ARMED FORCES INSTlTtrn: OF PATHOLOGY
Offktofthe Anncd Fo~ M~~I El. .leer

1413 Rc:search BIYd., BId&- 102
Roekvil1e, MD 20SS0
301·319-0000
FINAL AUTOPSY EXAMINATION REPORT

Name: BT8 Hwnaldi, Al Jughayfi Haskim HwnoudAutopsy No.:(b)(6)
SSAN:(b)(6)
OIle OfBirth~(b)(6flf970
OIte of Death (b)(6) J 2006
Dale Uld time of Auto~: or OCT 2006 0930
DfIle of Report: 07 MAR 2007 :

AFIP No.1blt61

Rank: elY
Place of Death: Haliithah, I~
P\af;c of Autopsy: Pori Mortuary

Dover AFB, Dover D£

Cln:llmalaDnl of Dealb: Apprehelilled by I~i polioc on (b)(6) 2006. Once Ibm: he wu
inlmoplec1 throuihollt lhc nighl. The victim was lalel" flllllld ek.d in hiscell.
Allllaoriutioo for A'lopt)': Office oflhc Armed Forces Medical Elwniner, lAW \0 USC 1471

CAUSE OF DEATH: Multiple blunt

f~

injuries.

MANNER OF DEATH: Homidde.
FINAL AUTOPSy DIACNOSES

I.

injuries of the head and neek:
A. Dt:p.. 15ec1 skull fioKtuR of ri&hl P'ricW tanponl rqion of the calvarium.
B. GaleIJ and ~ bemorl'fw&e in the fl'Ollw and nihl parietal rqiom.
C. Muhiple flCia! eofttu3l0111, 'bruions ..tllCmllions.

II.

Injuries oflhc tono:
A. DiJcol'ltinUOUl and pMlCmed contusions ofltlc entire posterior 10110 involvinlltlc
poslCrior IIC'Ck. blck Ind butlOl:kt.
I. New conI1ucnt subelUneOus and IntnlmUSl;\I1u hcmorrhaae of the above llrClS.

III.

Injmicsofthcextrmlities:
A. Conlu$ions, abrasions and subelltlrlCOUS hanonhaae of the oolJll surflCel: ofltlc hMds
and uppa- wms, bil,kRlly.
B. Multiple I_rations ...:I contusions of the Interior surfaces of both lower lep.

IV.

Additiorlli findll!i':
A. Bila1eral pulll1Ol\lry congestion (right SIO pms. left 600 grvns).

MEDCOM 0494

ACLU Detainee DeathII ARMY MEDCOM 494

AlTfOPSY RlPORT (b}(6)
BTl HtlMAlDlo AI J_payft Huklm HUDI"d
V.

No tilJlifjQnt MlunlI db-

VL

ToxicolocY: Neptive.

2

• identified, withllllimitations oftbe examiN.tioll.

•

•

•

MEDCOM G495

ACLU Detainee DeathII ARMY MEDCOM 495

J

AUTOPSY REPORT[lb)(6)

BTB HUMAIDI, AJ J.p.yft RuldlD HUlDOudi

3

EXTERNAL EXAMINATION
The body is that of. nude mJle _ighin& IU pounds, meuurin& 71 inches in length Md appearing
compatible with the reported age ofJ6 years.. The body ternpc:ratun: is coolattcr rdriaeration. Rigor
il PUSilli. InJwy oflbc posterior suJ'fa<:cs (to be fUl1hcr described below) preeludcs an accurate
IIISC$$DICf1t of lividily.
The scalp hair is blaeK. FaeiJl hair consUtlI oft black mustache and beard. The irides are darIt. The
comeac ~ cloudy. The xlcnIC ~ ~markable. The cx!Cmlllauditory canals. external nares and
Otal cavity are tree of fOieign material and abnormal scc:rctions. The nasal skeleton is paI~b1y
intact. The teeth appear llIt.... lllld in fair condition.

The neck is $Uaight, and the tnlChea il midline and mobile. The chest is symmetric. No evidcnec of
injlU)' ofthc ribs or the sternum is evident cxlernally. The abdomen is fl.t. The eltlremities show
evidence of injury to be described below. Scars arc present on the posterior surfeccs of both elbows
(ri&ht I 118 Inch, left I inch). PIMlic bags cover both hands. The finacmails arc intaet. The eKtcmal
genitalia an: those of.1'IOTmlI.l adult male. The buttocks show evidence of injury to be described

below. The anus is IIJItemarkabic.

CLOTHING AND PERSONAL Em:CfS
The body is received WIClotbcd. The following items IOXlITIpIl'Iy the body:

1.
2.
J.
4.

A pairofbrovmsandaJs.
A pair ofwtlite boxer shotts.
A aray tunic.
A U.S. flaa kerchief.
EVIDENCE Of INnJRy

tka d lIJIl! nes;k:
A I \oi x Y, inch contusion is Pft'SCI\t on the right frontal scalp. A paltem<:d abl1lllion C(lIUi,tina of
lWO parallel linear abl1lllions is ~nt on lite right cheek measuring 1 1/8 inch (superior) and 2
incllcs (inferior) and separated b~ JI8 inclt. A Y. inch laecration is present on the nual bridae. There
is a ~ inch IllDCratlOll at the lateral marain of the left eyebrow. A \4 x Y. inch tonUl$ion is prumt 011
the mucosal surrltlC ofthc right upper lip. There is a 2 x I \oi inch contusion on the right lateral
SlD'f_ of the neck. Intemal cxunination shows pICli and lubpleal hcmonhaie in the frontal (I Yo
x I inches) and rightl*icta.l temporal (superior I 3/8 It \4 inches, inferior 2 x 2 inches) rqions.
TbcIe is I dcpreslCd fracture (I 'I. It Y. inches) in the right temporal resion of the calvarium.
Inttatnuscular hcmorTbage is present focally In lhe right stcmoeleidomastoid muscle and the deep
muscla of the ript side orthe na:k.

MEDCOM 0496

ACLU Detainee DeathII ARMY MEDCOM 496

AUTOPSY REPORT~b)(6)

I

4

BTB HUMAIDI, AI JaplI)'ft IIatklal HDIItOIld

Imo;
A i/16x V. inch superficial penetrating injury U: present in the mid clavicular reaion of tile left
shoulder. 'There ilia 4 x 114 inch contusion of the ri&ht mid ehnt There are multipleQOnflucnt and
discontinuolI$ ~ ofeochymosis invohing tile entire baek, posterior surfaocs of tile neck,
shouldcn., flanks and buttocks, bOaterJ,lly. ComminaJcd with the areas ofc>CChymosis lire numcrowl
patterned QOntuslons consining of parallel linear contusions ranging in length from I inch It> S
inches, _uting 1116 inch It> 14 inch in width and separated by a distance ranging fton'llll incll to
3111 inch.. A pIIttcmcd. contusion (as described above) mcaswing 6 x % inch is pramt on the left
latcral chest wall. Internal examination revealed intercostal muscle ilemonhage of the posterior
ehcst wall (risht S inteTcosta.l space, left f!' to 9'" intercostal spaces). Incision and reflection of the
Ikin of the back shows con11ucnt and discontinuous intramuscular hclllOn hage of the back and
buttocks, bihdellllly.
Extrgnjtigi

There is an 8 x3 inch contusion of the Lateral surfllCeOfthc right upper arm. Within this ilia are
two pattmled contusions consisting of two parallel linear contusions measuring I ~ inch.es
(superior) and 2 Y. inehcs (Inferior), with an avenae width of 118 inch and separated by % inch. A 9
% x 3 inch contusion is present on the dorsal sUff_ of tile right foreann, wrist and Mnd. A % x Y.
inclllllCCnltion it present on the posterior surface of the right elbow. Located lateral to thU is a lIS
inch $Upcrfieial pcncttating inj~. There is a disoontinuollS contusion involving the latcrallll'ld
dorsal SUlface of the mtire left upper extremity. ~ are $Ubungual ttem.t0lTW of the left index
and middle tingen:. There is discontinuous contusion of the anterior surf_ of the right lower thigll,
knee aad lower leg meuuring approximately 12 x 4 inches. Multiple lacerations ranging in lmath
from 118 to 14 Inch are present ortthc anterior surfaoe of the rightlowcr leg. Multiple QOntuJloos are
present on the posterior sarfaus of the right lower thigh. knee and upper lea covering an area
measuring 7 x 3 inches. Multiple contusiOlU (ilia 16 x S inches) are present on the latcnl and
anterior swfaces oftHc left thigh, knee and lov-w leg. An irregular % x l{, indlltocenlion is present
on the anterior sllrfJoc oflhe left knee. There is. ~ttemed contusion QOosisting of parallel linear
eontusiont on the latenI1 swfllCC of the left thigh measuring 12 inches in Ic:nsth. .vcrqing 1/8 inch
in width and separated by • disanee of 't. inch. A pmcmcd contusion consisting of two parallel
linear contusions 1,2 V. x 118 inches) scparared by lIB inch is praent on the posterior surface of tile
len knee. Incision of the extremities reveIIs intramuscular hemorr!lage in the posterior aspects of
the sbouJdcn, forurms and hands, bilaten.lly. There is also hcmOlThage in the laleralupect of the
right ankle lIIId the posterior surface of the left Iowcr leg.
INTERNAL EMMINATION
BODY CAyITlESj

(See lIbove MEvidcnt:e of Inj~J
The body is opened by the usua1 thoraco-abdominal incision and the chest pille is removed.
Scattered pleu.ral adhuions are ppcnt in the left chest Clvity. All body otglIIIS Ire present in
normalll/lltomical position. The iUbcutlllleous lilt layer of the abdominal wall is Y, inch thick.

MEDCOM 0497

ACLU Detainee DeathII ARMY MEDCOM 497

.4.UTOPSY UI'ORT (b){6)
BT8 HUM.4.IDI,.4.1 Juplyfl Huk.l. f1UIIIlHld

,

HEAD (CENJRAL NERVOUS SYSTEM>:
(See above "Evidence or InJury,,)
The -'p is refleeted. The Cllvuiwn orlbe skull is mnoved. The dun mala" 8nd r.tx Ire inl8d.
Thae is no epidlltll 01" subdural hemolThqe present. The kptomminaes 1m IhIn and dellelle. The
om:btIl hemispheres aN S)'nunetrieal. The SlnICllIR:S at the buc or the bllin, includina CIIIIiaI
nerva a blood vessels lie intKt. CoronailleCliOni through the cen:tnl hcmlspheres reYea! no
lesions. T _ w;tiollII throu&h the braifllltcm and cen:bellum lie unremarkable. The brlin
_iat- ISIO em.
NECK:

(See Ibgw, "Evidence or Injury")

IAycrwiJe dissection or the uninjured anlCrior strap muselcs of the neck IIhow them 10 be
hoIDoaeeoos and rcd.brown. The thyroid evtiLJse and hyoid are in*!. The llUfllll. illined by intllCl
willIe mueosI. The thyn)id is S)'DIIDdric and rcd-brown, witheM cystk or nodul., cllanp. The
tonPc is flee of biu marks. bemIlrrbage, or otheI" i'liurics.

RESPIRATORY sYSTEM;
The riaMa left lunp weigh 510 &Ill and 600 am. rcspoetivdy. The extcmal surfIca 1m smooth
and deep rcd·pwple. The pu!Jnor.-ry pIlmChyma is re6-putple. exudiq sliahllo rnocIa-Itely
amounts of blood and frothy fluid. No m.ss1C5i_ or _
of oolllOlid.ation Ire praenL

CARDIOVASCULAR SYSTEM;
The 370 am heM is conllined in 11\ inW:! perielnliaI.-:. The epicardial Sl/lfiIoe is lIlIooth, with
minimal fll inveslmeDl. The coruwy IlJ1crics uix IlOl'ma1Jy, follow the IISUa1 discributioo and ue
widely palent., withoul evidence ofsipirlCUll atherotclnosis or thrombolis. The: m)'OC:lWium is
homogenous, rcd·brown, and firm; the a1riII and vmtrieulu ItplIIm inlKl. The.ooa aiva rUe 10
~ inllel and plfenl arcll vesxls. The vena CIVIl and its lIlIIjor tributlrics return III the heM in !he

usUli distribution. The IUIa1 and mesenteric vemls are lIIItCl1Ittbbte.

UyER A BIUAIlY SYSTEM:
The 1220 &Ill liver hIS an intael, Smooth capsule and I sllarp anterior border. The plR'nChyma is
lID-brown and c:onaated. with !be usuaIlobuLararehitcctvre. No II'\.I$S lesions or other
lbnonna1itics we seen. The p11bladOer oonllins -woximate1y 51 ml of bile. The mlICOSII ..r.ce is
pm lind velvety. The Cll.~ic biliary !tee is paunt.

SPURN;

The 120 IIIIIpken has I smooth. intact. mt-purple capsule. The pcalch)'llll is maroon and
COlIscs\l:d, with dillinct Malpithian OOIpUlCIa..

MEDCOM ()(98

ACLU Detainee DeathII ARMY MEDCOM 498

AUTOPSY UPOR't(b){6)
8TB HUMAlDI, AI Jap.ayfl Huklm Hu.oud

6

PANCREAS:
The pancreas is finn and yellow-tan. with !he usual lobular arehiteel1Jre. No mass lesions or other
abnonnalities an seen.

ADBENALS GLANDS:
The riiht and lo:R adrenal

i1and.1 &to: .)'mmo:m<:. with brighl yellow c:ortiocs and &1"')' medull8e. No

masses or areas of ho:lI'IlXThase are identified.
GENITOURINARY SYSTEM:
The right and left k.idne)'s weigh 110 am IlIlI 120 gm. respeelivel)'. The exlernal surf.:es are intact
and smooth. The eut swfsc:cs an: red-tan and oongested, wilil unifonnly thick. cortico:s and slwp
oortiromedullary jWlClions. The pelYe5 are unrenwbble and !he umers are normal in OOIIIX and

<:alibel'. Tan bl-sder mucosa overlies an intact bl-'<ler wall. The bl.clder<:onllins less than S ml of
<:1000)' )'ellow urine. The prostate is normal in siz:e. with Iobul.... )"I'llow-tan ~nchym .. The
semirul! vaides are llIII'efTW'kabie. The testes are free of mass lesions, contusiOll5, or other
abnormalilies.

GASTROiNTESTINAL TRACT:
The esophasus is inlal:1 and lined by smooth. grey-white mll<:O$l. The stOl"lUlCh oonllins
approximately 100 ml oflilluid material. The saslric wall is intact. The duodenwn.loops of small
bowel and ooton IIJe unrematkable. The appendix is IllU'Cmarbble.

MUSCULOSKELETAL SYSTEM;
(See above "Evidence of Injury")

Muscle 6evelopment is nonN.!. No eYidc:noeofnon-lfaooWic bone or ,joint abnorrn&lilies is noled.

RADIOLOGIC EXAMINATION
No evidence o(metalli<: foreign bodies is i6mtWcd.
ADDITIONAL PROCEDUAt;&MMARKS

•
•
•
•

•

Doamentary photographs are wen by the OAFME staffphotOifWphm.
Specimens l'eUIined for loxic:otogic lcst;n~ and/or DNA identification are: blood, gasui<:
contents, vitmlUS, bile, lung, liver. brain.k.idney. spleen, adipose tiS5lle and psoas muscle.
Selected portions of 0fl8nS are ret.ained in formalin. withoul preplJlliOl'l ofhilllologi<: slides.
The di$$CCted organs are fOl'WlfOcd with the bod)'.
Penonal effee15 are released to the appropriate nlOl'tUII'y operations ";pi: lerllltive:s.

MEDCOM 0499

ACLU Detainee DeathII ARMY MEDCOM 499

AUTOPSY REPORT (b)(6)

'-,

7

BTB HllMAlDI. AI J ...
':i':.yf\:';;o,HC.C..=lm HII.Dlld
QrrNlQN
This 36 ye.old male civilian died as the ~t of multiple billftl force injuria. Aa:ordill& 10
reports, the deudeill was subjected 10 ~ lntmoption before bei~ found lIIIlaPGNi«.
Alllopsy examNion muled. deptesso:I Sklllll"nctlR Ind exlensive subaltanewl hc:UIOIThage o(
the ptdw ior body surfaco. Tho: -.nner of dc:Itb Is homicide.
(b)(6)

(b)(6)

Mellic:al Examinerc-J''''''''''.6'.--'"---

MEOCOM 0500

ACLU Detainee DeathII ARMY MEDCOM 500

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

Medieal Exemlnar

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MEOCOM 0501

ACLU Detainee DeathII ARMY MEDCOM 501

ARM.ED FORCES TNSTITUTEOF PATHOLOGY
Orr~e of Ihe Armed Forca Medlnl Eumlner
1413 Resean:h Blvd.• Bldg. 102
Rockville, MD 20850
1-30 I-J 19-0000
AUTOPSY EXAMINATION REPORT
Narne:_BIB.MussalMuhammed. Arner
(b){6)
1_ _,
ISN: (b}(6}Dale ofBj~)(6)
1969
Dale ofDealHb)(6)
2006
Daterrime of Autopsy: 28 JUL 2006
@ 1200 hI'S
Date of Repon.: 15 AUG 2006

Autopsy Nn J(b){!!t---------1
AFlP No::1(b)(6)
J
Rllnk: Civilian De\.ainee
Place of Death: Iraq
Place of AUIOPSY: Pon. Mortuary, Dover
AFB. DE

Circumstances of DUlh: This 37 year-old civilian was a detainee al the The81er
Internment Facilily, Camp Bueea, Iraq when, as repol1ed, he was found by Olher
detainees Iyinll on his back, uruesponsi\'e, in an emply detainee bamcks building. The
delainee WItS bleeding from his nose. mouth and eye oreas. A string was sc<:ured tighlly
around his neck. Emergency medical service per90nal arrived and found no pulse or
respirations. The detainee was transported to the Theater Imernmenl Faeilily hospital,
AnemplS to revive Ihe detainee....ere made. Despile those a\1empts the detainee died aud
was pronounced dead by the Chief of Emergency Medicine at the ~Iospital.
AUlhom.alion lur Autop5Y: Otlke of the Armcd Forees Medical Examiner. lAW 10
USC 1471
Identificalion' I'rC5umpti"e identificalion is made by examinalion of accompanying
paperwork and lJ) tags
CAUSE OF DEATH: LJgllure S'nngulation
MANNER OF DEATU, Homicide

MEDCOM 0502

ACLU Detainee DeathII ARMY MEDCOM 502

AUTOPSY REPORTfb )(6)

]

2

6T6 MussaIMuhammed, Amer Ibnhem
PRELI~f[NARY

I.

II.

Ill.

IV.

V.
VI.

AUTOPSY DIAGNOSIS

Ligalure Suangulalion:
Cireumferenlialligal= fUlT(lw with only slighl upward deviation
A.
B.
Fo<;a1 hemorrhage of both thyrohyoid mU5'les
Focal Hemorrhage into lite soft tissues surrounding lite left sUplrior hom
C.
of the thyroid cartilage
D.
FraClure of the left superior hom of Ihe Ihyroid cartilage
E.
Petechial hemotThagcs oflhe conjunctiva of the right lower eyelid
Other Injuries:
A.
Conlusion of~ left side of lite longuC. Yo-inch
B.
Contusion of tile right side of the fa~e. medial to llte right eye. I x Yo·inch.
with associated swelling of the soft tissues surrounding tlte right eye
C.
Subscleral hemotThage of the right e)"<:
D.
Ye!low-orange abrasion oflbe right ankle. V,-inch
E.
Remote ltealing fraclme of the distal ten ulna
MediC>lI Intervention:
A.
Combitube (properly placed)
B.
Intravenous acccss: Righi groin
C.
Urethral cathl1cr
Post-monem changes:
A.
Lividity is fixed on llte posterior surface ofttlc body lXcept in areas
exposed 10 pressure
B.
Rigor is passing
C.
Faint green discoloration of~ right lower quadranl oftlte abdomen
D.
Sltin slippage on the face and neck
No nalural disease is identified within the limits of the examination
Toxicol"lO" (AI'IP):
A.
VOLATILES: No elbl\llol is detected in the blood and urine
B.
DRUGS: Minuapine is detected in lite urine and blood (0.08 mg/L). No
other screened medications or drugs of abuse are detected in Ihe urinc
C.
CARDON MONOXIDE: The carboxyhemoglobin satunuion in tit<: blood
is 1%
D.
CYANIDE: No cyanide is deteeled in Ibe blood

MEDCOM 0503

ACLU Detainee DeathII ARMY MEDCOM 503

AlfTOPSY RErORT (b){6)

l

8T8 Mu"a/Muhammw, Amtr Ibnhtm
EXTER"'~AL EXAMINATION

Tbe body is HUll of a well-devdopni, wel1-nourishod appearini- muscular, 72-inch 1111,
186-pounds male wllose appean.nc;e is consistent with the n:ported age of37-years.
Lividity is fixed on the posterior surface of the body except in areas expo$Cld to pressWl'.
Rigor is passing, and lhe skin is cold 10 touch.
The scalp is covered with shon black, hair In a llQmIal distribution. Then: are N,o ~inch
scan on the venex Oflhc scalp and a Y..ioch area. of thick rough skin on the «Tltcr of the
f~head. Then: is a black moustache. The iridct are brOWl!. and the pupil. arc 'OUM

and equal in diametCT. Then: are scanen:d petechial hemorrhages of the conjune1iva of
the righllo_r eyelid. The cxtemalaooitOf)' canals are tutremarkable. The cars are
unremarl:able. 1'he nan:!! are patent and the lips are atraumatic. The nose and rnaxillK
are palpably Slable. The teeth appear nalural and in good condition. A mild .mount of
skin slippage is noted on the neck and nose.

The r>c("k is described under"Evidence of Injury". The chest is symmetric. Thc
abdomen is nat. The genitali. arc those uf a normal adult male. The lestes an: de$Cended
and frcc ofmuscs. Pubic hair is present in a normal distribulion. The bullOCks and anus
an: wuemllrl:able.
'The upper and lower extremiti~'5l1re S)',nmelric and wilhout clubbinl! or edem•.
There is. J·ineh oblique scar of the right side of the upper abdomen and lower chest.
Then: is. faint green discoloration oftlle left lo_r abdominal skin. There are scars thaI
measure I " Y.-inch on both shins. Then: is a 1 " Y,·inch scar on the posterior-medial
aspect of the left lhigh. The heals ofhoth feet are: dry llrtd cracked.
CLOTHING ANI) PERSONAL uncrs
The followinll clothing items and personal elTects are present on the body It the time of
aU10psy: The body is received undad. Accompanying lht body is. pair o( while
underwear.

