOPSY REPORT:
(BTU) ADBASS AL-ZUBAIDI, ~iJlm M.
•

•

Page 7 Drs

Specimens retained for toxicologic testing llIIdIor DNA identification are: heart
blood. vitmlWi fluid, gastric wntcnts, urine, bile, spleen. live!", lung. kidney.
brain, adipose t;55U!:, and psoas ffiU5Cle
full body radiographs are obtainl:d and demonstrate the absence of skeletal
trauma and the absence ofrneudlic foreign bodies

•

SCle(;led portions of organll are retained in formalin. with prepanl1ion of

•
•

histological slides
The dissected organs are forwarded with tile body
Personal efreds are released to 1~ moJt\l.lll')' aff..irs represcnlalives

OPINION
This 64·year-old Iraqi civilian dctainee(b){6)
Idled ofhypenensive
and arteriosclerotic cardiovascular disease. The observed cardiomegaly, microscopic
evidence of cardiac hypertrophy and the microscopic changes in the kidneys are typical
of this condition. There is evidcllCc oh remote myocardial infarction, as well as a fresh
thrombus in the right coronary artery. II was n:ported lhat he was being lreated for

tuberculosis, bUI no microscopic evidence Oflhis disease was observed. Toxicological
testing for elhanol was negati~e. EtharnbUiol (an anlimycobiloClcrial medicalion) was
dell~c1ed in the urine bul no1 quanl;1.llted in the blood. Thenl is 00 evidence of physical
abuse. The rib fntClunlS are most likely an artifact of cardiopulmonary resuscitation. The
manner of death is naluraJ.
(b){6)

(b){6)

Medical Examiner

MEDCOM 0492

ACLU Detainee DeathII ARMY MEDCOM 492

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00l~ 2064

IMedical Examiner

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Baghdad, Iraq

l{b)(6)

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MEDCOM 0493

ACLU Detainee DeathII ARMY MEDCOM 493