•
•
•

MEDICAL JrlTF.RVENTIQN
Combitube (properly pllW.:ed)
rnlnl~tnOus aeceu: RighI groin
Umhral calhtter

BAPIOCRAPUS
A compltte sct ofpostmontm llIdiograplts is obt.llned and demonSlnlle$ the (ollowing:
• A healin&frllCtu~o(the left ulna
• Trauma 10 the right orbil with 50ft lissue s",~l1inH and displacement of the lens or
the globe
• Fluid in the tfllCheaand main bronchi

MEDCOM 0504

ACLU Detainee DeathII ARMY MEDCOM 504

AUTOPSY REPORT Il b )(6)

4

BTB Mlluan.1ubmllled, Amer Ibnhem

EVIDENCE Of INJURY
Liiatllfe Slrangulalion: There iJ a 16-jrw:h circumferential, tan.-broWll, continllOllS
li&l~ furrow on lhe Jkin of !he neck tllllt is dire<:ted in a prcdomil\lf\t hori1,onlll
dire<:tion with only sliillt upward deviation. On the anterior ~peCt of tile: neck thc:re are
two furrows tlul converge and co-minsJe inlo OTIC furrow on llIe posterior n«k. On lile:
Inlcrior neck the: lipturc furrows cro$! below the thyroid canilage II-illChu below lhe
top of the head and 1I0ng !he superior third of lile: lhyroid canUage 1G-illChes below the
lOp of!he he:ad. Both of !he furrows on lhe: Interior nctk extend sllghtly sllperiorJy on
both sides of the neck, passinil 3 'h-il'lChe!: below the righl car, and 3 Y,-irw:he$ below the
left ear. The highest point oflhe furrow is on the J'O'tcrior n«k.IOCiled g 'h-inehe!;
below the lOP of!he head, and on the po$lerior midHrw:, The widlh of the furrow ranllu
from 1116 to II8-inch. The Interior neck diucc:tion shows foul bemorrhage into both
thyrohyoid musclu and Into the 50ft tlhun surrounding the left superior hom of the
thyroid canilage. The left superior hom of the thyroid CIf1ilaile Is f~tllred. The hyoid
bone is intact. There are lISSOCialed petechial hemorrh:lgu of the conjunctiva of tile righl
lo\\'e1 eyclid.
Olher lnjurin: There is a 'I.-ill(:h eomusion on Ihe lell )ide Oflhe longue, Medial 10 the
righl eye is a I x 'I.-inch contusion "ith asso<:ialed swclling oflhe soft tissues
surroundin!: the right e)'e and displacement oflhc: lens oflhe globe orlhe rillhl eye. There
is subscleral hemorrhage of the riahl eye. On the righl ankle is a V,..ineh yellow-orange
abrasion. There iJ a remutc hcllinll fracture oflhc distal left ulna.
INTF:RNAL r.XAMINATION

"""',

The galeal and subg.oJeal .soft tiSllues of the scalp un;: fflee of illjury, The calvarium is
im.llCL as is lhe dura nUitCr benealh It, Clear cerebrospinal nuid surrounds the I690·grtUn
brain, which has unrcm.arkabJe gyri and sulcI. Coronal sections demonstrate sharp
demarcation bel ween white and llrey matter, .....ithout hemorrlllge or eonlusive injury.
The venrndes Irl: of normal ,i...e, The basalllanillia, brainslem, <:erebellum, and arterial
~~slems arc free of Injury or other abnormalities. The~ arc no skull f~tu.res. The
allanto-occipital joinl is slable.

'"""',

Soc "Evidence oflnj\lry", The 111)'nx is lined by inw:t .....hile m\lCosa, The thyroid is
symmetric and red·bro.....n, wilOOut eySlie or nod\llar dumge,
BODY CAVITIES:
The ribs, Slernum, and vcnebral bodies are visibly and palpllbly IntlCt. No exceSJ ftuid is
in tl\.c pleural, perieardill, or peritoneal e,,'ilies, Thc orlllllS occupy tl\.cjr l,I$ual anatomic
positions.

MEDCOM 0505

ACLU Detainee DeathII ARMY MEDCOM 505

AUTOPSY REPORT

@1(b~I~(6II=c;:-,-

,

BTB MunalMuhlmmw, Am~r Ibrahem
RESPIWORY SYSTEM:

The right8nd left lungs wdgll 1000 lll1d S60-g1111n5, respectively. The extern81 SUrf8O:CS
an: smooth 8nd deep red-purple. The pulmon8ry parenchyma is diffusely congested lind
edemalOus. No mass lesions or areas of consolidation are present.
CARDIOVASCULAR SYSTEM:
The 4$O-sram hean is contained in lll1 inlact pericardia! sac. The epicardial surface is
smooth. with minimal fal inveslment. The coronary 8nerieS an: present in 8 nonn81

dimibution. Wilh a righI-dominant p;llt<"11t. The coronary ,,"cries are patent The
myocardium is homogenous. red-brown, lll1d finn. The valve le8flelS are thin and
mobile. The walls of the left and right venTricles are 1.0 and O.J-cemimeters thick,
respectively. The endocardium is smoolh and glislening. The anna gives rise to three
intacl and patent areh \"esseb. The renal and mesenteric vessels arc unrcmarkablc.
LIVER & BILIARy SYSTEM:

The 21 QO..grarn liver has Ill1 intaCt. smooth capsule lll1d a sharp anlerior border. The
parenchyma is tan-hrown and eongesled, with lhe U5uallobular architecture. No mass
lesions or other abnormalilies are seen. The gallbladder eontains a minule amount of
green-hlack bile and no >l1ones. The mucosal surface is green and velvely. The
eXlrahepatic biliary ~ is pateDI.
SPLEEN:

The 170'lIm spleen has a smooth. inlact, red-pwplc C3p:iuJe. The parenchyma is maroon
and congested, "ith diSlinet Malpighian eOfJlUSCles.
PANCREAS:
The pan<:reas is firm lll1d ydlow-tan. with the usultllobular archileclure. No mass lesions

Dr o1lter abnormalities are seen.
ADRENALS:

The rigbt and left adrenalilland:i IlI'C symmetric. wilh bright yellow eortices and grey
medullae. No masses or areas ofhemonilage are idenlified.
GENITOURINAR Y SYSTEM:

The righl and left kidneys weigh 160 and 17G-grams. respectively. The external surraces
llI'C intact and smoolh. The cuI surfaces an: red·lan and congested, with uniformly lhick
comel's and sharp conicomedullary junctions. Thl' peh'es are unremarkable and lhe
ureters are normal in eourse and calirer. White bladder mUCOSll overlies an intact bladdcr
wall. Thc bladder eontains seant yellow unnl'. The prostllte is tlonnal in si~, with
lobular. yellow·tan parench}ma. The seminal ~~ic1C5 an: unremarkabk. The teslCS an:
free ofmass lesions. eontusions, Dr o!her abnonnalitie$.
GASTRO!NTESTINAL TRACT:

11>1: esophagus is inlact and lined hy smooth. grey-white mucosa. The slomach contains
ltpproximilldy 1DO·milliliters of partially digested food. The gastric wall is intact The
duodenum, loops of small howel, and colon are unremarbble. The appendix is present

MEDCOM 0506

ACLU Detainee DeathII ARMY MEDCOM 506

AUTOPSY REPORT'(bi{6")--

6

BTB M"iI!Ia/M"h.mm~d, Amu Ibr.h~m

1.
2.

J.

4.

s.

7.

ADDITIONAL PROCEDURES
DocIlJT1CTl1llr)' photographs art: 18k~n by OAFME staff photographers.
Full body radiographs are obtained aIId demoTlStnlte the injuries lIS described as well
lIS n!lid in the trachea lIIld main bronchi IIDd central consolidation of both lungs.
Speclm~ retained for toxicology teluing and/or DNA idemJfication are: blood,
vi1re()us nuid, bile, urine, liver, lung, spleCTl, brain. kidney, adipose. muscle aoo
gastric contems
The dissected organs are forwarded with the body.
Selected portions of organs are rcuUned in fonnalin, without prq>arstion of
his1010gieal sl ides.
IdentifYing marks include; Two SC<ln on the scalp. a callus on the center ofthc
forehead, one scar on the len side of the abdomen aod one: scaron each leg.

MICROSCOPIC EXAMINATION
Selccted portions of orllllllS arr: rctained in fonnaHn. without prcpanuion of histologic
slides.

MEDCOM 0507

ACLU Detainee DeathII ARMY MEDCOM 507

AUTOPSY REPORT (b)(S)

7

BTB MuualMuhamm~d, Amu Ib... hun
OPI~ION

This 37 year-old male died of ligature strangulation. As reported he was found by Other
detainees unresponsive in an empty detainee barracks building ....i th a string secured
tightly aroUIld his neck. A predominalely horizomalligalure furt'Ow with underlying
fracture of the thyroid cartilage and hemorrhage into both Ihyrohyoid mus<:les was
evidet11 at autopsy. Furtllcr, therc wcre blunt force injuries of the right side of thc face.
The 1011icology selttn was negative fore)'llllide, drugs of abuse and ethanol. The
carbollyhemoglobin saturation is 1%. Mirtazapinc is detected in the urine and blood.
The manner of death is homicide.
(b}(S)

(b)(S)

Medical Ellaminer

I

rb)(SJ

MEDCOM 0500

ACLU Detainee DeathII ARMY MEDCOM 508

ARMED FORCES INSTITUTE

or PATHOLOGY

Otrlec of tile A~ FORa Maika! £U-.i_
1413 Research Blvd., Bid... 102
RDdMUc, MD 2OSSO
1·30 I·) 19-«KlO
FINAL AUTOPSY EXAMINATION REPORT
N&IIlCI: IRTA) RWAOAO. Wi.d>l...

ISN: (b)(6)
o.teofBinh: (BTBfb)(6) '1966
o.te ofDelth: (b)(6) 2006

AlilOply No.: (~(!i'

AFlP No.: (b)(6)
Rank: IBqiCivili-nDetainee
PI-=e orDulh: Abu Ghraib, IBq

OMcITime of AIItOpfy. 17 JUL2006@09OPllOI:orAUlOpSy; Port Mortull')',
Do~r

o.leof1lcpon; JONOV 2006

AFB. DE

Clna-.a_ .fDeat"': This <to-yar~ lBqi male sustained guJIIhol wounds on 01
JUN 2006ll1ldct IIIIknown cireurnswK:a. l-k wall initially tinted in mlnqi hospilal
wilJl Cbesllllbcs IIld nllid rmlIdUltion. Whlk beinaltlUlSpOt'led by. civilian
unbu1onl:e. he wu detaincdllld nlllSpOoUd 10 10"" CSH foruatment, Whik Ihefe. he
Wlderwentllqery.1IXI it wu diJllow:red thai he wummli·lroqi fiahter. Hewu
llI/lJrerTed 10 the llllenlive care wtil orllle 21- CSH (BCCF) where he mnlincd until his
deIlh &om oomplieotions of bit wollllds, inclllllina Jeplis Ind mll1li-orpn system failwe.
AIlIll.rblltil»l f.r Alltopsy: Offiee orllle ArtnecI Forca Mcdiell Exuniner, lAW 10
USC 1471.
IdntUkot$n: Praumptl~ idmtificcion is bI3Cd on hospilal r=cords IIId iOenlification
bMds. A postmol1elll finaefllrinl eltlmilllUon is conducIcd for complri_ 10 e:xemplan
IbouId!hey become avlilJible.

CAUSE OF DEATII:

COMPUCATIONS OF GUNSHOT WOUND
OF THE TORSO

MANNER OF D'£ATH:

HOMICIDE

MEDCOM 0509

ACLU Detainee DeathII ARMY MEDCOM 509

FINAL AUTOPSY REPORT: (bl(6)
(8TB) SHADAD. HIt~
nNAL AUTOPSY DIACNOSES
I.

C••llo1 W•••d oftlleT_
A.. Emr.ncz Wound: On the left chest, 2G-ine:hes below the lOp ofthr; he:Ild Illld 6
J4.ine:hc:s left of tile anterior midline: of the lono in tile UJalOmic position II. I
%. Yo-ine:h WOWJd with 1'OWllIed.lOft annuIllina edaes. Maralnal abnsion.
toOl or .tipple are nol ~iaecI
B. WolllJll Path: SIdn and aubculaneout liuucofthe left chesl, mllXle, the
inferior upect of!he Ialcnl left sM' rib (hcturd). {by repon)!he 1o_lobe
oftbe left luna. the left hc:midiaphrqm,!be S1OlT1Kh,1bc ~verJt colon, the
liver and !he riihl 6" and" c:osta1 cartil. . (fraclured) (no exit WOWld)
C. Recovered: No bullet or bullet fragrnenu an: reco'lCmi
D. Dim;tlon: Left to rilhl and downward (by repol't)
E. Aaocilled Injuries: Abdominal orpn lrtiuries (cannot be Iwssed due 10
prolon&ed hospitaliutlon)

II.

Compllcatlo•• ofCa..
W...., "'tllt Tono
A. Pulmonary conaestion. o:IernI and focal COl'lJOlidilion, bilatcnl (Riah! lLl/lI
l,SlG-arams. Left luna I,190-1fIJlIS)
B. Pkunl effusion, bil.tmlI (IOO-milliliters ofaerosanguinous fluid In botll
pkunJ cavWelI)
C. Pericardial effusion (50-millititers of te1'05I./lillloous fluid)
D. PeritoneaJ effu,ion (SIMI·milliliters of Ief'OSll'lgulnous fluid)
E. Peripheral edema
F. Heut r.nure witll UlIOClated biventriculv dil.ution
G. Dense ldheRolII of the iarBe and I11III11 bowel
H. T~"e lItin ukerltion, II. III-inch
I. De<:ublll, ulcer, mid lower*k. I Yo x %-inch
J. SerolaI ulcer, I 'h. 1·lnch
K. er.m.neaalive JePSi, (by review ofmedie.l re-eorda)

TIl.

r ..t-Mor1nD a._aca

III.,

A. Lividity i' polterior and fixed
B. Rip i. passing IIld equal In all extremities
C. Foe-I areu ofepidem.1 b1il&ering and ain .liPJllill
IV.

1:Y1dN« o(Medkll Tllef'lp)'
A. Recent tnehcostomy inferior to tile cricoid eartH_it
B. Ria/lt -1fISIrH: lUbe
c. Ript and left chest rubc:l {by rqlOI'I)
D. Rip IlIbclavian Inb1lvenous!iDe
E. Riahl tldiallfteriallinc
F. Urinary bladder catheter
G. Open abdominal incillon, I) Ii x 9-1nchel. covered by _ medical dresJilli
H. Medical dralinll over JKraI_
I. Medical dreslinll on left (001

MEOCOM 0510

ACLU Detainee DeathII ARMY MEDCOM 510

FINAL AUTOPSY REPORT: (b)(6)
(BTB) SHADAD, Hill..

hee l •r ,

J. Elecbocardiocram ela:l1odu Ol\ -nlerior ~ and anle:riorthiata
K.. Multiple drain shes on &he anterior IOlSO
V.

nen ••• ftldu« .rpla)'Jlaollblise

VI.

TuieelDl)'
A. The blood and vilmJull fluid are te5Ied for etlwlol and none is f0un4.
8. The blood is leStCd for cr-nide &nd __ is found.
e. The cuboxYhcmoaIobin A1uruion in the blood Is leu Ulan Ii%.
D. The blood is screened for medieMioN &nd drvpof.tluse &nd the followilli
medk:lilions were Oc1ected:
I. The blood conWlIJ 0.13 milligrwns per Jitefofmiduollm (.
benmdiazepine tnnquiliur)
2. The blood conJ&ins 0,)3 milligrams per liler of l-hydroxymi4uolllJl (.
metabolite of miduolam)
3. The blood contains O.OS milll~ pcr liler of diphenhydramine (an
antihiswnine)
4. The blood conlains 3.2 miUigranu per liler ofmetoclopramlde (1/1
lIIliemetic)
S. The blood contains 0.039 milliPN per liler orrmllnyl (1llIROlic
analgesic)

EXUBHAL EXAMINATION

The body is that of. well-developed, well·lIOIIIished IpPCarina. 69 ~ilJ(;h, and 221·
pound male whose Ippearanoe is consis1ent with the I'qlOned lae of 4~yeaD. LIvidity is
posterior and fill.cd., rigor il passing and equal in all extremities, and the body tcmpcnllUR
is cold to touch. Thm: is aenerali~ body and extremity edema.
The sealp is covered with shott bladt IWr In. normal distribution. The iridcJ are brown,
the eomcae are cloudy and the pupils are round and equal In diameter. The extemll
euditory c:anals are patentllld free or rorelan nUlIlerial. The ell'l are Wll'CllWklbIe. The
nares ere ~Icnt and the lips are atrIumaIic. The note and maxillllC are palpa.bly Sllble.
The teeth appear nann! and In fair condition.
The neck is SUlight, and the nehce u midline lind mobile with evidence ofmedle.1
tbenpy. The chest is symmetric; Injuries to the eheJt _ desaibed below (tee ~Evidenee
of Injwyj. Multiple swgicaI dnin JiteJ are ICIltered over the literal rishl and Jell
Ibdomen and rMJe in si7.e £rom 311 11 III-indt to 1 Y.lI ~ineh.. The abdominal midline
~ an open IUfJical Inelsioll meuurilll 13 II. 11 9·inc:hes with pwlUlltinl edaa and
vUible Ioopsoranall and 1a.rJe bowel. Thtl Jo-. abdomeIlll.. hu.1lIlII\'Cne, 1111
III-inch skill ulcer. The JIOSleriorlono is mnu1clble for skill slippqe Vld. I Y, 11 %.
inch deeubitiJ ulcer on \he mid IoWCI"baek. The aenilllia are !bole or I normaIldull
male. lbe JCI'Olum ha. . 1 II. x I·inch ulcer with I herrGrrhap: base. The lestes are
descended lind free ormlSJCl. Pubic hair Is present in I normal diJlrlbuUon. The

homoc:b and anUSIR

~bIe.

MEDCOM 0511

ACLU Detainee DeathII ARMY MEDCOM 511

FINAL AUTOPSY REPORT:[Cb)(6j
(BTB) SHADAD, Hllb.

Pale 4 ora

The upper and lower elllnm'lities IJe symmetrie and without elubbins. There in % x 110-

inch healing abnsion In the riiht popliteal fossa.. ~ is a 3 ~ x 2 !/..inch bulla on lhe
left ankle. ~ is senmJir.ed edema and foest skin slippage is noted on both
upper and lower eJClJemities.
~erior

CLOTHING AND PERSONAL EFFECTS
The body Is received nude wilhout clothing or personal effects.

MEDICAL INTERVENTION
•
•
•
•
•
•
•

•
•
•
•

Recent traeheostolny lnl'erior 10 the cricoid c:artiLsae
Right lII50pStJic tube
Righi and left. c~ tubes (by report)
Riahl subclavian intravenous line
Righi rtldial arterial line
UriJWy bladder catheter
Open abdominal incision, J3 ~ x 9-inches, with granulating edges. covered by
a meditlll dressing
Medical dressing over sac:ral1IrelI
Medical dressing on left fool
EIettro<:ardlogram electrodes on ~erior lOno and anterior thighs
Multiple dn.in sites on lheanteriortono
Rt\J)JQGRAPHS

A complete sec of postmormn radiographs iJ obtaiMd and demOMtrltes !he followinl:

•

•
•
•
•
•

Righi 6'" rib fiaeture
Left. S'" rib fradure
Multiple Rlfgieal Sl.Iplcs ill the abdomen
No mctaIlic maments (other Ihsn medical devle:es) IJe idenlifkd
No long bone t'raetures are idcnlirfed
No skull fTacturesarc Identified

MEDCOM 0512

ACLU Detainee DeathII ARMY MEDCOM 512

nNAL AUTOPSY REPORT: (b}(6)

hp50fl

(BTB) SHADAD, Hisl:Ilm

EVIDENCE or INJURY
Thcorderina of the following injuries is for descriptive purposes only, and is not
intended to imply Older of infliction or relative 1eVeri1y. All wolll'ld pathways are given
relalive III SWId.ud analOmic position.
Qgubol Wo"d ofdltTono

On the left chest, 2O-inclies below the lOp of the head and 6 Y.·inches left of the anterior
midline oftbc lono in the anatomic position is. I Y. x Yrinch en~ woWld with
rounded, !10ft granulatil\i ed&es- Mqinalabruion, I0OI or stipple are 1101 appreciated
due III prolonged lio!lpitalization.
The bullet iqjlGd skin and subcutaneous tissue oftbe left. chest, muscle, the inferior
aspeI:I oflhe 1almJ \eft. 5" rib (fractured), the lower lobe of the left lima (by ~), the
left.ltcmidiaphmgm (surgically rcpai~), the stomach (!lqically repaired), the II'alISVCI'Se
colon (suraic:ally repai~), tbe liver (by repon) and lite right 6" and .,. CDS1Il carliJaae
(f!actund). There ilno exil wound IIId no bullet or bullet fragments.e recovmd. The
WIlUIIII path is di~ sHglu.ly blc:k 10 &ont, left 10 right and doWllward.

Associaud with the gunshot wound of the IOI'SO are sepsis and multi-orpn system faihe
during his prolonged hospitalization.
INTERNAL EXAMINATION

HEAP:

The galea! and subgaleal!lOft t i _ of the !CaIp are free of injury. The e.lvanwn is
inlal:l, as is the dtn maier beneath it Clear cerebrospinal nuid sunounds the I,BO-gram
bnlin, which appea:s slightly edemalous with widened gyri and n1mowed sulci. Coronal
sections ~nsD'Ile sharp demarcation between white a,nd grey maner, without
hemonblge orcontusive injury. The ventricles are ofnonnal siu. The basal gan&li&,
bnlinstem, cerebellum, and arterial systems are free of injury or other .bnonnalities.
There are no skull tfaclures. The at1anto-occipital join! is stable.

=,

Layer-wjx dissection of the &lItcrior strap mll5Cles of the neek reveall homogmous and
red-brown muscle. without ItclDOfrhage exoept In the _ of the lracheostomy. The
thyroid cartilage and hyoid bone are tntac1. The IIl)'IIX is lined by intael white mucosa
except in the area of the trIICItcostomy. The thyroid gland is symmetric and red-brown,
without cysdc or nodulu dwI&c. The lOn&\lC II &ce of bite marts, helllOlrbqe, orolhel"
injuries.
SOnY CAVlDES:
The lItemwn tnd vertebral bodies an: visibly and palpably intact. Injuries to the ribs: are
noted above ($COl "Evidence oflnjury"). The righl and left plewa! e.vities contain 100-

MEDCOM 0513

ACLU Detainee DeathII ARMY MEDCOM 513

FINAL AUTOPSY RUORT: (b)(6)

(BTB) SHADAD, Hia&im

milliliters or ~inousfluid c.dI. lIIe perieardialllC comaiDs SD-millitcn or

llif'OSlIlaui_ fluid lind the peritoneel cavity oontlins 500-mlllilitenorsefOSIlIJUinous
fluid. The orpns oocupy thrir usual_1Ornk: posiriorlll except when: t1iahlly diJtorted
by aqicII intctvcntion.

RESPIRATORY SYSTEM:
The riihl and left Iwlp IOTigh 1,530 and 1,3!/O-ararns. lespedively. The e:mm.I
~ are rollgh 8lld deep red-pllfple
~}'IIlI. is diffilltly congested UId

with \oose IldheslollS. The pulmonary
focally COIIJOlidlted. No mas lesions are

ick:ntillcd..

CARDIOVASCULAR symM:
The )S()..pm Man b contained in an Inlact perieanlilillC. The epieanllal surf," is
smooth, wilh miDimal rat Investment The coronary arteriQ; are present in a normal
distribution, with. righl.f1omlnanl panem. ero. sections orlhe vessels show no luminal
IIlfl'Owinll- The myoeudiwn lJ homosenous. red·brown,lllCI firm. The valYil &e.fiets are
thin and mobile. The walls of the left and ri&ht ventrielq are 0.9 and O.<kmtlmctm
thick. rqpectively; biYt:lltrieulll' dila",tion is present. The endocardium i, smooth and
aJistcnlnll- The aorta aiVq rise to three Intacl and patent an:h vet3els. The renaJ and

mesenteric _Is are IInrctrlll'bblo.

UYEB.£BII.!ARY SYSTEM:
The 2,77().gnm liver has an Inw:t, smooth capsule ll'Id a slW'p lDtcrior bonier. The
patenehymals tan-brown and co~, with the I.lSIIlIlobu'- an:hitedwe. No mass

lesions MOtha' abnormalities are seen. The pllbladdcr contains a mlnule &mo\llll of
areen-black bile and no $!Ones. The mucosallurface is areen ll1d velvety. The
extnllcplllc biliary tJee is paletll.
SPlljfN:
The 42o..gram spleen has. IIIlOOth. inlKt, red'pIIrlIle eapsule. The parenchyma is tot\,
Il\lI'OOn and conaeslcd, with indistinct Malplahian COllJlI'Cles.

PANCREAS:
The pancreas has .utolytic changes, with the uSUIIlobular .chitecture. No mass Icsiona

or othec .l>nonna1ities are seen.
ADRENALS:
The risM and left ~ aJlJlds are symmetric, with t1Itolytic clwliles. No II\UICIlR

identified.

GENITOURINARY SYSTEM:

The ri&hl and Ieft.kidncys weip 160 and 17O-arams. respectively. The ellc:mal surfaces
are intlicl and smoolh. The cut tudaees lI'C red-tan lI'ld convstcd, witl\ uniformly Ibidt
cortices and s/llrp cortico-medullary Junctions. The IXIYes lI'C llIIl'CnIlrkable and dle
uteIen lI'C nonnaI in counc and caliber. Gray-pinlr. bladder m\lCOSl over1iea lJl intact
bladder WIll. The bladder contains no urine. The ~tec iJ nonna! in
wtth lobulII',

sac.

MEDeOM 05\4

ACLU Detainee DeathII ARMY MEDCOM 514

FINAL AlTTOPSY REPORT:'(b)(6)
(BTB) SHADAD. Hltblm
~1I0_ pumc;h)'IJII.
Il1.I$S

TIle xminal vesicles are IlIImTWItIble. The testes are free: of
lesionJ, oontll$ions, or other abnormalitiCl.

QASJRQfNIESIINAL JMCI:
The esopI\a&ul Cs intlCt and lined by ItnOOIh, ITI)'-white mucosa. 1'be stolMCh il densely
~ to multiple loops orlarae and..,wl bowel and oontains applOllimllely 60milliliters of brown nuid. The pstrie wall i5 intICI with. suraiuI rq.1r. TIle
duodealllJ\, loops or IIMII bowel Mel oolon are rmwbble for cknJe .sbesions ."""~.~=,
the loops orsm-ll bowel and the Jarae bo_l; multiple 'urai<ally.rcd enlerOlomles
are identified. butlbc denx adhesions llIlIy m.sk f'O'oIible perforations and/or
obstrIIetions. 1'be appcndb: is prcscnL
MUSCULOSKEL£TAL SYSTEM:
'There is 110 1l000-u..umlIlic bone or jointabnolmlliities. Skektal mUlCle development i.
~l.

MICROSCOPIC EXAMINATION
Selected portions of otpnI are retained in fonnalin, wilhout preparation oflliSlOloakal

slides.
APDmONAL P80C£DUBf$lBEMABK$
•

Documentary phOlO(papM are taken by AFMES .WTpholOanplters

Spcl:imens retained (or toxieoloaie Icstlnsllndfor DNA identifteation arc: hean
blood, Yill'eOlIlI nuld. pstric oontCllIl. spleen, liver. 11IIIlI, bile.1ddney. brain,
adipose lilSUC, and psou muxle
• The diucc!Cd orpn.s are rorwarded wiLh Ibc body
• The body i.lIllwcd closed without embllmlna
• The fol!owinS identil'yins body mart. are Jft'ftII: Tattoos(b)(6)
(b)(6)
1_

•

~

•

MEDCOM 05\5

ACLU Detainee DeathII ARMY MEDCOM 515

FINAL AlTI'OPSY REPORT: ~b)(6)

Pqc80fS

(BTB) SHADAD, Hiablm
OPINION

This 4()..yeu-old Iraqi male eivilian detainee, (BTBltb)(6)
died 115 I result ofa
gunshot wowKI of the torso he SUSIIino:d IIJIder WJeeI'Iain eircUl11Slan«:s. He expired after
a )G-day hospital course Ihat was compliCllCcl by sepsis and multi-orpn SY5tem failure.
The wound pathway is reeoMlnIctcd from the autopsy flrKIings and hospital records and
passe!I through the Iaterallcft ehest, the lower klbe of the left lung, the lel'l
hemidiaphragm, the stomac:h, the IIfF bo~l, the liver, and the right upper abdominal
wall. The bullet did not exitlhe body, 1\0 bullet or bullet frqmenl5 were tctOVe:l"ed
during the IlItOpsy. oor were any bullet or,bullet fragments reponcdJy recovered during
surgclic:s.. Toxieologie.l teslina found therapeutic levels ora benzodiaupine, an
antihistamine. an antiemetic and a nan:otie ltlligesle in l/w: blood. The: manner ofdeath

is hornk:ide.
r(b)(6)

(b)(6)

"(b")"(6')---,Mcdie.al ElIaminer

(b)(6)

Medical Examiner
(b)(6)

I

l- - -

MEDCOM 0516

ACLU Detainee DeathII ARMY MEDCOM 516

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MEOCOM 0517

-~

ACLU Detainee DeathII ARMY MEDCOM 517

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MEDCOM 0518

ACLU Detainee DeathII ARMY MEDCOM 518

ARMED FORCES INSTITUTE OF PATHOLOGY
Office of/be Armed Forces Medical Enmlner
1413 Research Blvd., Bldg. 102
Rockville, MD 20850
1-)01-) 19·0000
FINAL AlITOPSY REPORT

;;:;;;:=-.J

Name: Allahrani._
Y~;}"~T~,
Detainee
Nwnber:l(b}(6}
Date of Birth~bl(6\-- 11984
DaleofDcath{b)(6)
2006
Dale of AUl(lp5y: 10 June: 2006@ 18)0
Date ofRcpon: 02 Augll5t 2006

Autopsy No.~,'T.'~'''~'_­
AfIP No.: l(b)(6)
Rank: Detainee
Place of Death: Detainee Facility.
Guantanarno Bay, Cuba
PlllCC of Autopsy: Naval Hospital
Guantanamo Bay. Cuba

CircullluancK orDealb: Tbis 21 year-old detainee. by report, was foUIld IWllting in his
secllR: eell at the delllinee confinement facility at approximately 0020 OllI(b}~OO6.
Medical resuscilation was Wl$uccessfUI and he was declared dead at 0150. in tile medical
record it Slates he was unresponsive, pulse-less, apneic. ",~th fixed and dilated pupils. and
in rigor mOl1is when he arrived at the detention clinic at 0048 .

•
AUlborhalion ror AUloply: Office of tile Armed FOICeS Medieal Examiner, lAW 10
USC 1471

Identification: Detention records. Fin8erprints and DNA sample obtained.
Personnel present for Ibe aUIOps)':

l.

S~ial Ag"'"t[c(b~)::"=)==:1

2. 1l!il(6)

3.~b)(6)

4J(b)(6)
5.r(b)(6)

'Naval Criminal Investigative Service (NCIS)
f"Autopsy Assislal\1
'Medical Photographer
-,Medical Examiner Investigator
f\1'edieal Examincrl(b){6)

J

CAUSE OF DEATH: Hanging
MANNER OF DEATH: Suicide

MEDCOM 0519

ACLU Detainee DeathII ARMY MEDCOM 519

AlITOPSY REPORTjC b){6)
AL ZAHRANI. Yasir T.

2

Final AnAtomic Dbposes
I. Hanging
A. Circumferenlial dried abrallion collar aroWld the neck
B. Diffuse hemorrhage inlo the muso;Jes oftbe neck
C. Hyoid bone intact
D. Tardieu spots on the dorsum oftbe feet

11. Hands and feet bound by canon-like material
l11. Soft tissue hemorrhage lateralleR wrist
Ill. No significant natwa.! disease processes identified
IV. Status Post anempted resuscitation with intubation and cricoid pttssure.
IV. Toxicology -Negative

MEDCOM 0520

ACLU Detainee DeathII ARMY MEDCOM 520

AlITOPSY REPORTj(b)(6)
AL ZAHRANI, Yasir T.

1

EXTERNAL EXAMINATION
The body, received wrapped in a wllite sheet, is that ofa weJl-developed, ~lJ·nourislled
appearing. museular, 67 inches in length, lSI pound (per medical I'l:'OOro ali of21 May
2(06), while male whose &ppeara!lC4! is consislent with tile reported age of 21 years.
Lividity is posterior and f[)led, rigor is equal and fixed in all extremities, and the
temperature is tIIat of tile refiigeratiorl unit (34·39 degrees Fallrenheil).

The llcad and ne<:k are wrapped witll a blue plllSlie pad secured with lape. The scalp is
covemi witll black hair in a nmm.al distributiorl. The irides are brown. The sclerae: and
conjWlCtivaeare f;Ongested and m ofpetoclliae.11le extemalauditory eanaJs are
lUI1eman::able. The ears are unremarkable. The nares are patenl and tile lips are
auaumatic. The nose and nw:illae are palpably stable. The t«t11 appear in good
condition. Facial hair consiSlS of a fuJi beard and mustache.
The neck is 5ITaight, and the lracllea is midline and mobile. The ehes! is symmetric. The
abdomen is Oat. The genitalia are those ofa normal adult circumcised male. The testes
are descended and free of masses. Pubic llair is presenl in a norma.! distribution. The
buttocks and anus are wuemarbble.
The upper and lower extmnities are symmetric and witllout clubbing or ed~ Strips of
bed·shoct·like materia/tied into knots loosely bind the hands and feet. SAfCb)(6IJhas
Iaken tIIese bindings into custody. There l\I'C two rowxI scars, I inch and V.·inCb~in

*

diameter on tile back of the right leg. There is another V. x inch scar proxirnalto the
round scars OIl tile leg. There is a V. inch sear OIl the back of the left thigh.
CLOTHING AND PERSONAL EFFECTS

The following clothing items and personal effoclll are present on tile body at the time of
autopsy:
N.~

MEQlCAL IlITEBYENDQN

Evidence: of medical intervention includes:
• NlISal Airwily
• Oral-gastric tube. appropriately located
• Orally placed endOtnlClleallUbe. appropriately located
• Intravenous ca1heteT witll anached IUbing bag of intravenous solution. left
aJ1te<:ubiial fossa
• Urinary bladder catheter and attlIClIed bag
• Multiple eloctroeardiogram pads on the cbc:s'
• Pw"lCiure mark$, left foreann and left and right antecubital fossae

MEDCOM 0521

ACLU Detainee DeathII ARMY MEDCOM 521

•

AUTOPSY REPORT (b)(6)

AL ZAHRANI. Yuir T.
RADIQGlW'IIS
A wmplete set of postmortem radiographs is obtalned IIlld llI'e eonsistent with the
Iin<\inp ducribed below.

EVIDENCE Of INJURy
The ordering of Ihe following injwic:s is for descriptive plJlPO'CS only, and i$ IlO(
inlenckd to imply order of infliction or relath-e lleverity. All wound ~thways llI'e giv<:n
relJlive 10 standard llI\Ilomie position.

EvidellCf of HNllljng
There is a circumferential dried abrasion furrow around the neck. The furrow is irnsular
with the width varying from IIll 10 I inch, Within the furrow the skin is imprinled with a
very fine weave type: pattern. The furrow i.located II 'h inches below the lop of the
head at the IlOtmor midline, 10 inches below the top of the head JI the level of the left
auditory mCll1Ul, and 10 inches below the lOP of the head at the level of the right auditory
meatus. The IlOterior porlion of the furrow i.1ocatcd below the thyroid canilagc. The
furrow becomes less well defined and forms an inverted "v" on the back of the head, 5 %
inches below the lOp ohhe head and I inch to the left of the po5lmor midline. On the
left side of the anlerior neck there are addilional well-defined and superficial abrasions
adjacent to the main furrow, \18 10 \ v. inches in length. Enci«:ling the neck are IWO
segmenlJ of eonon-like material consistent with a T-shirt. The material lias been CUt or
tom and tied with knots. Distal 10 the knOI5 thcTc an: strips of material that have been cut
leaving four loose ends per pie« of material_ SA Lb)l~ hu taken tile material into
cmtody.
Additional items arc submitted by NelS that were recovered from the cell of the
decedent. Jlltluded an; thru segmenl5 of braided white t-shin like mile rial. One has a
knot alone cnd and the other end is cut. The material is cut thtoullh two segments of the
braiding near the knoned end. There is $lT\a1ler loop of the same material lied with a ktlot
and looped around the flnt Iegment. The third ponion of braided materia.l hu one end
cut and the other end is a loop thaI is secured by similar malerial wrapped aroWld the two
braided segments. Also submitted is another portioll of white I-shirt lilte material thaI has
been eut Or tom into an elongated segmelli. The material is tied with a knol lea.viog two
loose ends.
Intemally, there arc multiple hemorrhages throughout the anterior neclt soft tissue:
1_
2.
3.
4.
5_
6_
7.

Medial right stemocleidomastOid muscle, I 1 '/. ioch
Deep right stemocleidontastoid muscle, Y. 1 'I. inch
Antmor letl stcrnocleidomlllitoid mll5Cle, (2) each Y, ineh ill diamcter
Deep left s~rnocleidomastoid musc:1c, Y, 1 V. in<:h
Left sternothyroid mUIICJe, Y. 1 y, inch
Left th)TOhyoid mem~. Y, 1 3/8 inches
Left longus cspilUS mll5Cle, 'I. 1 V. illch

MEDCOM OS22

ACLU Detainee DeathII ARMY MEDCOM 522

REPORT~!(b~)(~6lC=

AUTOPSY
AL ZAHRANI, YlISir T.

5

The posterior neck is free of hemorrhage into the $Oft tissue.
~

are fainl lardieu spolS on the lIIl)des and dorsal surface of the feel.

Add'tjonallnjuries
Then: is a I ~ II liz ineli are. of soft tissue hemorrhage in the subeutaneous lissue oflhe
latend lISpect of the left wrist (in the llI1atomie position).
INTERNAL EXAMINATION
HEAP:

The gWelI! and 5IIbgaleaJ soft limICsofthe sealp lin: free ofinjwy. The ealvariwn is
inlaet, lIS is the dura mater beneath il. Cleareerebrospinal nuid swroWlds the 1300 gm
brain, wrueh hIlS wuenwkable gyri and suki. Coronal se<:tions demonstrale sharp
demarcation between while and gn:y lIUIl\er, without hemorrhage or conluSive injury.
The ventricles are ofnormalsi~. The basal ganglia, bfainslern, cerehellwn, and arterial
systems lin: free of injury or other abnonnalities. There an: no skull fmctures. The
atlanto-occipilal joint is stable.

=,

Injuries of the anterior s!Jap muscles have been described. The thyroid cart.iJage and
hyoid are inlaCt. The larynx is lined by intact while mucosa. The thyroid is symmetric
and red-bro~. without eystie or nodular change. The tongue is free of bite marks.
hemQJrMge, or other injuries.
BODY CAVITJES:

The ribs, sternum, and vertebra! bodies are visibly and palpably intact. No excess nuid is
in the plewa!, perieardial, or peritoneal eavities. The organs occupy their usualllllatomie

positions.

RESPIRATORY SYSTEM:
The right and left IWlgs weigh 600 and 700 gms. respectively. The eXlemal surfa.eesan:
smooth and deep red·purple. The pulmonary pan:nehyma is diffusely congested and
edematous. No mass lesions or an:lIS of consolidation an: pn:SCT11.
CARDIQV ASCUL.M SYSTEM:
The 230 gm heart is coMained in lIIl inlaCt perieardial sac. The epicardial surface is
smooth, with minimal flit investment. The 05tiwn for the left anlerior descending
coronary artery and circumflex artery arise sepualely from the left coronary cusp; then:
is l'IO left main coronary artery. The righl coronary .Il1ery arises l'IOnnally and is the
dominant artery 10 the posleriOr myocardiwn. Cross seclions of tile vc!>5Cls sllow IlQ
signifieantalherosclerosis. The myoearrliwn is homogel'lOus, n:d-brown. and finn. TlIe
valve leanets arc thin and mobile. The walls of the left and righl ventricles lin: 1.2 and
0.3 em lhick. rt:spectivcly. The endocardium is smooth and glislening. The aorta gives

MEDCOM 0523

ACLU Detainee DeathII ARMY MEDCOM 523

•

AUTOPSY REPORT (b)(6)
AL ZAHRANI, Yasir T.

rise 10 ~ inucl and palenl arch vessels. The rcnaJ and mesenteric vessels an:
~markable.

LlyER.% BILIARy SYSTEM:

The 1300 am liver Iw UI intael, smoolh c:apsulc and I slwp U1lmOr border. The
J*enellyml is WI-brown and conie~ed, witb!he usuallobullllllrClliteclure. No IlIUIi
lesions or other Ibnonn-J ities Ite seen. The pllblldder conwns ) ml of grem-bJ1C1r. bile
and no stones. The muc:osal surf.Ioe is green and velvety. The extnhepalie bilillly lrot: is
pIlenl.

sri Ern:
The 21.5 am spleen Iw I slTIOOth. inllet, raJ·purple c:apsulc. The parcnehymll is mIrOOn
lilt! tOJ!iUled. wilh indistinct M-Jpighillll c.ofJlUKles.

PANCi!.£AS:
Thc pancreas is soft and yellow-Ian, \0,;01 the usuallobul... uclIitecture. No lIIISS lesions
Of other

Ibnol1llalitiu Ire seen..

ADRENAl S:

The riglll and leftldmllJ gllllds ue s)'DUlldric:, witl! blipl yellow cortiecs and ~y
medulile. No mISSeS or Il"US ortlemorrhlge an: identified..
GENITOURINARy SYSIEM:
The riglulIld Ieft.lr.idneys weiah 12111ld 120 gms, mpel;tively. The external $I.ri"_
Ire inl.ll:lll"Id smooth. The CUi $Uriitces Ire m1-llIII and congested, wilh unifonnly thiek
c:onices and sharp conieomedul1lJy jWlCtions. The pelves Ire WIl'elrIIl"kIble and !he
llreIers Il"e llOl'Tl1&I in COIll"se and c:aJiber. While blldder lnllOO$l overlies III in\ICI blldder
wall. The blldder is empey. Twenl)'·five I'IIl oflliDe is recoveml &om the urirwy
c:atheterJbl&. The prwtl1e is nomW in size, willt Iobuill", yellow-lall puenehyma. The
M:rlIiMl

vesieles ll1e WlJenwbble. The leslell Il"e free of mass lesions, conlWiions, or

other lbaormllities.
GASTROINTESTINAL TRACT:

The esophlfrW' is in!llCt and linotf by smooth, ~y.while mUC05L The $lomlCh eorJlIlins
IpprOximllely 1.50 QC of bTOWIl, pani-Jly digested food panieles. The gllSlric: wall is
intael. The duodmum.loops of small bowel and colon an: IlIUm'IIlbble. The Ippendix
is present

MUSCtlLQSKE! ETAL SySJEM
MU$elc: deve10pment Ii normal. No non·traurIIItie bone or joint .bnonn.litie$ 1ft: ntKed..

MEDCOM 0524

ACLU Detainee DeathII ARMY MEDCOM 524

AUTOPSY REPORT l(b)(6)

7

AL ZAHRANJ. Yuir T.
•

ADDITIONAL PROCEDURfS

•
•
•

•

Documenlal')' photographs are lllken by l(b)(6)
Evidence collccted is seized by NelS a~nl"'('b")("6')- - - - Specimens retained for loxicologic testing and/or DNA identification are:
vilmlus, central blood, peripheral blood, urine, spleen, kidney, lung, liver, brain,
bile, gastric conlenls. adipose. and JlSOll!l muscle
The dissected orllllllS are forv.'81ded with body
MICRQSCOPIC EXAMINATION

I. Skin, dorsum of left foot: In the area corresponding to one of the grossly described
tardieu spols, there is hen1orrha~ swrounding the Sllperficial blood vessels with.out
infllll1llTlllrion.

2. Kidney - Reviewed ill conSlllwion wi\h The Department ofRcnai Pathology. There
is aUllllysis of \he proximal tubules with relative Jnservation of the glomeruli and
disUll collecting system. Adjal:C11t to several glomeruli are ool1ectioll5 of micro
calcifications in the tubular Iwnens of uncertain etiology. There is also tubular
simplificalioo of \he glomeruli wi\h mild increase in the mesangiaJ matrix. There is
no significant inflammation or other abnormalities.
3. Hearl: Section of left \'entriele is lII1I'mW.... ble.
4. Splcen: Autolysis, otherwise unmnarkable.
S. Lung: No pathologic deseriptiQfl.
6. Liver: Focal eentrilobular stealllsis. No significant portal or parench.ymal
;nflammatiQfl.
7. Brain, cen:bral conex: No pathologic description.

9. Adrenal: No pathologic description. Majority oftiuuc: is unremarkable cortex wi\h a
single focll!l of medulla.
10. Testis: No pathologic description.

MEDCOM 0525

ACLU Detainee DeathII ARMY MEDCOM 525

A1JTOPSY RIpO.rr(b~6)
AL ZAHR.ANI, Yasir T.

•
TOXICOLOGY

I. e.tbon Monoxide: The blood carboxyberMglobin ....1lS less lIIan 1% (normal 0.)%).
2. Ethanol: The blood Ilrld vi~ ....we ""pli\/!: forethanoillt. tutoff 0(20 mgfdL.

3. Cyanide: There was no eYllrlide detected in the blood.
4. The wine wu nepli~ for 5<:m:ned rnedi<:ations and drug, of abuse.
•

MEDCOM 0526

ACLU Detainee DeathII ARMY MEDCOM 526

AUTOPSY REPORTI(b){6)
At ZAHRANI, Yasil T.

9

OPINION
This 21 ~ar-old dctail'lee died orhanging. The de<:edent was discovered hanging from a
braided ligatun: tied through the steel ITKsh "''llil near the \:Citing or his cell. According to
reports, he was found with his hands and feet loosely bound by bed-sheetlike material.
A suicide note was found in his pocket. Hemorrhage in !be left wrist may be the result of
the.standard operating procedure to shackle prisoners anytime they leave their cells.
Hemorrhage into the ne<:k muscles may be the result of the hanging or an artifact of
cricoid pressure applied in the effon to intubate the decedent during the re5U5Citation
attempt. Calcifications seen in kidneys are of uncertain etiology but did fIOt contribute to
tile cause or mumer of death. Toxicology studies were negative. After an extensive
investigation there is no evidence to suggest that anyone else was involved in this death..
Based on the infonnation svailable. the manner of death is Sllicide.
(b){6)
(b)(6)

(b)(6)

j
Medical Examiner

I

MEDCOM 0527

ACLU Detainee DeathII ARMY MEDCOM 527

DEPARTVEHT OF OfFENSE
ARMED 'OlICI!'lHITTTVTl! 0# ~... ntDI.OQV
W.... ~ON.De 2 0 _

AFIP.ib)(6)
PATIENT IDEN'IllJCADQN

Am ...... .. H_.h.,

~

(b)(6)

ro

N._

omCE OF THE ARMED FORCES MEDICAL
EXAMINItR
.... RMED FORCES INSTITUTE OF PATHOLOCY
WASKlNCTON. DC lll306-6OOe

AUAHRANl VASIR TALA

SSAN:

......,.: (b){6)
T.d<olou _10. If: Ib}f6} "''''--~
D•• & a."o" G-tnl&4: , . . 19. 2006

CONSULTATION BEPORT ON CONTRlBUTOR MATERIAL
AYIP DlACNOSIS

Colldltloll

orSpeclm~lII:

REPORT Of TOXICOLOGICAL UAMlNAnON

GOOD

D.I~ orlndd~..1 (b)(6) 2006

D.I~ Becrived: 611212006

CARBON MONOXIDE: TheQrt/o1t)'hcmoglobin saturatiOli in lbe blood was leu l!wl
1% as cletennincd by spcclrophololnclry wilb .Iimil of quanliwioo of 1%. CarboxyllemoglobiD
PlUI'aUon.s of 0-3% are ~)l.pecled. for 1lOn-1II'DOkel's and 3-10% for smoken. Sanntlons above
10% are col'lSidered ~lev'led and are eonfirmed by ps chromatopphy.
VOLATILES: The BLOOD AND VITREOUS FLUID ~~umined forlbe
of e1h.aAoI .1 • cutoff of20 miVd.l.. No nhanol was detccled.

preJcDOC

CYANIDE: There was no cyanide ddeCled. in !he blood. The limi. of qlllllllilalion for
cyanide is 0.25 mgIL. Normal blood cyanide c.<lIICellItUions are less !han 0.15 mgIL. LeIhaI
concenuatiom of cyanide are grctter !baD 3 mgfL
DRUGS: The UJUNl, was JCtcened. for llCCtaminopben, amphetamine. antidepressants.
antihislamincs.llarbitllr1;lCS, bmzodiazcpines, CIIlIlabiooid.s. chloroquine, cocaine,
c!ell.tromclborphan.lidocline, IIateOtie tlIa1gesics, opiateS, phc:ncydidine, phcnothiazinea,
salicylltcs, sympathomimetic &mines and ~punil by 115 chromaloEBphy, color test or
immIJOOUAy. The followina d.ru&s were ddeCled:
None WCJC round.
(b)(6)
(b){6)

-

-

Offi<:eoflhe Armed Force. Modical Examiner

MEDCOM 0528

ACLU Detainee DeathII ARMY MEDCOM 528

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MEDCOM 0529

ACLU Detainee DeathII ARMY MEDCOM 529

ARMED FORCES INSTITUTE OF PATHOLOGY
om" oftbe Al"lJled Forul Medkal EumlMr
1413 Resean:h Blvd., Bids. 102
Rockville, MD 208S0
1-301·319-0000
FINAL AUTOPSY REPORT

NO.,:«b~)~(6")=~~

Name: Ahmed, AI~bd!lllab
Detainec Number: (l;») 6
Da.te:ofBinh J (b){6)
1969
Date ofne.tN(b}(6} 2006

AUlopsy
AFlP No.: (~(6)
Rank: Detainee
Place or nealh: Dete:nlion fa<:ility,
Guanllnamo Bay, Cubli
Place of AUlopsy: Naval Hospital GuanW1amO
Bay, Cub&

Date: of AUlop$y: 11 Juno: 2006@0730
Dale ofRepon: 01 August 2006

C1rcumltuctll o(l)nlb: This 37 year-old detainee, by report, WlI$ found hangillg in his
secure cell at the delainee c:onfinemc:llt facilily al approximate:ly 0020 on,(b)(6) 2006. A
suicide nOle was recovered from his shirt poekl:L He was (ound with his feet and hands
loosely boulld and his face covered with a white: cloth mask. Medical resvseitllion was
Ullsuccessful and M; WlI$ declared dead II 0115. In the medieal ~QOrd il SUItes he: was
IlllTnpOOsive, pulse-kss. apneic, with (uted and dUlled pupils, and In Tisor mortis when
he anived at the delention dlnic at OOSS. The medical report also states lhal. lhe decedent
had I piece ofconon-like material ill his mouth and upper plwynx \hoI was removed by
medical personnel and seized by Naval Criminallnvestiilltive Service.
AutbonullDn (or Autopsy: OlTlte of the Armed Forces Medical ExamIner. lAW 10
USC 1471
Identinc.flon: Delention =ords. Fingefllrinls and DNA sample obtoined.
Penolllld presn.t (or Ihc autopsy:
l. Spc:eial Ascnt(b)(6)
'j(b)(6)
3. (1;)116)
4. (bJl6J
S. (b)(6)

Naval CrimilllllnvestiSltive Service
]Autopsy Assistant
MediClll Photo&raPhc:r
~ Medical Examiner Investigator
Medical Examine\(b)(6)

CAUSE OF DEATH: Hlllaing
MANNER OF DEATH: Suicide:

MEDCOM

O~30

ACLU Detainee DeathII ARMY MEDCOM 530

AUTOPSY REPORT (b)(6)

2

AHMED, Ali Abdullah

r

'1..lllhIOPSY DIICIIOHS

I.

Hanaing
A. Dried abn\slon coJl~ Ilnterior/lltel'lll neck
B. Scattered hemorrhage into the muscles orllle neck
C. Tardieu-likc spots on !he legs

II. Other Injuries
A. Contusion, dorsum of left fooL
B. Healing abrasions (2). anterior left leg

III. Feel bollild by cotton-like matcri-'

IV. Ligature encircling the abdomen
V. NalUl1lI disc:_ proeesseslfindinas
A. Scalp dermlllilis

B. Accessory spleen lithe tip orlile appendix
C. Varicocele of the righllntis
O. Mild, focal chronic thyroiditis
VI. Artifact: Hyoid bone fracture, left side. during removal, no associated hemorrllage

VI. Toxicolo&>, - negative

MEDCOM 0531

ACLU Detainee DeathII ARMY MEDCOM 531

AUTOPSY REPORT (b)(6)

l

AHMED, Ali Abdullah
EXTERNAL EXAMINATION

The body, reeeived wrapped in a while sllnt, is that of. _ll«velopcd. _1I·nourished
appearing, mU$Cular, 68 inches in length, 165 pDW1ds (per medical record as of 06 June
20(6), while male whose appearance is consislent with tbe reported age of37 yean.
Lividity;s posterior and fixed, rigor is beginning 10 pass equally in all Clttmnities. and
Ihe temperature is lh.t oflhe refrigeration unit (34-39 de~ Fahrenheit).

The head tII1d neck arc Wl1Ipped with a blue plastic pad sc<:urcd with tape. The SClllp is
covered wilh black hair in a normal distribution. The irides arc: bfown. The .sclerae and
conjunctivae arc conaested but fm: ofpetcchillC. The eXlcmalauditory canals are
unretTl&lkablc. The ears arc unremarlr.able. The I\Il1CS are patent and lhe lips arc
&(rI.wntllie. The nose and maxillae are palpably stable. 1llc teeth appear in &nod
condition wilh a frac!Ure oflhc lo_r lell anteriOf' incisor. facial hairconsislS of. full
beard and mustache. On the bflc:k oflhc held Ihere arc: multiple round 10 irregular skin
lesions with red-brown marains and l:CIItral dearing.
The neck is straight, and the trachea is midline and mobile. The chest is synunc:trie. The
abdomen is nat. There is a rope·like ligature around lhe abdomen. II consists ofwbite,
cotton·like mIIterial, consistent wilh a T-shirt. The materia! illS been 10m into a snip and
rolled into severallaycrs. The materia! iS1CCured witlt. knotlhat. when received, is over
Ihc left side oflhe anlerior abdomen. DislllllO Ihc knot lhe malenal arc lWO lOO5C ends
that appear 10 have been cuI. The genitalia arc those of. normal adull eirwmeised male.
The te:5lCS are descended and fne of masses. The pubic hair is shaved, The b\Juocu and
anus are unl'enllU'ubic.

The upper and lower extremities are symmetric and wilhout dubbing or edema. The feet
are bound by thin.l>1tile cotton-like malerial eonsistenl with. T·shirt tied with knots. SA
~(6) ]tw taken these bindings into custody. The hands arc bowxl with sUl1ical to.....,ls
~ured with string.

CLaDilNG AND PERSONAL EffECTS
The following clothing ilems and personal effects are present on Ute body lit the time of
autopsy;
• Khaki colored sllortslceve pullover shirt
• WhileT·sltirt
• Khaki coloml panls
• Khaki colomlshorts over the pants

MEplCAI, INTERVENTiON

Evidcnce ofmedicaI intervention incillda;
• Nasal Airway

MEDCOM

O~32

ACLU Detainee DeathII ARMY MEDCOM 532

AUTOPSY REPORT"C:<b:"JI",6'

J

4

AHMED, Ali Abdullah
•
•
•
•
•

Intravenous cathe1er with anached tubing bq ofintnilVenous solution, right
antecubital fOS5l1
Defibrillator pad on the upper right chest. A second plId is on the shin.
Multiplc electrocardiogram pads on the chest, abdomen, and Icl'llml
Puncture mark on the dorsum of the righl hand
ldcntificlltion tags tied to the right wristw right ittIIl toe

RADIOGRAPHS
A complete set o( po»tJnonem l'IIdiogr1lphs b obYIined lind Ilre cOll5islCf1t the findinliS
described below.
EVIDENCE OF INJURy

The ordering oftlle following injuries is fordc$Criptive purposes only, lind is not
intended to imply order ofinniCiion or relative severity. All wound plIthways are givm
rel.tive 10 standlll'd .....tomie position.

Evidence of Haning
There is dried lIb:uion f\l!TVW on tile neck. The furrow is regular with the width llar')'ing
from 1{4 10 ~ inch. Within the fumlW the uin is imprinted with. very fine weave type
PIInetD. The furrow is 10000tcd II inches below the lop oftne head and below lhe thyroid
cartilage 111 the lUlterior midline, a inches below the top of tile head at the level of the Iell
llooilOry meatus, and a inches below the lOp of\he head lit the level ofthe right auditory
/IlC1IIU$. Behind the ears the furrow wntinucs 10 COUl'$C posteriorly and superiorly where
it becomes k:ss wdl defined and terminalC5 I inch posterior to the righl ear lind 2 ~
inches posterior 10 the left tllr.
Naval Ctiminallnvestiptive Service (NelS) Agents presenl (our piece" ofmatcrial that
were recovered from the noor of the cell of the decedent. Three I\1C braided wbite OOItonlike material. One ofihcse has II knot lit one end lind the other end is cut. Encircllna the

knotted end is II knoued shan loop orllle same maletilli. The second segment of this
materilll has a loop lit one end and the other end is eut. The third piece of material is a
white conon-Iike materilll with tom Of cut dcreclS. The evidence i, minimally hlUldlcd,
photographed lind rrtwned 10 NelS.

On boUt legs, taroic:u-like spots encircle the leiS. These spolJ commence 4 inches below
the knees lind extend distil for six inches tcrmiB,uina above the ankles. Similll1 spots are
on the po$Icrior thighs.
Internally, there are scattered hemorrhages throughout the lUlteriOr neck mlllCles:
I. Mediallc1l stcmoelcidolIlUloid muscle, Yo x 3/8 inches
2. Right thyrohyoid musele 'I. x \oS

MEDCOM

O~33

ACLU Detainee DeathII ARMY MEDCOM 533

AUTOPSY REPORT (bH6)

5

AHMED, Ali Abdullah

......

The mnlIindcr or the NIlerior and posterior neck is rRe or hemorrtII,e into the soft

Addjtional Injuries

There is. Yi inch round cc;mlusion 011 the donW1l orthe left rooL TlICft ue two, less thin
III ioth in diamdcr hcalina.bm.iOlll OI'Ithc.lOtcrior left lea.
ArtirilC!

There is. hctlll'C orthc Icflsidc or\hc hyoid bonc, anterior to the IC$$Cr hom, Wt
occurred durinSltlc remo....l ohhe nttk orpns. The sunoundlna soft tisslle is rree of
hcmolTllaa c•

INTERNAL EXAMINATION
HEAp:
The plcallOd SWlllcl1 son tissues of the JcIlp.rc fTce orilliUl}'. The cal... arium is
intact, as is the din "UIlC, beneath il. Clell ~rcbrospinlll nuid IIlIlTOUnds the 1450 am

nin, which IllS ooremartablc ayri and sulci. Coronal settions dcrnorulnltc sharp
demll'eltiOll bctwecTl while and are)' mancr, without hcmorrltalfC or conwsivc illiUl}'.
The vcnltielcs ue ornonnal.iu. The basal poglia. bninslem, ccrcbellW1l, and arterial
systems are fi'ec or illiUl}' or other .bnormaIities. There are no Kull fracturel. The
lilanto-oeelpitrol joint is SUoblc.
NECK;

The IOterior Il1Ip mUll:lc. or the I\CCk are llomoacnollS and rcd-brown, without
additional abnormal hies. Thc thyroid urlilage i.lntact.. The huyOJl Is lined by lntroel
wIlile mucosa. The thyroid i. symmetric and red-bl'llwn, without cystic or nodular
change. The tonlue is free orbile mark$, hmIolThaje, OT other injuries.
BODy CAVITIES;

The ribs, 1Icmum, and ... ertebra! bodies are visibly and p11lpably In\a(1. No C>tCCSS nuld Is
in the ri&ht pleural, pericanlial, OT peritoneal ca... itie•. The orpllll occupy lheir usual

lJIIl.omic positions.

RESPIRATORY SYSTEM:
The riiht and left lungs -iill 500 and 450 p , respecli... ely. Thc external swf~ Ire
smooth and deep red-purple. The pulmonll)' parenchyma is dil'fuselyconVC5lcd and
cdcmIlGUS. No mlSlllcsions or IUeII orconlOlidation are present.
CARDIOVASCULAR SYSTEM;

The 250 am hc.rt if conc..ined in 11\ inlkt pericardia! Me. The cpicardial.1II"f"ke is
smooth, with minimal
Investmenl. Thc COfOOIl)' arteries an preserttin a normal
dbaibulioll, with I rilhl-dominlnl pIIltem. Cross.wions ortlle vessels show no

rat

MEDCOM 0534

ACLU Detainee DeathII ARMY MEDCOM 534

•

"VfOPSV REPORT (bH6)

6

AHMED, Ali Abdullah

Jianifleatll alhetoKlausis. The myocardium is homo&mous. red·bfown.1IIld firm. The
valve IeItleu are thin and mobile. The wallsoflhc left and ri&hi vmtricks are I.S and
0.4 em thick, rnpec:tiYely. The mdotaJdium is smooth and ,Hllmin&- The.ana pws
rise 10 three InUlCl and p-tenllrcll vaxls. The rmaI and me5f:l\1cric: vessels are

IIlImnIrbbJc.

uyER" Bll.IARY SYSTEM;

The 14S0 sm livn hu an intaet. smOOlll eapsule and. shatpanterior border. The
parenchyma is Wl-OroYl'll and "'IWeslai. with the usual lobular all;hilmun:. No mass
lesions or odler IlbnomIIlilks.e seen. The pllblaOckrconlains 3 ml orlJftn-bIKk bile
MIl no stones. The mucosal SllI'f.ee 11 IIectlW ve~I)'. The exl~tic bitiatY tree ts

po""'.

SPLEEN:
The 130 am spken hu • smootll, inlld, raf.purple capsule.. The J*cnc:byma is maroon
and diffiuenl.

PAt!CREA$;
The pIIlCras i. soft IIIld yello_an, wilh the USUIJ lobular architeelllR'. No mass lesions
or other abnormalities arc I«n.
AQRENAI's:
The ripl and Iell adrenal,IMId. an: symmdrie, with brilht yello.... conices and irey
medullae. No muses Ot areas orlJernolmB&e arc Identified.
GENITOURINARY SYSTEM:
The n&ht and Id\ lddneyl we1ih 148 and 14S lP"s.. I1!Speclively. The cxlcmal surf.ces
are UlUd and ..,ooth. The CUI surfaces are red·..." and congested. with lIIliformly thick
cortices and sharp eortitomedullary jllllClions. The pelves an: unremarklbleand the
limen arc nomaal in coone and caliber. White bladder mUCOSll overl~ an intact bladder
wall. The bl-.dder eonUiins 2$ ml of bloody urine. The prosUiIe is rlOTmai in siu, wit/l
lobular, yello......tan parenchylTll. The semi",1 vesicles are uM;maruble. The lestes are
rn:c: ormlW Inions oreonlUSions. The~ is a nuid filled SIC around !he right testis.
QASTROINTESDNAL TRACT:

The c:tOphaSU' is inlaellnd lined by smoot/l, &rey-wllite mltCOSl. The stomach ~tI!ns
approximately ISO ee orbrown, pani_IIy discstcd rood panicles. The pstric wall is
Intact. The duodcnum,loopll of lmall bo_I, and colon IR! un~mllbblc. The appendix
is pratnl. Then]s a 0.$ em in diamcler If' ClIO')' Ipleen on tile lip ofllle appendix.

Museu t,OSKELETAL SYSTEM
Muxte dcwlop ..cnt illlOm\ll1. No additional bollll Of' joint .bnonn&liticl .... nQkd. There is
no soil 11_ hcl.lOtThIac or iljju')' orllle chc5t. bIiclr., IIbclomcn «ex1mni,icI.

MEOCOM 0535

ACLU Detainee DeathII ARMY MEDCOM 535

7

AUTOPSY REPORTC,(b-,-"-,-"_
AHMED, Ali Abdullah

ADDDnQNALPRQC£DURES

r
•

[)o(ummllry pllotoJrllphs aJt taken by(b){6)

•
•

Evidma: collected is seized by NelS agem'(b)(6)
Spec:imeos ~tained for IDxicoJoaic leslinalllldlor DNAKlentincation are:
vitreous, cenU'al blood, peripheral blood, uri~. spleen. kidney. tuna. liver. brain,
bile, &astric conlmls, adipox, and p50U muscle
The dissected organs ue forwarded with bQdy

•

MICROSCOPIC EXAMINATION
1. Hcel1: Seelion of left ventricle is IIlll'emarkablc.
2. Spleen: AUlolysis, otherwise unrcnwkabrc,

l. Kidney: Autolysis of 11M: proximal tubuJao with relative preservation of the glomc:rv.li
and distal callceling system. Multi·foxal clacifications of \hr; distal tubules.
4. Brain: Section ofhippocampus b unremarkable.

S. Lungs: CongCSlion with intralveolar nuid and posttnoncm llIIClerial colonization.

6. Liver. No plthologic deseriplion.

7. Adrenal: No patlwloaic description.
8. Testis: No pathologic description.

9. Thyroid: T~ foei ofchronic inf1amn'lalion. otherwise unremarl:.blc.
10. Scalp: This specimen was reviewed in col\llull.luon with the lkpanmenl of
DermalOpalhology. Mi<:l"Oscopic seclions and gros.s photollraphs were examined. The
clinical images Ire $Uiiestive of possible linea capiti$ V$. oLller type$ of GelTTllltitis Sl.lC'h
as seborrl1cic dmnaliti$ and psoriui$. While tinea is favored, lhe only fungal clemenlS
identified Ire ocasionlll pilyrosporum.

TOXICOLOGY
I. Carbon Monolt;de: The carboltyhemoalobin was less than 1% (normal 0-3%).
2. Ethanol: The blood.nd vilreou$ fluid were negative for ethanol at • CUloff of20
mgldL.

J. Cyanide: The blood was negative for cyanide.l. cl1tofTofO.2$mgft

4. The blood was Mplive for sc~ medicalions and drullsofabuse.

MEDCOM

O~36

ACLU Detainee DeathII ARMY MEDCOM 536

•

•

AUTOPSY REPORT(bK6)

AHMED. Ali Abdullah
OPINION

This)7 yur-old <kwnce died ofhanaine- He was found twlailli in hillClC1ll'e cell.
TOllicok)lY SlUCIiea are nepli~. Bued on !he investigative infonl'lllion as ofthisdlle,
there is no evidence of anyorte cIte beinl involved with this lkalh. Unusual wdie\i-Hke
5POU on the lest and lhiahs may rqwatnl posl-mol1etn utifaet. The rnedietJ rceonI from
the time of rauxhation documents tIuol • IOOIb broke durina an intubation IUCmpl. A[~
based on the medical ~llII\Cntalion of Ihe mnaint durina the 11tempecd r=ascilmion.
the decedent bad been dud for It \easllcoupk ofhoun prior \0 the dix:ovcry orhis
body. BuecI 011 eut'l'mlly available infam.tion, the manner of dath ilsuicide.
(b)(6)

(bl(S)

-MediCIII E.!l.mner

(b)(6)

MEOCOM 0537

ACLU Detainee DeathII ARMY MEDCOM 537

•

PADW IDWlnCATION
AnPAe Ill'ouN...ba"
~_

['b)(6'

J

orner. 0'111£ ARMEO FORCI.S MEDICAL

Nlm.
AHMED. AU ABDULl..AH

EXAMlNER
ARMED FORCES lNSTl1VT1 0' PATHOLOGY
WASHlNGTOM. DC UJOt tOOll

SSAN:
.h_J<!!}{§)
Tadcolocr A_loll II: (b){6)
Du.ItqMwl;Gncl'lIlM, """16,2006

CONSULTATION REPORT ON C9NIR1BUTOR Mt\DRJAL
Am DlACNOSlS

REPORT 0' TOXICOLOGICAL IXAMINAnoM

CoDdltlo.orSpeeba.clUl: GOOD
Date OUllcldellt(b){6) !2006

Date Recdved: 6112flOO6

CARBON MONOXIDE: The carboxyhemoglobin satumdon in !he blood wu less than
1% u detemtincd by spectrophotometry with • Limit ofquantitalion of I%. Carboxybcrnoalobin
salunltionJ of ()..3% are expected for llOfHIDokerl and )-1 O'A. for smokers. SatuntionJ above

10% are ~ elevated and are eooflrme1:l by gas dlromatoil'lPhy.
VOLATILES: The: PERIPHERAL BLOOD AND VITREOUS FLUID were
examined (Of lhe presence of ethanol ar • eucoffof 20 maldL. No edwlol wu detected.

CYANIDE: There was no e)'lllide dele<:ted in the blood. lbe limitofquanlilatiOll. (or
cyanide is 0.25 1lI&fL. Normal blood eyWdc eoncmtrations are leu than O. Jj maIL. Lethal
concentratlons of cyanide are grate' thaD 3 rngIL.
DRUes: The BLOOD was seroened. for aoetaminophen, amphe(amine, antidepresanu.
arllihistaminc.t, barbitur.tel, benzodiazeplncs, unn,binoid5, chloroquine, meDoquine, CO(.jne,
dcxtn:JmcthorpMn, lidocaine, narcotic analsc:sies, opiates, phencyclidine, pbenothiazincs,

salieyllUes. ~lmetie arWoes Uld verapunil by gas ehromatoil'8phy, eo'or lest or
imm~y. The foJlowingdoJp were dete<:ted:
None were found.
(b)(6)
(b)(6)

(b)(6)

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1MedIcal ExamIner

MEDCOM

(b)(6)

O~3B

ACLU Detainee DeathII ARMY MEDCOM 538

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MEDCOM

O~39

ACLU Detainee DeathII ARMY MEDCOM 539

1

r

ARMED FORCES INSTITUTE OF PATHOLOGY
Office uflbe Armed Forces MediCIIl Elamilier
14J) IWean:h Blvd., Bldg. 102

Rockville, MO 20850
1-301-319..0000

nNAL AUTOPSY REPORT
Name: Alulaybi, (VI",,; S,lulman.....TlII'ti.
~ainee Numbe.!:;.l(b}(6)
D.teofBlrlh: (b}(6)
'1976
Date of Oeatlt(b)(6} ~006
,

Autopsy NoJ(b)(6)

r('~b')~{6~)~==j
Rank: Detai~
AFIP No.:

PIt« of Death: Detention FltCility,
Guantllnln'lG Bay. Cuba

Da1cofAulopsy; II Junc2006@II00

Place of Autopsy: Naval Hospitlll Guanlanamo

Dale ofReplln: 311111)' 2006

Bay. Cuba

Clreumslu.fft orOt.I.: This 30 year-old dWIinee was found hanRinllJn his 5eCUl'ed
cell al the detainee confinement facility at approximately 0020 on(b){6) ]2006. A
suicide note was found in his poeket. By report. he was found with hb lep and hands
loosely bound, and. mask like material co~rilli his faI:e. Medical !'eSU$CilaljOl\ was
unsuteessfuJ and he was declared dead at 0115. In the mediClil record it staleS he was
unresponsive. pulse-less., apneic, with fixed and dilated pupils,and in rigor monis when
he arrived at the detention clinic at 0053.
The medical hhtory b remarklble ror. "donlr;ey·klck" to lhe c:hest several yean before
he was plac:ed into detenlioo. l'ltU injury resulted several broken ribs.
Autboriulloa for Autopsy: Office or the Anned Foltell Mediul Examinc:r, lAW 10
USC 1471

IdeDtlnC1ltloa' Detention records. Fingerprints and DNA sample obtained.
Pel'lGaael praeat for tbe autop,y:
I.
2.
3.
4.

Aae--m!!3'~~)~{6~)==';:'N.v.l CriminallnvC$ligative Service

Special
(b)(?)- O!
(b)(6)
1l!»(6)
S. [lb}(6)

jAutopsy Assistanl

Medica! Pholographer
,Medical Examiner ln~esti&llor
Medical Examiner{b)(6)

CAUSE OF DEATH: HlIDging
MANNER OF DEATH: Suicide

MEDCOM 0540

ACLU Detainee DeathII ARMY MEDCOM 540

AUTOPSY REPORlb'""bN
)(",,--ALlITAYBI, MllI\I Shaman T.

2

FIa.1 Aaropty DgplUCl

I.

H8IlfJn8
A. Circum(erenlilll dried abruio/l collar aroulld the neck
B. Soft tissue of !he neck free o(llemorrhqe

II. Additional Injuries - Abnlsion, left elbow

II. NatuBJ disuse proec:sse:slfindinp - None

Ill. TOlUCOIogy -

Ne~ive

MEDCOM 0541

ACLU Detainee DeathII ARMY MEDCOM 541

AUTOPSY REPOR~{bl(6)

l

ALUTA YBI, MilII. SIwnan T.

r

EXTERNAL EXAMINATION
The body. ra:eived wrapped in sheel, is that ora _U-developed. well·nourished
appearina, rnustular, 67 !.1 inehes in Icnlllh, 119 pounds (pet medical m:ord U or06 June
2006). while male whose appearance is consistent with the reported lit 0(30 years.
Lividity is posterior and lixed. rillor is no 101\&et' present,.oo the tempeTlNre is thai the
~friseration unit (34·39 degrees Fahrenh~t).

The bead and neck are wrapped with. blue pJulie pad secured with lIpc. The SCllp is
coveiU with bllldi: hair in I normal distribution. The irides arc brown. The sclCflle and
conjunCliv8C arc congested and free ofpetedliae. The extemal auditory canlls are
WlR'lnarkable. The ears arc liJU"eIJlarbblc. The nares are palcnllnd the lips are
.traumMic. The nose and maxillae are pall'J'bly SIBbIe. The teeth appear in good

condition. FllCialllair consists of. full beard and muslaChe.
The ned is straight. Ind the trachea is midline and mobile. The chest is symmClric and
nal10 concave. The abdomen is tlaL "The genitalia are lho5e ofa normal .oull
circumc:i$ed male. The testes are descended and free of masses. The pubic hair is
shaved. The buttocks and anus Il1C unremarkable.

The upper and lower exuemilics are symmeuic and withoul dubbing or edema. On the
dorsum of the right hand 1$ a !-i x up to Yo inch scar. l1Iere three healing eschars on the
posterior-lall:ral side of the lower ~A leg. There are I V. x I inch scan on the anterior left
and rigbtle&!!. On the right kme is 8 % inch sear. The IwMls and feet are bound with
sUl'JIical towels a.nd K<:W"ed with string.
CLOTHING AND PERSONAL EFfECfS
The following clOlhing items and personal efl'ecu are presenl 01\ the body at the time of
autopsy:
• KhUi eolored soon sleeve pull over shin
• Khaki colored panu

MEDICAL rmmrnON

Evklcrlce of medical inlCl'VCTltion includes:
• Intravenous cathelCf with attached lubing bag of in\J'llVCflOus solution, Inserted
into the left antecubital foS$ll
• Dcfibrillll!Of pads on the upper righl and lower Icft chesl.
• Multiple dcetrocardloBl'lIm peds on !he chest and abdomen
• Identification tags tied. to the right wrist and right grec loe

RADIOGRAPHS

r
-

A complCie 5CI ofpostmol1em radiographs is obtained and ue consisten1 the findinp
dcsc:ribcd below.

MEDCOM 0542

ACLU Detainee DeathII ARMY MEDCOM 542

r

AUTOPSY REPORl1(b)(6)
ALlJfAYBI, Mana Shaman T.

4

EVIDENCE OF INJURY
The orderinll of the following injuries is for descriptive JIUllIOSeI only, and is not
intended to imply onkrofinnietion or relillive severity. All woWld pathways are liven
relative to standard anatomie position.
Eyjdence of Hansing

There is a dried abrasion furrow around the: neck. The fimow is regulu with the: width
varyinll from 1/4 to V. Inch. Within the furrow the skin is imprinted with a very fine
weave type pattern. The: furrow is located II V. inches below the top of the head and
over the lower margin of the thyroid eartilage at the anterior midline; 9 inches below the
top of the head at the level of the left auditory meatus: and 9 inche:s below the lOp of the:
head It the level of the right auditory lI1c:_tus. The furrow anales upward on the b8ck of
thc neck and fonns an inverted "v~ with the IpClI. 6 Yo inches from the top ofllie held. On
the left side of the front of tile ned:. the furrow becomes faint and round with I I inch
diameter. On the front of the neck. 114 inch inferior to the: abnLsion furrow is _ 2·inch
Itorizomal, linc:ar area ofhypopigrt1CTllltion. Along the superior border ofthc furrow,
over the thyroid eanil_ae. there are two, 118 inch in dilfnCler, superficial sltin defccu that
represent skin ,uts duringlhe shaving of the neck for documentation of tile furrow.
Naval Crimillllinvestigative Serviee (NelS) Agents presentlCveral pieces of millenal
that WCl'l: recovered from the noorofll1c ,ell of the Occedent. Three are braided white
cotton-like material. One of~ has a loop at one end and the other is CIII. The second
has tWO cut ends. A third has a loop at one end and a knot at the other end.. There.,., also
two whitc CO(ton·likc matmal ponKlIIS consistent with. T-shin. Both hive been cut or
tom and ea,h has two knots. AdditiOllllly submitted an: several strips of white cononlike lMleriai consistent with a bedsheet lhat have knots and have been tied together. The
evidence is minimally handled, pltotograplled and returned to NCIS.
By llyer dis:se<:tion, the:re is no hemorrhage into lhe soft tis.sue of the anterior or posterior
~,.

Mdjljonallniwig
"There is I V. inch Ibrasion on the left elbow.
INTERNAL EXAMINATION
HEAP:

The: aaleal and subilaleal sotl tluucs orille scllp are free ofinjury. The calvarium i.
Intact. IS is the dw. mater beneath it. Clear cerebrospillli nuid surrounds lhc I500 gm
brmn. which has unremarkabtll gyri and sulci. Coronal sections dllmonstratll sharp
demarcation be!V>ftn white and ~y lMllcr, without hemOrrhaglil orcontllSive Injury.
The ventricles are ofnonnal siu. The basal ganglia, lxainslcm, eerebellum, and anerial
systems are free of injury or other abnorma!lties. There are no s1tull fl'lCtUrCS. The
aelanloo«clpital joine is stable.

MEDCOM 0543

ACLU Detainee DeathII ARMY MEDCOM 543

REPORll-'{~b)~"~';::=

r

AUTOPSY
ALUTAYBI, MIlIUI s~an T.

,

=,

The anterior strap muscles ofw neck are homogtllDUS and red-brown, without
abnonnalities. The thyroid cartilage and hyoid are inlact. There is dark colored area., % x
!to inch., involvill& the: right side of the thyroid cartilai!c thaI eJlLends \hroueh tlte C*l1i".
The IN)'fIJl is lined by inc.cl while mucosa. The thyroid is symmetric and red-btllwn,
without cystic or nodular change. The lOngue is free of bite nwks, Itemorrtla&e. or other
injuries.

BODY CAV!TIES:
The ribs. sternum, and vertebral bodies ~ visibly and p111pably intact. No excess fluid is
in !he righl pleural, pericardia!, Of peritoocal cavities. The orpns o«upy their usual
IllIatomic

positions.

RESPIRATORY SYSTEM:
The riabl and Id lunp each weiSh 6~O. The c>tlcmal surfaces are smooth and deep redpurple. The pulmonary parmchyma is diffusely collicsted and edematous, No miW
lesioM or areu of consolidation are prexnl.

CARQlOVASCllbAR SYSTEM:
The 250
Ilcart is contained in an inl8Ct pericardia! Me. The epicardial surface is
smooth, with minimal rll investment The ool'llftaJ)' anmes are present in a normal

am

distribution, with a riahl-dominanl pattern. CfO$S $eCliollS oCtile vessels show no
significant a1hcrosclerosis. The: myocardium i. homogenous, f6d...br0wn, and firm. The
wive leaflets an: thin and mobik:. The: walls or Lbc left and right ventricles an: I. r and
0.3 em thick, respectively. The endoeardium is smooth and glistening. The aorta gins
rise 10 three intaet and palent arclt vessels. 11lC renal and mesenteric vessels an:
UIII'l:rnarkable.

LlyER .. BILIARy SYSTEM:
The 11 SO gm liver has an iotaet, IlIlOOth cllpIUle and a sharp anterior border. The
pareoehyma is tan-brown and a)ngcsted, with the \l$uallobular arehikClute. No mass
lesions or other abnormalities arc 1CelI. 11lC pllbllldder is empt)'. The mueosal surl'acc
is areen and velvety. The extrahepatie biliary Uft is patent.
SPLEEN:

1bc 14S am splem has a llTlooth, intact, red·purple capsule. The pllmlChyma is maroon
and diffluent.
PANCREAS:
The paneTU$ is 501\ and yellow-tan, with the U$.... llobular archikClUre. No mA$$lesiona
or olber abnonnalitics arc seen.

r-

-

ADRENALS:
1bc right and left adrenalalands arc symmetric, with briaht yellow cortices and &reY
medullae. No maucs or areas orhcmoIThage arc identified.

MEDCOM 0544

ACLU Detainee DeathII ARMY MEDCOM 544

J

AUTOPSY REP'ORT(b){6) _ _
Al.UTAVBl, Mana Shaman T.

r

6

GENITOURINARy SYSTEM:
The right arnIlcft kidneys _igh 130 and 150 gms, respectively. The external surfac:n
lIr'e int&ct and smooth. The cui surf~s lIr'e red-tan and congested, wilh unifonnly thick
cortices U1d sharp col1ieomedullary j\lllC:lions. The pelves are unre!ll4fkable and tile
uR=lcn Ire noma' in course and c:aliber. While bladder mucOSll overlies an intatt bIldder
wall. The bllllldcr eonla;JU 50 ml of clear yellow urine:. The prostate is nonnal in size,
with lobular, yt'llow.1an plII'enchyma. The seminal vesicles art; lIfII'tmIr1c.able. The: testell
are free ofmus lesions, contusions, orotm abnormalities.

GASTROiNTESTINAL TRACT:
The esophagus is intact and lined by smooth, gJCy-white mucoSli. The SlOmlch contains
approximately 500 cc of brown. pIIltiaily digcsted food particles inc1udinl while and
green "(gelable material. The gastric wall is inl8Cl The duodenum. loops of small
bowel, and colon are unrcmarlcablc. The appendix. is ~nl.
MUSCULOSKELETAL SYSTEM

MlIIClc:dewlopment is normal. No bone (If joint abnomullities ~ noted.
tissue hemui,llil&c or injury of I!le chest. t.:1t, Ilbdomm or extmnitia.

The~

is no $011

APnnnQN&LPROCEPURE$
•

Documentary photographs are taken by (b){6)

I

l

•

Evidence col1e<:,ed is seized by NelS aimll(b}(6'J,}=~~

•

Specimens retained for loxicologic tming and/or DNA identification are:
vitnous, central blood, peripheral blood, urine, spleen, kidney,IWli, liver, brain,
gastric COIIten,,, adipose. and psoas muscle
The dissected oraans are fo...."..n;led with body

•

MICRQS<.VPIC EXAMINATION

t. Thyroid canilall,e - Reviewed in eonlull8lion wilh the department of He.:I and Neck
Pathology. A set:tion of lhe thyroid carliJallll from the area that srossly appe8lCd
discolored is histologically normal. There is no hemorrhage on !.he surface or in thc
cartilage.. Head and Neck pathology opines WI tile gross im~ion does not relate 10
8IIyabnonnaJily.
2. L.iver: No pathologic description
3. Hean: No pathologic descriplion
4. Kidney: Autolysis of the proximal tubules with relative preservative oflhe glomeruli

and distal collecting syslem. Otherwise. no palhologic description.

S. L.W1g: Airspace edema fluId, bac1eriaJ overgrowth and focal fibrosis
6. Testis: No pathologic description

MEDCOM 0545

ACLU Detainee DeathII ARMY MEDCOM 545

AUTOPSY REPORT (b){6) _ _

7

ALUTAYBI, Mana Shaman T.
7. Spleen: No p&lhologic description
8. Adrcnal: No patholoaic description
9. Brain (Conex): No pathologic description

10. Thyroid: No pathologic description

TOXICOLOGY
I. The blood carboxyhemoglobin I~I was Ie$s lhan 1% (normal 0-3%)
2. The blood and vilreOUS fluid were neaative for ethanol al a cutoff of20 mgldL
3. The blood wall neptive for c:yani<Ie at a clltoffofO.25 mgIL
4. The urine was negative screened medicatiortS and drugs of abuse

OPINION

Thit 30 year-old detainee died ofhan,ging. By report, he wall di!llXlvercd in his!IeCUI'C
cell suspended by the neck by braided 5egmenlS ofmateriaJ. The descriplion of Ole bod)'
during the attcrnpted l"C:$U$CitaUon indicates lbat lbe dealb occlllnd at least a couple of
hows before he IYlI3 discovered. The toxicology screen was negative. BIISed on the
information available at this time, the manner of dCllth is Suicide.

(b}(6)

(b)(6)

Medical Ellamincr

MEDCOM 0546

ACLU Detainee DeathII ARMY MEDCOM 546

DEPARTMENT Of OEFENeE
. . . - '0flC!I lIIIlTnIn 01' , ...lHOLOGY
W· • • I~roN,lIC

1111

AflP,(bj(6j

PA'DR!'I IDWIrx;,mON

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Am ...

(b)(6)

T<>.
OFnC'& 0' ntI AIlMID FORCES MEDICAL
IXAM....
ARMG poaca IHSTrn,rn 0' PATHOLOGY
WASHINC1'Ol'l', DC 10)04 'GOt

'

H. . .

s._

ALUTAYB" MAN! SHAMAloll

$$AN,
Tn' 110 A
DIU Ilopon C

A,IDpOy:Jb)(6)
. . II: (b)(6)
ted: ,... 19. 200Il

CONSULTATION APORt ON CONTRIBVfQR MADRW..
AfTPOIAGN08IS

Co.dJtIo. of SP.'d-n&l: OOOD
0.1. ofl.ddu.l(b)(6) 2006

0.. Rccdved: 611212006

-sa

CARBON MONOXIDE: The ~ alUfUiop in the blood
than
I'" as Gccctrnincd by tpeetropbotometry with • limit of q\lAII1iIa!ion. or I%. ~
unntloN of~3" ate cxpce10d for IlOIHlIIOb:n IIlld 3·10% fOf smoken. Saturuionsabovc
10% III'e eonsidemi elev.ted Md are oonfinned by pi c:bromatoppby.
VOLA'I1LES: The BLOOD AND VITREOUS rLUID _
""'miM! for Ibc
pi Ie lteofetbloolat.eulOft'of20ma/dL. Noedwlol_deter;tcd
CYANIDE: l'bcre _ QO eylDide ddMcd In !be blood. Tbe limit o( ll,uanlitlliOl1 for
cyanide Is 0.25 mgIL. NomtaJ blood C)'IlI'Ildc emomtrlllonl_ Ie:sI than 0.15 maIL. LetIIaI
~o(eymide are ~ tbaIl] maJL.

DRUGS: The URINE ......... eawd Ccw_ilDopbm. amphetamine, II'ItidepresSlllts,
Ildibillnminn, bartrinntcs, li'IlIh.lI"tplnes, CUllIIbinoidJ, cbloroq,uine, cocaine.
de:Xtrometborpbm, lldocline, 1lBl'lllltic: _gesic:t, oplata, pbenc:yc:Udine, pbenoIhiuinc::s
SI1ieylalc:s, sympMhornimetic: amiJlea I.IId Vt'fII*lIiI by au c:hrornatopaphY. oolor tesI or
iDw'""",ssey. The (oIlowint: drup wete 4etec:Ul4:

None were foond..
(b)(6)

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---MiilkarEu",[IlO"'~- f,(b"}(~6)

MEDCOM 0547

ACLU Detainee DeathII ARMY MEDCOM 547

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MEDCOM 0548

ACLU Detainee DeathII ARMY MEDCOM 548

ARMED FORCES INSTnuT£ OF PATHOLOGY
Omce of the Armetl Forees Mt'dleal £l[Im~er
1413 Rc:seardl Blvd., Bldg. 102
Rocltville, MD 20850

301·319-0000
AUTOPSY EXAMINATION REPORT
Name:: 8TB Awad, Hashim lbnlhim
SSAN: Not Applieable
Date oreil1h: Unknown (BTB 52 yews)
DateorDeath:,(b)(6)
Dlte of Autopsy: Og JUN 2006@ 1300
!nte ofRepon: 06 JUL 2006

JOO6

Autopsy No.:.(b)(6)
L
AF1PNo.: [lb)(6}
RIJIk: Civilian
Place of Death: Hamdani,lraq
Place of Autopsy: Pon Mortuary.
Dover Air Force Base, Dover, DE.

Clrellnutloea of De,...: Investigation reports thai United SWes Military PtfSOI'Inel
detained this IllIqi civilian, bound him with nexible cuffs, and shot him multiple limes II
different ranges of fire.
AulhorlzalJoIi for Aulopsy: OITICC oftlle Armed Forces Medie.l Euminer, lAW 10
USC 1471

Ideotlfklltloo: Presumptive identirlallillll is established by w:ompan)'ing
documenllltion and photograplls.
CAUSE OF DEATH:

Multiple Gunshot Wounds

MANNER OF DEATH:

Ho...ldlh

MEDCOM 0549

ACLU Detainee DeathII ARMY MEDCOM 549

]

AUTOPSY REPORlr(b)(6)
8TH AWAD, HlShl~ Ibnhlm

2

FINAL AUTOPSY DIAGNOSES:

I.

Multiple gunshOI wounds
A.
Gunshot wound of the forehClld
I.
Combined entrance and e)CiL on the right side of the f/:fthead
I.
Dimensions: 112")C 1/4"
b.
LocaIion: 2-112" below the lop ofthc head and 2" right of
the Ulterior midline
c.
No soot or definite Slippling i6entified around the wound
2.
Injuries: Keyhole·type defcet of\he fron~1 bone of the skull
No bullet or hgments reeovcted from the wound
3.
4.
Direction: left Lo right
e, C. GLIlUhot 'NOUnli5 of the head
L
Entrances (2) on the rigIIt side orlhe face
a.
Dimensions:
I.
Gunshot wound ~e": 1/4")C 118"
Ii.
Gunshot wound "Co: 3/8")C 114"
b.
Locations:
i.
aunshDl wound "8": 4_112~ below the top of the
head ancI2-1f4" right of the anlerior midline
ii.
Gunshotwotmd"C": S-1/4"belowthetopofl1lc
head aJ1d 2-3/4" right of the aJ1lerior midline
No soot ordefini~ stippling idcntll'ied around the cntranoc
e.
2.
3.

4.

S.
6.

-,,,

lnjuricslo the IT\&l(ilIae. base: of the skull, Ind calvarium
(comminuted fractures)
EJi:its on lIIe righllM pD5lcrior &SpCClS of the head
I.
Dimensions: 3" x 3~ Ind S~)C 3~
b.
Locations: 112" and 4" below the top ofl1lc head and 3112" right of the anterior midline Ifld 2-112" left of the
posterior midline
Recovered: incgul81 metal fragmcnl$ from the head and a cone·
sha~d metal fragment from the soft tissues of the posterior scalp
Direction: front to back
Assoewed injuries: comminuted frlcrure Oflhc mandible

MEDCOM 0550

ACLU Detainee DeathII ARMY MEDCOM 550

AUTOPSY REPORT

(b)(6)'~==

3

BTB AWAD, Hubllll Ibrablm

r
D.

GWIlIhot wound of the f_
l.
Entrance on the leA side of the face
..
DimCflliOll5: 114" in di~ with M e«entric marginal
abruion measurina up to liS" on the twelve to three
o'clock border
b.
Location: So114" below tile top of the head and 4" left of
the MteriOl" miclline
c.
No s.oot 01" stippling identified IIl'OIlIld the entrance wound
2.
Injuries to the underlyina soft tissLM!S
J.
Exit left side of the fila:, in front of the ear

..
b.

E.

Dimen:aiQltS: 112" x 1/4"

Location: 5" below the lop oflhe IIead and 5" leA of the
anterior midline
4.
No bullets or fragments lllCOVered from the wound
S.
Direction: front to back, right to left, and upward
Gunlhot wound ofthc neck
I.
WO\Inds: on the left lide of the neck
..
Left side of the ncclt. below the lower jaw
L
Dimertlions: Jf8" x 114" with I concentric 1116"
n'\Iliinalabruion
ii.
Locltion: S" below the top oflhe hC*d lIIld 4.}j4"
left of the anterior midline
b.
Inferior Jell: side of tile neck
1.
Dimensions: ]/4" x liS" with an eccenlrie marainal
abruion tneI5IIling up 10 118" on the one o'clock

2.
J.
4.

""""

Location: IO"belowthetopofthcheloland2·JI4"
left of the lllterior midline
c.
No lOOt or stippling identified around the enlranee wound
Injuries to the underIyina sofllissues
No bullets 01' fragments recovered from the wound
Direction: indelcnninate
II.

r
MEDCOM 0551

ACLU Detainee DeathII ARMY MEDCOM 551

AUTOPSY REPORT[(b)(6),o-_
8TH AWAD, Hashim Ibrablm

,

F, O. OUJUhot wounds Df the chest
I.
EnmIIlCCl5 (2) on the Jaunl righl aspect Dfthe chest
I.
Dimensions:
OuruhDt wDUJld "F": 1'4" x 118"
i.
ii.
GlI~ wollJld "0": 118" in d.illl)eter
h.
Location:
I.
OlDls!lotWOWld"F": 16-1/4" below the top Df the
head and 8" right Df the Interior midline
if.
Gl1IlshDl wound "0": 16-112" below the lDp of the
helId and 9-314" right of the anterior midline
c.
No lOOt Df stippl;na identified llf'OUnd the entrmecs wounds
2.
Injuries to the latenl aspect oftht right eighth rib and posterior
aspect of the right ninth intere:05lals spaec. righl tung. petiCirdium,
101U, left Il1Ilg. the posterior uped$ ofleft ribs two through five,
and left IClpllla
3.
RCl:OVered: metal fragmenlS from the right 1l1llg, pericardium,
right clavicle and stema1 notch. $Oft tilSlIeS ofw chest. and left
.ide of the bKk (no as:sociated exil wound)
4.
Direction: lTonltO back. ripllo left, and upward
H.
Ouns/lol wound ofthc Ibdomen and Chesl
I.
Entrance on the rigbt upper quadranl of the Ibdomen
I.
Dimensions: 3116" x 118"
b.
Location: 24" below lite lop ofthc head and l-1f4" right of
the anUliOl'" midline
c.
No soot Dr stippling identified around the CDtnnl:e wound
2.
Injuries to the liver, 'mill intestine. diaphragm, and left lung
J.
Rccovcted: metal fragments from the sm.1I inlestine, soft tissue
&rotIJ1d the xiphoid pl)CCU, and left lung (no associated exit

_dl
I.

4.
Diroction: tronllo bIcIt. ri&ltt 10 left, lod llpward
Gunshot wotmd of the righl buttock IlId pelvis
EntrlltCC on the right hll1tock
I.
•.
Dimensions: 118" in diameler
b.
1.Dc:aliDll: )4" above the bottom of the heel and 4-1/4"
righl of the posterior midline
c.
No soot or stippling idenlified around lite entrance wollJld
2.
Illjuries to the right pubic bone and acetabullUll (comminuted

3.

4.

"""""

)

Recovered: Metal Ii'agmenU from the 10ft tiuues of the left pelvi$,
left buttock. and right lICfO-ilillC joint (no ISlIOCiited exit wound)
Dircaion: back to fran!, right to left

MEDCOM 0552

ACLU Detainee DeathII ARMY MEDCOM 552

r

,

AUTOPSY RU'ORT (b)(6)
8TB AWAD, Rastllm lbraJlhn

1.

GwIshot wound of the anterior righl fon:lmI
I.
Wounds on the cenlnJ and med~1 anterior aspecu oflhe riglll
foeearl"
L

Dimenlionl:

Cenu.! WOWId: II"" 1I III" with UleccmlriC
marJilllol.muion mc:uuring up to 1/16" on the lilt
o'clock border
n.
Mcd~1 WOUIId: III" in dilmeler with an eccentric:
mafainal abruion meuurirla up to III" on the five
o'clock border
b.
Location.:
I.
Centnllwourwl: 8-)f""below!hetopofthec:lbow
and at the anterlw midlille of the risJrt upper
Clitmnity
ii.
Mcdial wound: 6-l/"- below the top of tile elbow
and 1-112- medial orthe anlcriormidline of the
righl upptt Clitmnity
C.
No$OOl 01' Jlippling iclentificd around either wound
2.
Injuries to the underlying lOA l!slues
l.
No bullet 01' fnli'llcnll recovered &om the wound peth
4.
Direction: indetermilll.te
Gunshot wound of tile poIterior riahtthillh
I.
Etlttanee on the po5tcriw riihl thiih
I.
DiTTlCNiOlll: 1/8" in diameter with 1/16" coneentric:
marainll abnsion
b.
Location: 28-)14- above the bottom of the heel and 2"
lateral of the posterior midline of the right lowerexlR.mity
c.
No lOOt or Itlpplina identified ItoW'Id the entrance wound
2.
Injuries to the underlying 10ft IlSlUCI
l.
Ellit on the medial ri&ht thigh
I.

K..

a.

Dill'lClUiona: 9" 1I 2-

Loc:ation: 24" above the bottom of the heel and 4" medill
of the posterior Iltidlinc of the right lower ClitR:mlty
No bullet Of" fnli'llCflll reooVCTcd from the wound ptih
Oiredion: back to ITont. riahl to left
b.

4.
$.
II.

Other injuries
A.
Superficial penct1atina injury ofthc forehead (111- in patest dimenllion)
8.
C1u~ ofabruiona of the face (pwIc:tate to 1116- in sr-lCIt dlll'lCNiOll,
coverina an ara of 1/4"" III")
C.
lAceration (1/16") ofthechCll with rnarainalabrulon (III" on the tbtoc
o'clock ~er)

MEOCOM 0553

ACLU Detainee DeathII ARMY MEDCOM 553

AUTOPSY REPORT l(b}(6)
BTB AWAD, Hublm Ibrablm

Ill.

6

NalW'lI disease nd pre-exiSlinl conditions
A.
Healed fradun: of the leR femur with f1.ution wires (2) present
B.
Changes consiSlent with decubitus ulcer of the back
C.
No other $ii'lifieaJltl\lltural disease idmtified within the Iimilations of the

elClmination
IV.

No evidence of medical intervention

V.

Advanced decomposition

VI.

Toxicology
A.
Volatiles (liver): 110 ethanol detected
B.
Screened drop ofabu5e and medications (liver): none detected

MEDCOM 0554

ACLU Detainee DeathII ARMY MEDCOM 554

AlTI"OPSY REPORT lb )(6)
BTB AWAD, Huhlm Ib....blm

1

£X]ERNAL EXAMINADON

The body is that ofl 59 inches, 64 pounds. Caucasoid male. Lividity CUlJ10t be assessed
due 10 de<:omposilton changes. Rigor hllS
The tempeTltul'e is that of the
rdnaer-tion unil Decomposition cliangel cons!st ofldipoccre predominantly involving
the nih! Uppcf and lower exlJ'emities and the anterior torso and mwnmifiCl.tion
predominall1ly involvina the left upper and lower exlR:milies and posterior IDnO.

P'--'

The lta.d il deformed ITom mlceration; injuries of the head Ind flce are described below.
The scalp is eoven:d with gray-brown hlir in I normo.l distribution. The n&hl e~ is
collapsed.. The left is brown, the cornea is cloudy, the conjunctivI i, pale white, and tile
sclera is white. Thc right ca:r is not idcntifi~. The left extemlllluditOl)' elnll is clear;
injury of the left ear i, described below. F-.:ill featureli of the IlO$e and mouth arc:
deformed by maceration. Most teeth are miaing. The neck is srraightlUld the rnchea is
midline.
"The chest illymmetric and the Ibdomen il flll Injuries of the chest and Ibdomen arc:
described below. 'The penis is
and l!IIICet'Ited. The mlcerated scrotum has ItfI open
defect and the testes ue nol identified. The back is I)'mmemc with I 4" It 3~ defect
packed with &I~ on the lower back. Injuries of the hick arc: described below. Two
blind defccu with maocrated edgC3.• " and I-In" in greatest dimellli;on, are on the laleral
lISpect of the righl buttock. The anus is unmrwkable.

nat

"The upper exl1cmities are symmetric. There is I I" II In" blind defecl with macentled
edgcs orthe po$lerior ri&ht shoulder. The ~ulR:mitics are di.. rticullt~ II the knee
joints, billte:rlUy. Injurics of the extremities are described below.

CLOTHING AND PERSONAL EWCIS
The fanowin& clothing items and penonll effects are present on the body 11 the lime of
11ilOPSY:

- Soiled white sheet WBpped lJOund the body
- Blick plastic bag wrapped uound the h~d
- While sheet wrapped UI belt around the wai&!
- Tan plllSlic bIB COV1lrin,g the skin defect afthe back
MEDICAL INDRYENTION

There is no evidence of medical intervention, other than the
defect of the back.

811~

packing of the skin

MEDCOM 0555

ACLU Detainee DeathII ARMY MEDCOM 555

REPORT:~I{b~)(~61~=

AUTOPSY
8TB AWAD. Huhllr! Thnhlm

•

RADIOGRAPHS
A complete set of postmortem radiopphs il obu.ined and demon.sll'ltes the following:
- Fl1Igmentatian of the calvarium, maxillae, and mandible with crushing of the skull
including I right facial defect
- Metallic fragmel\lS in the oa:ipital area:
• Metal fragments in lhe righl parastemalline and sternal notcll
• Metal fi'a&metlts anlenor to the SlCJ\IIll and a bullc1tip inferior- to tho Icft SIlCJ1)iliac joinl
- Comminuted fnctures oflhe riKflt pubic bone lIIId aceu.bulwn with associated minute
mctaI fragments
- Bilatera.l disarticulation of the knee joints
• Fracnn of the left $Capula
• Multiple metal frapents posterior to the left hemithoru.
• Multiple comminuled fractures ofllle posterior Icft ribs
- Prior surgery on pr'Oximalleft femur with two fiutioTl wires at the kvel ofthe lesser
tJOchanler with alU(:CllI dcfCl:t in the medulllI)' bone &om the greater trod1anter
distally through the diaphysis

EVIDENCE OF INJURY
The ordering oflhe following injuries is for desaiptive purposes only, and is no!
intended to imply order ofinflietion or relative severity. AU wOWJd pathWl)'S are given
relative to IIlIndard anatomic position.
I. Mulliple gunshot wou.nds
A. Gunshot Wllund of the forehead
A combined gunshot entrance and ellit wound is on the forehead localed 2-I/r below tile
lop of the ~ and 2~ right oflfle anterior midline. The ovoid wound measures 112- x
1/4". No soot or definite atippling are identified around lIIe wound (5Ce 0Iher injuries,
below). 1hc wound path involves the skin and subcutaneous tissue, and the Ikull,leaving
a "keyhole" type defecl with inward beveling on the left side of the defoctand outwllrd
beveling on the righlside OftM defect. No build or fragments Ire recovered from the
wound path. The wound path is directed left to right. Decomposilion prevents l\uther
evaluation of injuries of the brain.

r

B,C. Gunshot WOllIlds of the head
A gunshot enlI1Ince wound (guNhol wound "S") is' on the right me of the face, below
the eyc,l~led 4-112" below the top of\he head and 2.1/4" riant orthe anterior midline.
The ovoid WOW'ld melL'lW'eS 1/4" x liS". No soot or definite stippling are identified
around lIIe cntrlncc wound (see other injuries. below). A gunshot enlr&nce wound
(aunllhol wound .C") is 01\ the tiant cheek, IocIted S-1/4" below the top of the head and
2-3/4" right of the anterior midline. The ovoid wound measures 318" 1I 114", Soot or
S1ippling are IlOI present. The WQUnd palbs involve skin, subcutanCOWl tissue,lhe skull

MEDCOM 0556

ACLU Detainee DeathII ARMY MEDCOM 556

,

AUTOPSY REPORTI(b)(6)

BYB AWAD, Rablm Ibrllli.
(comminuted n.eturo:s ofboth muilla, bue of tile skull, and calvarium), and !be min.
Two exit wounds an: iOc:ntified: one ex.it wound, measurina3" x )", is on the right side
of the held, located l/r below !be topofthe head and 3·1n." right of the anterior
midline; anothcI" ex.it wound. meuLLrina S" x 3", is on the pl»taior ~ of the head, 4"
below the top of the head and 2-1n." left of the posterior midline. Stn.lIl, irreaular yellow
metal fr8amcnts an: recovered from inside the I\Qd II1d I $lIlIII, conc-shapcd, &fllY metal
fBament is m:ov~ from the soft tiSSIlCS of the postelior scalp. The woo.md paths an:
direacd front to blck. AssoI;iated injuries illCludc a comminuted frutW'C of the
mandible. Decomposition pr-evcnl$ further cvlhlll.ion of injuries of the brain.

D. 0WI5b0t wound of the fllCe
A gunshot enlI'InCe wound is on the left side of the flce, 1000ted 5-1/4" below the lop of
the hCld IlId 4" Jeft of the Interior midline. The circul... wO\lnd II1eISUret 1/4" in
dilUnClCr with an eccentric mlrJNl abrasion TTlClllIuring up 10 1/8" on the twelve 10 lItrcc
o'dock bon:tct. Soot or slipplingll'C not present. The wound path involves skin and
subcutaneous tissues only. A In" J. 1/4"lIcen.tcd oil wound is on lhe letl: side of the
fiK:e in front ofdle CII", 10Cltcd S" below the top oCtile hClll and S"letl: of the II1lcliOl"

midline. No bullet Dr fi-lamen1ll1R: recovered from the wound path. The wound path is
directed front to '*=k. right 10 left., and upwvd.

r

E. Gunshot wound of the neck
Two glllllbot wO\lnds arc on the left side ofthc ncdc,just below the lowerilw IJld on the
inferior aspect of the neck. The wound below thcjaw is loclted g" below the top ofthc
head and 4-3/4" left oflhc anterior midline. The ovoid wO\lnd measuI'eI 3/8" J. 114" with
I concentric 1/16" marainllabrasion. The wound on the infenOl" aspect of the neek is
located 10" below the lOp of tile head and 2·3/4" left of the Il'lterior midline. The ovoid
wound measures 1/4" x III" with Il'l eccentric marginilibrasion measuring up 10 1/8" on
tbc one o'clock bonler. Soot or stipplina arc not P'C'5'=nt around either wound.. The
wounds arc connected by I patIt lnvolvina the: sltin IIId subcutaneous tiSSI.ICS. No bullet
or fragments arc recovered from !he wound path. The direction orlhl: wound pith is
indeterminate.
F, G. Gunshot wounds oftbc chest
A gunshot entrance woWMI (GWilhot wound "F") is on the lateral right side oftbc dIc:st,
localed 16-1/4" below the top of the head IIId g" right of the llIltcl"ior midline. The ovoid
wound measure l/4" J. 1/8". Soot orstippling Ire not present. A gunshot cntnlnoc wound
(Gunshot wound "a") is on the literal right side of the chcst,locItcd 16-112" below the
top of the head and 9-3/4" right ofthcantcrior midline. The circular wound meuuru
1/8" in diamctcl". Soot or st1pplinglJl: not presenL The wound piths involve the IItCfII
upcct of the eighth right rib (fractured), the ri&hl ninth iOtcrl:o$lIls space, the lower lobe
of the right 1lUIs. the pericardium. the 1lOrII, the uppeT lobe of llle left lung. the posserior
ISpccts of left ribs two through five (l'raaurcd), IIld the left lICIJIuls (fractured). 1l'l'egUlar
yellow metll fraamenlll arc recovered from !he right tung. 'rregulll' gray melll tngmCllts
Il'C recovered from the pcriclllllium. A small, conc-shaped gny metal &agmcnl is
~vcrcd from the right clavicle snd III irreguIll' grsy meu.1 fragmenl is recDVC1'Cd from
lhe s1cma1 notch. A small, conc-shlpcd yellow meIIIl fraamcnt is recovered from lhe Klft

MEDCOM 0557

ACLU Detainee DeathII ARMY MEDCOM 557

AUTOPSY REPORT{b~6)
8TB AWAD, HUhl," Ibrablm

10

tissues ofthedlCSt. Mllitiple iffqulu yellow and Jl"y Il'ICOII mpnmts and 'IIMII,
metal fraarncnt lfC ~ from the left .ide oflhc bIck. The
woWJd paths VI: diRded front to back, righl to let\, Md llpWIU'd.

~pcd yellow

H. GunstIOl \Ir'OUIld of the abdomen IlI'ld chest
A iW\Shot enlfVlOC woWJd is on the .bdomen, lOCI-ted 24" below the top of the hc.d llld
2-1/4" right ofll'te Mterior ,"k1line. The ovoid wound mcuurc:s )/16" It liS". Soot or
stipplins vc not present. The wound pith involves skin, stlbeutaneous tiUIJC, ,"lISCle,lhe
right lobe of the liver (putpiflCtion). SIl'IIll inleltine, the diap/u'lpn.lnd the lower lobe of
the tel\ lung. An ilTegu.... yellow meul tngmenl is recovered &om the soft tissues
uound the ltiphoid process, an iln!8\ll.,. Jl"y InCIII fngmcnl is recovered from the min
intCSline, and a sm.lI, conc-sl'llpcd, yellow metal fraiment is recovered from the lower
lobe of tho lel\ luni. The wound peth Is dlretlCd front to !lick, riplto left,..,d upwanl.
I. Gunshol wound of the ripll butlock and pelvi.

A gurJ$hot enlfVlOC wound ill on the right bllttoek, IoeItcd 34" above the botlom of tlte
Ilccllllld 4-114" right oftlte posterior midline. Tbc circular wOWld mcuura 118" in
dilmeter. Soot or lI.ipplini I~ not prc$CIIt. The wound path involves sJc.in, subeuaneous
tissue, muscle, IlI\d the right pubic bone Ind acetabulum (eomminlllCd frKWrc:s). A
smlll, cone·shaped Bray metal m.gment Ind I.mall, Cone.shlpcd yellow rnctIl frIIamcnt
vc m:ov~ from the left bunoek: IIIlfTellular ITIY mCill fragment i. recovered from
the sol\ liss_ or the left pelvis; and III ilTCJllllr yellow metal m.pent is recovered
from the righl neroiliae.loint. Thc wOWld path is direetcd back to fronlllld risht 10 lel\.
J. GlD1Shot wound of the .nterior right fol'Cllnn
Gunshol wounds lIrt: on the cennllnd mcdlll..,terior upeelS of the righl foreltll'l. Thc
eennl wound is lOCI-ted 8-Jf4" below the 109 of the elbow and.t the Interior midline of
lhe right upper CllU'emiIY. Tbc medill wound is located 6-Jf4" below the top of the elbow
Ind 1-112" medlalto the Il\Icrior midline of the right llppcr cxU'emily. The OCnlnIl wound
meulftl 114" x 118" with In ceeentrie marsinll abrasion meuurina up to Iflli" on the
six o'clock border. The medill wound ITlClSurcs 118" in di.mc1er with III eccentric
mqinlllbruJon measllring up to 118" on the five o'clock border. 5001 or Itipplina Ire
not prcsentll'Olllld eilher wound. The wounds Ire eonncacd by I palh invl;llvln8 the
sll:in, subc:Utlncous tluUCll, Inc! mllSClc. No build or fl'llsmenlS lfC reeovcrcd from the
wound peth. The direction oflhc wound pith is indeterminate.
K. Gunshot wound of the po.terior riaIU thigh
A lIunshOl entrarloc wound is on the posterior right thip,lOCI-ted 28·Jf4" .bove the
bottom of the heelllld 2" lalel'll of the posterior midline of the riaht lower cxU'emily.
The cin;:ulu WCKlnd mclllll'n 118" in diameter with I concentric: 1116" mIi'Ihwllbrulon.
The wound path involves the Uin,lIlbeutaneolls tillllf:, Ind mllKle. A 9" x 2" exit
WCKlnd is on the medial right !hip, loelted 24" .bove the bottom ofthc heel and 4'
medill oflhe posterior midline oflhe right krNcr extremity. No bullet or lI-IgmcnlS Ire
rceovcred &om the wound path. The wound pith II directed back to front and rilhtlO

••

MEDCOM OSS8

ACLU Detainee DeathII ARMY MEDCOM 558

AUTOPSY REPORT~!{b,-)(,-61~_~
8TH AWAD, Huhlm Ibl'llhlm

II.

II

O1her injuri«

A lIS" blackened, abnded superfICial penell1ting injury is on the forehead 118" medial to
gunshot wound "A", A e1uslerofpunctlle to 1116" blackened abruioll$ Ilre on the fa«
inferior to gunshot wound "B", covering area oflf4" x 118". On the ehcst, 18- below the
lOp oflhc head and 1/4" right of the anterior midline is. 1f16"laeeration with. 1/8"
abrasion on the three o'clock border. This laceration hl5 no connection to any ofille
lunshot WOllnd palhs.
INTERNAL EXAMINATION

HEAP:
Injuries orltle head and brain have hem di5CUSSoCd (see Evidence of Injury. above). The
brIlin weighs 80 pams. Decomposition pRVCTlIs fi.wther eva!1.LItion ortlle brain. The
allantQoOCcipital joint ia atable.
NECK:
Injuries oflhe neck have been described (see Evidence of'njury, above). The anterior
sltlp muscles oflhe neck are If'Iy-brown and 101\, without Ilernonhage. The thyroid
cani!aie and hyoid arc intat'l. The internal ~flCe of the larynx is unremadable. The
thyroid is 10ft and shriveled. The tongue is free orbite marks, hemorrhaie, or other
injuries.

BODY CAVII!ES:
Injuries of the n'bs and diaphragm have been described. No excess lluid is in tile plcul1l,
pericardia!, or periloneal cavities. "The organs occupythcir llSUlIl anatomic positions.
RESPIRATORY SYSTEM:
Injuries o(the lungs have been described (sec Evidence orlnjury, above). The right and
left lungs weigh 140 lIul 100 gm, respectively. The external surfaces are smooth and
pay-black. "The pulmonary parenchyma is soft and gray blact. No l\On-tmumatic lesions
arc identified.
CARl»QVASCULAKSYSTEM;
Injuries of the pericardium and aorta have been described (see Evidence of Injury,
above). The hc:art weighs ISO 1'". The epicardial surface is dull &",y. "The cororwy
ancrles arc present in a normal distribution, however the circumllex artery is not
definitively identified. SctIionina reveals patCTlt v_Is. The myocanlium is t1n-brown
and soft. The valvn arc tne oflcsiom. n.c ~ium is dull and I"'y. Tllc
uninjur«llOrta gives rise to threc= intact and patelll arch vessels. The n=1\I1 and
IllCSClIteric VC5SClsare unremarbble.

MEDCOM 0559

ACLU Detainee DeathII ARMY MEDCOM 559

=-

AUTOPSY REPORT(b)(6)

12

BTB AWAD, Rablm Ibrahim

r
LlyER" BILIARY SYSTEM:
Injury oflhc liver hu been described (see Evidence arlnjUf)'. above). The liver weighs
270 gm. The uninjlftd liver pamtCllyma is softand dark brown. No non-Irlumatie
lesions are identified. The gallbladder is empty, but otherwise unremarkable.
SPLEEN:

The 40 lin spleen has. smooIb, intact, purple-gray <:apsuJe. The liquefied parenchyma is
gray-black.

PANCREAS:
The pancrns is soR and yellow-gray. No mass lesions or other abnormalities Ill: seen.
AORENALS:
The right and left adrmalglands are symmetric, wilh dark yellow 00ltices and graybroloVl\ medullae. No m8S$e$ or llte&S ofhem~ are identified.

GENITOURINARY symM:
The righl and left kidneys both weigh 10 gm. The clttem.1 swfaees are gnoy-bIKk and
soft. The cut surfaces Ill: gray-olack, wilh poorly defined corticomedullary junctions.
The pelves are unremarkable and the ureters are IIOnnal in COline and ClI1iber. Gray
bllldder mllCOIlI overlies an inl&Cl blad6er WIlli. The bladdeTcontains no urine. The

prostate is gray and soft. The seminal vesicles are not identified. The ICste. arc not
identified.
GASTROINTESTINAL TRACT:
Injury oftbe smllI intestine has been described. (see Evidence aflnjlll)', .bove). The
esopha.gus is n<M identified. The 5tOl1Ulch is thin. gray-blilck.1Id mlPty. The colon is
gray-black, but othclWise unremllrkable. The appen<!ix is not identified.
MUSCULOSKELETAL:
A eallous.OO two fiXJtion wires surround. hclIled frJdUI!: ofthc left femur. Dissection
of the skin and soft tis:sucs oftbc .nk1cs and wrists revells no hcmorrllagc or other injlll')'.

MEDCOM 0560

ACLU Detainee DeathII ARMY MEDCOM 560

AUTOPSY REPORTl{b)(6)
BTB AWAD, Huhlm Ibrallim

J

Il

ADDITIONAL PROCEDURES AND CQMMENTS
I. Documentary photognplls ~ taken by AFMES mfr.
2. Per10flal errecu ~ released to the appropriate mortuary operations represenlltives.
3. S~imens retained for tOllicoloJic testing lI1dIor ON.... identifiClllion are: spleen,
IU1l8,1iver,1InII kidney.
4. The diJ.SCCted orpns Ire fOfWlrOed wilh body.
5. Trace evidence and foreign materill are collected and submilled to Cllherirle
Winslow, Spec,,1 Aaerot, NIVII Criminallnvesligativc Service.
6.11b)(6l
'Medicil Examiner.,"(b~)(~6)'cc==
(b){6)
!served u an independent observer and assisted in
the performance of this lUtopsy.
MICROSCOPIC EXAMINATION
Skin sections ofll'eU around the gunshot wounds oflhe fore~ and riiht ~hcek
demonstnlC denuded epidennis. coll1llen breakdown, and multiple foci of microbial
overgrowth. There is no evidenee o(earbona<:eous deposition iMitative of~lose rlnge
firing.

MEDCOM 0561

ACLU Detainee DeathII ARMY MEDCOM 561

l(b}(6}
AUTOPSY REPORT
BTBAWAD. HullIm Ibra"lm

r

r

14
OPINION

This ll'llqi Civilian;.(b)(6)
died of multiple gunshot woWlds. A gunshot
WOIInd of the forehead (gunshot wound' A~) produced a "keyhole~ type Ocfecl of the
skull directed from left 10 right with no bullet or ihIgmcnts recovered from the wound;
however a keyhole defect sui&cst5 that atlCl5l a &a.gment of the bulle!. entered thcskull,
but this fragment IDly have exited or been associated with the woUl'llb of the head
(gunshot wounds "8~ and "C"). Gunshot WOIlnds of the head (gunshot wounds "8" and
"CO) entered the right siOc of the face Ul injure the skull and brain with an auoeiated
fracture of the mandible (lower jaw bone): metal fraamefllS were recovued from tbc head
and liCI.Ip; the WOIInd paths were direcled fronllo back. A aunshot wound oflhc f_
(gunshot wound "D") entered the left side oflhc face and CJ(ited just anterior to the ear,
injuring the underlying soft tissues; no bullcta or hgmmts were m:overed from the
WOIInd path, whieh was directed front to baek. right to left. and upward. A Slll\5hot
wou.nd of the neck (gunshot wound "E") had wounds just below thejaw and on the
inferior upect of the neck, injUling the undcrlyins soft lissues; no bullets or fragments
were recovered from the wOWld path, the direction ofwhieh could not be determined.
Oumhot wounda of tile chest (gunshot wounds "F" and ~O") cnteredthe latm.1 right side
of the ehest to injure ribs, both lungs, the perieanlium (sac surrounding the heart), the
IIOTII (main artery oflhc body), and the left scapula (shoulder blade); mcllllTagmcnts
wen: recoVCf'Cd from the right lung. pericardium, right clavicle (eollar bone) and lIernal
notch (space above the breast bone), the soft tissues of the chest. and thc left side oflhc
back; the direction of the wound paths weredirected front 10 blick, right to left. and
upward. A gunsllot wound ofthc abdomen and chest (gunshot wound OW) enten:d the
upper abdomen to injure the liver, intestine, diaphragm, and left JooS; metlllTagmcnlS
were recovered from the intestine. the soft tissues around the xiphoid proocu (lower
aspect of the breastbone), and the lefllung; the wound path was direeted front to b«:k,
right to len., and upward. A gunshot wound of the right buttock and pclvis (aunsllot
wound ~l") enleftd the right buttock to injure the right side of the pclvie girdle (pubie
bone and aecllbulum); metal fTagmenlS were recovered lTom the softlissues of the left.
side of the pclvis,left bullOCk, and right aero-iliac joint; the wound path was directed
back 10 front and right to left.. A gunshot wound of the anterior right forum (gunshot
wound "J") had wounds on the eentral and medial upee:ts of the anterior for-eann with
involvement of the underlyinll soft. ti5$lleS; no bullea or &a.gmcnlS wen: recovered from
the wound path, the direttion of which eould IIOl be determined. A gunshot wound of the
posterior ri&litthigh (gunshot wound "K") entered the posterior aspect of the right thigh,
injuted the underlying 10ft. tissues, and CJ(iled the medial right thigh; no bullets or
ITIgments were recovered from the wound patll, wilich was directed back to front and
right to let\. None of the gunshot wounds had definitive. evidence of c<l1\lact, close, or
inlermediate 1Wl&c fire, however lesions of the face were awpicioUi for stipplinl.
evidence: of close to intermediale range offJJe or an inlermediate W'get. A superficial
pcIleblling injwy ncar the forehead gunshot wound (gunshot wound "A") and I cluster of
a!lruions ncar one oftlle gull$/lot wounds oflhe right side of the face (gunshot wound
"8~) have no definitive SOOlor stipplinS (evidence of contact, close, or intermediate IVIge
gunfire) either by grD5S examination oron histology. These injuries are likely the mull
ofintermediary wgets. Finally, a lacCI1uion ofthc ehest was not associated with any of

MEDCOM 0562

ACLU Detainee DeathII ARMY MEDCOM 562

AUTOPSY REPORT (b)(6)

"

BTH AWAD, Hub_lbnobllll
\he sunshot WOUIlds of 1M loRO. Disstction iDto the skin and IOn tiUlleI of thc wrists
and ankltl R'Vea1cd no hcmontllae or other injury.llttlieh mipt be expected Irthe
indlvldll.ll WlI5 bound. However, considtrilllthe reponed 11K of ntlliblt eutr$ and the
degree or d«ontp05ition, thc Ibstn<:t of sudI. findinl m.y IIOt be lpecific cnouih 10
tlIclude thal\he individual was bound. A dcftct in !he back packed with plllC' is
COI\$islent with. dtcubiWl UIc:CT and the left (tn\Ur had .lttlllcd fracture with f1urion
wires. Thc5c lwo findings IUJ,itSI the individual had lOIlIe cksree ofditrlCUlty with
ambul.lion. ToxieolosY It5ts rorcthanol and ICicclled dNJI or.buIc and mediClltioN
1ft negatiw. lht manner of death il homidde.
(b)(6)

~M"QI"~"~----

MEOCOM 0563

ACLU Detainee DeathII ARMY MEDCOM 563

DEPARntl!NT OF DEI'I!Nll!.

.......m ,0M:EI1NITlTVl"l t71'''ntOl.OOY
W~OC

.lC'tOGO

"1'1~{b)(6)
rAT!liiNI IRr.N'I!nC6T!ON

6FT.. A«

~b)(6)

OFFICE OFnIE ARMED FORCES MEDICAL

Io.. H......

•••
"WAD, HASHIM

s.q.._

:=

EXAMINER

ARMED FORCES IHSTITUTE OF PATHOLOGV
WASHINGTON, DC: 1~

CONSULTATION REPORT ON CONTRIBUTOR MATERIAL
AFT" DIACHOSIS

REPOll.TOrTOXICOLOClCAL EXAMIN6TIOI't

Colldltloll of Sped_I: MARKED PUTREFACTION
D,te of laddeal:
DIIte Reeeived: 6111f200l5
VOLATILES: The LIVER was examined (or the presmee o(ethanol at, culoff 0(20
mgfdL. No I:thanol WI.! detected.

DRUGS; The LIVER was screened for amphewnine, antidepressants, antihiswnines,
barbilW3les, benzodiuepineJ, CllDlMhinoids, chloroquine, mefloquine. coWne,
dextrometborphan,lidoaine, rwc:otic llNlaesia, Opiltes, phtnc)'clidine, phenolhiazines,
sympllhDmimetic amines and venpamil by gas chromllOgnphy, color test or immunOlSSt.Y.
The following dnlgs ~re detected:
None were (ound.

(b)(6)

(b)(6)

(b)(6)

Ilb)(6}

MEDCOM 0564

ACLU Detainee DeathII ARMY MEDCOM 564

-----

- __.-.
...

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....... H~_..cr

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Civilian

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(b){6)

~

8 June 2005

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(b)(6)

I

•

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2006

,..... .......u>_ ........ 01' "'" OEl;.....,"""O£ol><oe<:t.-w., _ - . - """"'TUI _ _ _ _ """"". . . . . .

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{b}(6}

Medical Examiner

.........." " " 0 0 -

(bf(6)

Dover AFB, Dover DE

.

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DD'~n

2064

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MEDCOM 0565

ACLU Detainee DeathII ARMY MEDCOM 565

"RoMEO FORCES INSTITUTE OF PATHOLOGV
Omee of the Anne'll FOlTa Med~1 Enmiller
141J Rcx1Irdl Bh..t.., Bleil:. '02

Roebllk. MD 208SO
]0I-)1~

FINAL "UTOPSY REPORT
:"I...lel 8TH ISMI\IL.lbrahim

_J

SSAN(~(9}
O,le of Dirlhl'{P)(6)---.l!967 08 yelQ)
Olt'OrDcllt{b){6)
0006
DIIC or AUlopty: 10 JUN W06. 1100 houn

I

AUloPSY No.l/~}(6)
AflP No.: (~){6)
1
RIllIe Civilian, 1ft'li I.lellinet
I'l.act orOulb: Abu Ghraib.11'Iq
Pilee of AliI.,·: Bl"a MonUlll}'
Bt~d.lrllll

Oal, OrRCporll 16 I\UG 2006

Clreunutallea of OClllhl(b}(6}
Is I" Iraqi dellinte, who WlS shol in the
IhIklmm llppro~mlltly lllm: ,¥lICks prior 10 hisdemise. The tirc:wnsWlecS sulTOllllding
1M shoollll{l an: unknown Ili/lis lime:. ~ r1f'Sl enlf)' in his ,v,H,ble medie.1 rccnnb. 2S
May 06. did IIll1 tddrus his initial tdmission Of lrCIlmcnI priur 10 .elmissi"" 10 Abu
Ghraib HospillJ. He dl:vclorx:d Sepsis syndn>mc: (AcinelobGclct, E-coli, F~'lc:ro*ler
Ind Candida 'lbie&nl), AnteJ~csqinloryDiJI~5 Synclromt lARDS) and muUi-orpn
l)'SlCm r.ilure. and died 011 (b)(6) 106.

"ulhoriz'lloll for ""lop5)': Office of the I\rmcd Forces Medie'l Examiner, ,.... W 10
lJSC 1471
Idenlftk'llolll ldenlified by lransport doeumenlJ.
CAUSE 0'" DEATIt, CompliQlion:l ofGurql'lo! WDUnd (I) In the 'bdnmen

MANNER 011 PE....TII, Homicide

MEDCOM 0566

ACLU Detainee DeathII ARMY MEDCOM 566

r

,

AUTOPSY REPORT [b)(6)
ISMAll., Ib....l...
nNAL AUTOPSV DIA(lNOS£S:
I. Cunlbot WOUIIG tl) 10 lbe Torso:
.. No medicol n:cord. 01 ;nY~$1jplion tqIOrts art •..-llable 11 this lime.

II. EvldeDttof Medlcliialtrvcniloll: Medial_ortis $Ia/1inl2S Mo)'06 unlil
cxpirod{W16JJ06. with cYid~orHrpcll iru....cnlion.nd prolllll~ hospital c=.
... Tncheolomy lube
b. Mulliplc liles ofchcSltllbes
Co

Colostomy

d. IV lin=
Co

Midline .bdominlJ 11IIlPc.1 defecL

III. Ideatlf)'l-e: Mlrksilb}(6}
~b)(6)
IV, N.tunl Dlnuet: Muki-<llJ.lll raihare...cl AROS. consi'lmt with "","plicatiol\ll of
I GSW oflhe: .bdDmen. No DlN:r "-11.,,,1 disu~ i<k::nlil'ied willlln 1,,", lim;l.IJ.iollll anile
aulopty cltlm;lIMion.

V.

F.vldrme: None colleded w.;nJ ....u:>psy.

VI. Toxkolol)': No teslinll requested. Palient WIS Ilolpil.li?,al for Ipproximllcly 111m:
weeks prior 10 hil dem;R.
(b}(6)
Ilme 200fi.

B)':C,(b~){~6~1

",;o;;","""",""",;;;;=;;;:;;-

. ....
IEuminlllion !llarted 111000 hOUrs Ind conc:llldcd III l:roo hours. On 10

VII. 1 .. ,tuKv: !'crfanned in Iraq

EXTEBl'jA.L EXAMIN6TION

The ~nclld body I, lhal oh wcU·d.c¥l:1opcd, well·nourillh<d m,le wllosc .ppPnlllCC il
ronsistent wilh an ellimated '"8" of J&)'C<1'" Uviclit~ il presenl and find o~ Ihe
poltcrior ",.face 0(1/,., body Cllecpt in IIJcaI nposed 10 prellU'c. Rigor utd lcmpcralure
ofLhc body an: dccmcd of no roomsic lil:/lmclIlI:c.
Thc held end net;\< rnc.oJ r>O cvilknce Ofl~uma. The ICillp."d must.ehc h.i, is blKk.
The irtdcl ere brownilh•• nd Ihe pupillll'C round and «lllli in diameter. n,C e~lcmal
auditory c.nal, an: unrcm.kahl~. The nll'U an: palent. The lips and mouth alC
IUlmnllt.fIblc 00 ClItcmal examination. Thlle£lh an: in f.i. condilion. -rile nock il
unrcl1\I.IUble except for ••rKMotomy lube inscncd in the midli ..... and

prope.l~

potilion<d.
The chC$l rcvull Multiple bilaleral incilionl (2 on each side), eOl\sistcnl Wilh the site of
chest IlIbcJ. The .bcIomcn i. Ilig/llly prolubcnnI (mild obesily)....ith I Ilr,e .,lcriOf

MEDCOM 0567

ACLU Detainee DeathII ARMY MEDCOM 567

AUTOPSY JUtPORlll b )(6}

l

ISMAIL,lbnblm

defeo;,. atmdinsli'om lhi: uphold proccu 10 !he pubic area, eontillen, with a nan.healed
aplomory IapIlf'OlOllly JUllicaJ ;1IC;t;Ol'L The abdominal deft'Cl n:vt:lIl. IlCverely
adhetcd ;ntemalabdomwl orpns. "co!ottomy opming and eolotlomy tJ.ll are noted
oflh~ ri&hl lower abdominal q-mnl. "4 I 3 Yt~ dcf«l. orunllnown cliology. il naced
of the leA mid ab<lornen. exposina ulldert)'inll inlemal orpntlintctl;ncs. The extemal
£Cll1,a!;aaTe tllote ofa noonll elll;llmciKd adult male. The ":aiel arc d~ and free
ofm-. Puble lI:lir II p~1 in . _ 1 dituiblllion. TIlcbuttoc:k. lnd _ . an:
unremarbble. Tile hack revCall skin Ilippage and lWO IK'¥C dc<:ubhul ulars (bed sores).
bl.tl no el/idcnce ortraum..
The upper IIIIIlowcr c:xtmniliet arc lymmelric and TCYC81 modcnlle edema. No cvidcnu

of trauma il noll:d.
T...o lacge Kart an: noted or,1le anlcrior lufface ofbo,h thillhl, c'ttcnd;nll from !hc
inauinalllt:l down to the knees. No tlllOOf" ocbcr major "'art or idcn'ifyinj Inarltl are
noted.
CLOIIIINC AND Pf.RSONM. fiFfJiCfS

None received.
MEPlCAL INT£RVtiNTION

The doceased spcnlalmoltthrce Wackl under metlic.al care. The body /l:vCilII cvidmee
or cltl:nlive medicalln:armcnt. There arc: NUOSJIIrlc tube. lrtehcotomy 'ube. mUlliplc
tiles of chest tubes•• 11lll1-llcalcd Ilbdomilllli exploratOf)' lap~tomy incision. colOltomy
big. and • urtn.:lry c.athtlcr.
RADIOGKAPHS

Full·body I1ldiogaphl arc obIainai ror doeumen,ation. Na .kelclll f""tun.'> or cvldc:llCe
ufp<OjCdi\c$lfomJrl bodi"" IU"e nOlcd

EVIDflNC£ OF INJVRlES

The deo:elllcd had. hiJIory or a_hoi wound, 110' 01hcrlrtiJe spa:illcd. Medic.al hillory
orh•• ini'iallidmisiion and 'ho early lUt¥ical pllXoduret Ill'(: rcqlSCS1od. bill IIOl rocci¥od
I I of the dale of thl. reporI.

MEDCOM 0568

ACLU Detainee DeathII ARMY MEDCOM 568

•

Al;TOPSV REPORT (b)(6)
ISMAlL, Ibn..11II

IbDB.'lAL IiMMINmOl'l

!lEAD:
The $ClIp and subs~bl son lluuu ~ulno evidellCe of IrlUlIIl. The Ikull ilopened

leuel!inl illlXt Wi'll mIIlCl". No inlnO:mll.! hemorrl\:lse Of I~ ilnored. Cle.
o:a'Cbl'OlPiml fluid a11lf01lndllhc l' ll).pm linin, whkh hal unrem.rbbk: .)'ri and
lulei, bill for mild ccrcbr'Il ocIcma. COl'Ol\lllOi:lionl dcmonIll11l: IIIIrp demarcllion
b d _ wtlitc: IIIld grey miller. wilholn lw:mom..lII or collllllivc: illiury. 11Ic vc:nuic:lc:1
U't: ofnDlmllllra:. The INsI1 pIllli., bnillSlCln, c=bc:lhlln,.1Id lrlefi.ll)'1tems ....
fmc of injUf}' or oltlcr abnonn:Ilitia. The sk_1I is IlfnftWhblc wilh no cranill or bull

frac:lura. The 111'l1IlHlCCipilil joiN is $lllblc:.

0itI<

I~ homtliCflOUI and red-hmwn, with flO
lao:c1'lliom Of hauomUlse. The thyroid elrtil~.e .nd hyoid bnnc: In: intlll! and
ulll'ellWltablc:. The phlrynx il unrarlllbble In<! illined by InllCt mliCOIL The thyroid
11Ind is Iymmetric: and rcd-hrown, wil!lolll eyslic (If nodultr cllanac. The lonlluc il
unremllhble. The cervicallplne.nd If'inal cord are IntKt.

The: .ntmorllnp m\lJCll", oflhc ncck

BODy CAVITIES:
The plcurlll and pc:riclrdill Clyilia a~ unrcm&rk.bl", ""th.., culdenl:e ofttlluInI or
~c~lue Auilt The IbdOmllllll cavity "",e.h IICYCII' .dhc:lions ,",IIl"" r.1 nccl'Olil
pI'ClCludina definitive cY.lultion. Thc IIIIln and IllSe bowell'~ encucd in I linn mau
nf fIt neerosix II1d libft;lul IIlhc1iOfll. The m.jor .bdominll orpns O«lIpy lho;lr ulull
lnalomic p(liitioru.
RtjSPlRAT0R)' SySTEM:
Thc riatll and lell lungt wci8h 178().JrVIII ond l.'ll-jvIml. fcs.pc:ctively. The !:lIlemll
IUrf_we Imooll'l.nI! fm= orad~orI$, with no lIpparenl evidence of Ii,",," InJllIia.
BoIh lunas In: CllIl'l:mely he.1')' and flllll. Serill sccrianll'l:Ytlls tlClensiYCl ClXllOlidilion
of IU lobes wilh diITuse OOxinl of ye:IlO""ish pI",l,nt rnatctlll flOm lhe tUl IUrfacca,
consillent wirh pneumonl. and AaDS.
CARDIOYAscUiAR SYSTIM:
The paie.dlll SIC II inlll:t. The !lei" II illllC:\ and a1larged. e.rdiomcply. Ind -.velaJtl
49Q.pns. Thr: heatl i. olhetwi.. o:ue:l'Ilill1r unrenaf1table. The cplunlilllW"facc is
IIIIOOlh, wilh minim'" f3t inuCiInlen1. The! COIVnII)' _nerielllll praent in I nomIIIl
diluiblilion. CIOIII .aionl orlho _II.how no lumlnall\llTOWinl or IlhnormaJhy.
Seri.l_lionille orlltc myocardium rnClis (oall)' mouled cUIIlll"fIocI. 1Uise'livc: of
pouible rocenl ischemia, bUI Wilh flO elev IndiCIlOon or rcmI'lI( or 1eCen1 inflr'Cliorla. Thr:
valvo: Ianetl are 1IIin UK! mobilo. 1ltc ....11.. of lhe Ic:II and riatn venlriclei an: 1.7 cm
Illd 0.' cm thldt, rapcclivc:ly. The cndoc:.,lium llllllOO1h and Ilillcodn.. The IOn.
pVel
10 lhn:c inlld IIld palenl .ch _Is. The IOrtlW m&;or blood UaK" ""'

_.bI<
me

MECCOM 0569

ACLU Detainee DeathII ARMY MEDCOM 569

AUTOPSY REPORTI,{"'."){',,'
ISMAIL, Ibt'allim

_

,

-

LIVER &I BILIARY SXSTEM:

1M 2260-prn liveT has In inlaCl., YI'I(lCIIII ClplUlc Illd • llu.rp anlerior bol\lcr. 'n.e
puencll)'!M is mottled tan-brown wilh. nullllCJlppuranu. No masslc:sionl or OIh1:r
abllOmlllillc:s ~ se<:n. The: SIUhllldder eonl.lins dull. lP'CCC'I bile and no !>lones. The
mucoSiI surfltc ill green.,d velvety. The CJtlrllhepa!ic b11iary no.: i. palenl
SPIrEEN:
The 230-&Jl'11I splOClIl ku • Imoolh, intact, ,m'P"'l'le capa,lle. The pan:nchyma i.
mlfOOtllnd l;Ol'Igc5lcd. w,.h diS/inc, Malpi&hiltl corpuldes and no significanl

Ihnomulity.
PANCREAS:
The plllCrou i. s<:ye~l)' adhesal to the small &IIlIlarac bowel mass and could n01 h<:

definitely ev~lu'Ie4.
ADR£NAL GLANDS:
The riglll snd kfl. adrenal &!andl'~ IUIOIym!, bUI OIhctWiscunn:mari".blc. Sec,ions
Ihrough both glands rcvclll yellow coniecs and grey mcduille. No mLlSCli or areal of
hemOlThagc _ idenlilled.

GENITOURINARY SYSTEM:

Tho:: nlhl and len Ir.idne~ o:oc:h wcig/l22Q.grama. The ulcmal $Ul"fiICCSIrc. inlact and
smoolh. The cUI.uriKes.n: I'tdolm and cOll~lod, with mollied Qlllu,faccs.rod mild
ID&I ornonn~l conico-mcduUary dcmarulicm. The pelYCllrc unrallRlbblt and lht
un:le.s ar~lIonnal in tOll~ and C:llibu. SmooIh bllcldcr mUCOA ovttlics;lll ;nlxl
urinlry blarldtr Will. The Mldder wall ;s Ilillhtly hemonfIagic rrom lilt pluced «thetcr.
The pl'OIlalt glm;I is nonnal;n sizt. wilh lobular. yelloW'IUI parenchyma.. The ~illll
~icll:s :arc UM:ma,hble. The lelll:l lie r_ or milS 1e$ioM, contusions, Gr Olher
abnomtlllili~s.

CASTRO'NTRI.-nNAL TRACT:
The caophagus is inlacl Ind is liBCd by UlIOOIh g&'lIyish m\lCOA.. The Itomxh is
unremarkable. Tile pslric "'all is inlattlined hy slougn;ng Iilnolysa! mUCosa. The
dllOdcnum. smalllll\d Iqe howc:ls an: COl'IIplelely cncucd in a finn mOl p_luding
definitive evaluilion.

MICROSCOPIC EXAMINt\DON
Repl'CICI\lali'I'C seclionl of III major ""Pili :arc obla;~ arid pllOOd in fo,.,.,.,.lin for
$IGrlge and microscopic enmin2lion i fllOQllod in the rull1".

MEDCOM 0570

ACLU Detainee DeathII ARMY MEDCOM 570

r

•

AUTOPSY REPORT (bK6)
ISMAIL.lb... blfll

AoonnO N4L 'ROCEDUR!S
I. full bo6y l'Idiop'lphs _

".penlS.

ablaincd and

~

*' tkdel.ll injuriQ: or (orci", l1leo.al

L The diucclcd otpII5 ~ forwanlcd with the body.
J. 00wmen1lly pboIogr..,m ofille body .~obl&Inc:d.
4. No bod, fMlb 0' t\$sue wnpla ore JUbntillad for IOxic:oJopeallCStinS (ibe
_lwKpi\.lfu;cd 1Or1lpJlroximilely IIn'e ..'<'Cb prior 10 llis demise).

cIc:c$sed

OPINION
(bK6)
.. JI ycw~k11~civilian delaincc,dicclfiom t.OnlP'icMianI or.
pdhD, _1Id(.). No .-lOc,1 ~orlhc inilial prelCtlIalion and 1Ilrt.i«l
man.~ IR tvlia.bll for levicw. The .... I,1l1e ll'ICdie.l r=onIl ~ll down hill
ho$pital COlIne culminllilll in hi. clctnisc., ,bR:e weeb Iller hi, injuries., from ARDS and
rnuki-orpn rai"'~ To'~" tcltia. dc:a"ed ofllO ;mpoflalll:C.wI no &peCirnens
..... IUbmilled lOt .",dna. M _ ofdellll il homic:lde._ _
(b)(6)

(b)(6)

(b)(6)

MEDCOM 0571

ACLU Detainee DeathII ARMY MEDCOM 571

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MEDCOM 0572

ACLU Detainee DeathII ARMY MEDCOM 572

ARMED FORCES INSTITlfTE OF PATHOLOGY
0fnR af tbe AI'WWll F _ Mtdk.1 En.lan
1413 ~h Blvd.. Bide. 102
Rockvilk. MD 2OISO
301·319-0000
FINAL AUTOPSY EXAMINATION REPORT
Nunr. BTe FaiKI, Cihui .l-Dun

.....lItopl)'

Nn.>.(b)(6)

.....FIP No. (b)(ll)

CID; (b)(6) ~~;;;",_. . .

Dale of Binh:(b)(ll)
19010
D.le of Oath (bK6)
2006
DalefJime of AUIQpSy: 0' June 2006/1130
Dale of Repon: 22 '"'-Y 2007

RMk: CN

Place ofDath; IIWI
Place of Alltopsy; Port MOftIW}
Dover AFB. Dover DE

ClrnlllU...._ afo.lll: Thit 66)U1' old male dvilian detainee rqKKtedly coIl.psed while exiling the IlIlriae.

A.lllork:atia. for A.Co,.,-: Office of tile Amled FoteeS Medical Examiner.lA W 10 USC 1411
Jdeatltlcallan:

~ptive, accordillllO

10 '-"d.

CAUSE OF DEATH: Complications of.trial Uld ventriQ.t/ar m,.otU'diailibrosil.
MANNER OF DEATH: N.IUI1II.
fiNAL AUTOPSY DIAGNOSES
I.

Foal Uld diffuse.trial Uld ventricular fibrosis.

II.

Modenite aonie .thetottICl"05is.

Ill.

Billlent pulmonary eorlgeslion Uld edema (ri;h1960 am. kn 790 am).

IV.

Evidence ofinjUIY;
A. Non-displaced mclure of tile cervical veneilnte (C5J6 disk SJlIICC)'
B. Contusion (2 II Yo inc:hes) of tile righl fOtchcad.
C. Contusion (I ~ x I Y. inc:hcs) oflhe ri;11I infBQrbjlll1 region ofthe face.
D. Lacaation (311 inch) of!he nasal bridge.
E...... brasion (I Yo x '.4 ineh) orthe posICrioI' S\lrface orthe len rorcarm.

V.

TOJIiooIOjp': Nordiuepam present in the blood; elevated blood levels of aluminum.

MEDCOM 0513

ACLU Detainee DeathII ARMY MEDCOM 573

AUTOPSY REPOR-t..£t!)(6}
FAlSE!... Gbad al-Durl

2
EXTERNAL EXAMINATION

The body is lhat of a wel1-de~loped male weighing 190 pound$, measuring 68 inehes In lC:flglh and appearing
compBlible willi the: ~por1e:d age of66 years. The: body tcmpcl1lturc ill 0001 afler ~frigcmion. Rip is passing.
Lividity is lixed and presenl jftdominltely on the po:sIeriof surfaces of the: body. except in areas exposed 10
pl'eSSUIl:.

is male pattern blI.ldness. The Il:mainina SCIllp hair is brown i"IY. Facial M;r lXlll!l;Sts of a moslly IflIy
beard and mllSUK:he. The: irides are blown. The comeae are cloudy. The conjllCtiVllC are lIIIn:markable. The

~

sclerae are ~te:d. The external auditory canals. c:xtemal_ and oral cavity are free of foreign material
and abnormal !iC:l:ll:tions. The nasal skeleton is palpably inUK:1. The teeth appe:8T nalwaJ and in fair condition.
The Mck is $1111ighl, and the lrachea is midline and mobile. The: chest is symmetric. No evidence of injury oflhe:
ribs orthe SIC:mUnt is evident externally. The a~ is f1alJ'be:~~rnails an:: inlaCt. The C:Xtmttilics show

evidence of injury to be described below. A4b)(6J-::Jtat1Q.O~~1@
(~){6)
ltattoo~@)

?---l

(bJ{6)
'tanoo,(b)(6)
(bl(6)
l,.rrnrl/bH6l
(b)(6)
T(b)(6)
]A-CirtUIu scar is
presC:lU on !he ~i1it bUllOCk mC:llJlIflna .\4-lnch. A Yo inch scar is pttJltld on 1& medial $lII'fllCC: nf the righl lower

1

leg. A Yo inch cirtlllar scar is present on the posterior laten.! surface oflhe right lower lei- The: C:Xte:ma1 genitalia
are those ofa normal adult male. A I Yo inch cystic lesion is ~l on the: righl mid back. The bullocks and
Mil! ate

WU'tmlllicable.
CLOTHING AND PERSONAL [fFEC[S

I. Apairofblackslippers.
2. While boxer style shorts.
J. Red pants.

EVIDENCE OF INJURY

Head and neck:

A 2 x Yo inch almIded contllSion is present on the right forehead. There is a 1 ~" 1 \4 inch .bnldcd contwion
present in the right infnlorbital region. A JJI inch IlICC:lW.ion is present on the: nasal bridge. A I "Yo inch
contusion is prexnt in the right posterior parietal region oflhe: SClIlp. Galeal he:tnormage is presenl in the riaht
frontal ~n. A non-displaocd fractu~ of lIle l1l'Ittrior tervieal YC:Ttebnle with $1IlT1luooina intramuKular
he:morrhlge is preSC:Tltll the: CS/6 disk space. The: adjlCenl spinal cord shows no ;ross evidence of injul)'.
ExIR:milies:
Then: is a I V. It Y. inch abrlsion PfeJC:nt on the: d0l'Sl.l5urface oflhe: left forearm.
EVIDENCE Of MEOIOL THERAPY

MEDCOM 0574

ACLU Detainee DeathII ARMY MEDCOM 574

AUTOPSY REPORl1(b}(6)

)

fAISEl., Gbul.J.Durl

INI£RNAL EMMINATION
BODY CAVIDES;
Thc body is opened by the usual thol"l!lCQoabdominal incision and llle cllest plale is removed. No adhesions or
abnotmal coltCl:lion:JI of fluid are presenl in any ofthc body eavilies. All body Of8IN are present in nonnal
anatomieal position. The subcutaneous fal layer of the abdominal wall is I Y:i inches thick. There is no evidcnce
of blunt force or penetraling injury lO the lhoraco-abdomil\81 rellian. Longiludinal illCisions of Ihc posterior
surfaces oflhe lOrso. upper and lower ell.tremilics $how no evidence of n:cenl injury.

HEAD (CENTRAl. NERVOUS SYSTEM);
(Set- above ~Evidcnce of Injury}

The sealp is reflected. The calvarium of the skull is removed. The dura maler and faill. are intact There is no
epidural Of subdural hemOl'Thaae p~.1hc leplomcningcllllR! thin and delicatc. The eercbralllemisphcres arc
5)'mmcttieal. The slrUClurcs at the twc oflhc brain. includingcmliaJ nervcs and blood VCSlICls arc inlaCL Aller
fiution. COronalllCctions Ihrough the cerebral hcmisp~ rcvcaJ no lcsion:JI. TnutsvCTSC seetions through lhe
bI'tIinslem and ceKbclium are 1lf1Krrwb.b1c. The brain wei&hs 1)80 gm.

"""",

(~above ~Evidence

of Injury")

Layer-wise cnmimnion oft1'lc anterior and poslerior 'lnIp muscles ohlle neck show lhem to be Ilonlo¥enous
red·brown and withoul hemorthage. The thyroid ear1ill\ie and hyoid arc inlaCl. 1hc larynx is lined by inUlCl
white mucosa. The thyroid is symmetric and red-brown. wilhout cystic or nodular change. The tongue is free of
bite marks. hcmortha~. or Other injuries.
RESPIRATORY SySTEM:
The right and IcA lungs weigh 960 gin and 790 PI. respectiv1:ly. The utemal surfaCC5 are smooth and deep
red-purple. The pulmonary parenchyma is moderately congested and edemalous. No masslcsions or areas of
consolidation are present.
CARQlO¥ASCW.AR SYSTEM;
The 480 gm hean is contained in an intac1 pericardial sac. The epieatdia/s..faee is smooth. with minimal fBt
investment The COI'OfIl\1)' arteries arise nomtally. follolV lbc usua! distribution. and lll'e without cvidell« of
significant alhcrosclel'O$is or thrombosis. The myocardium is homogenous, red·brown. and fimt; the alrial and
ventricular septlllrC intatl. The aorta gives rise to three intact and patent arch vessels. There are modcrale
ethcrosclemtic chan&es al the ilillC bifurcation. The vena ClIva and its major tributaries rerum to the heart in the
usual distribulion. The renal and mucntmc vessels are: unremarkable.
UVER & BILIARy SYSTEM;
Thc 1670 gm liVCT has an intact, smooth cap$Ule and a sharp \Interior border. l1le FUCnchyme is tan-brown and

con.:estcd. with the usuaIlobulararchilCl:lurc. No mass lCilions orother abnormalities arc xcn. The p1lbladdcr
is cmpty. The mucosel5Ul'faec is green and velvety. The extrahepalic biliary trcc is palent.
SPLEEN;
The 240 irII spleen has. smooth. intaet, red-purple capsule. The parenchyma is maroon and congested, ...ith
distinet Melpiihian totpuscles..

MEDCOM 0575

ACLU Detainee DeathII ARMY MEDCOM 575

•

AUTOPSY REI'ORT(b)(6)
FAISEL, Ghad II.Ourl
PA/SCREAS;

The p.nereas is finn IlIId yeHnw-lafl. with 1M USUllt labut.,. U"Chitmure. No IIUISS Inioll.!l or oth<:r abnonnalilin
Ire 1«1\.
ADR£NALS GLANOS;

Tho: ri&hl Md len .dn:NIl;lMlb 'I'<: symm<:lO<:. wilh briatn ~tlow wnic:n and ~ mOOult.<:. No massn 01
arus ofMrnon1'I&l.'C an: idenlirK:d.
GENITOURIN .... RY SYSTEM:

Tho: riplllnd kn kidneys -=h weiJh 110 am. Tho: alm'lal sur&«s &n' intad and smooth. lllceutsurfacn arc
~oWl and con,esr<:d.. with unilbnnl)' Ihiek ~ic:n ud lIwp<:Ol'lkonxdullary JUn<:lions. lllc po:tves arc
unmnarbbk and Ihr: urel<:B an: nonn~t in c:ounc and calibl:r. TUl bJadd<:r mucosa o'wlic:$ &II inUiCI bladder
wall. lllc bt&dckr il aTlpt)'. lllc pro5la1<: il notrnaI in size. wiLb lobular. ~lIow-l&n pamlChyma. ~ snninal
vesic:1n arc IIIII'<:IIWbble. "The lesln Ire free of Ina$S lesions. conlUSions.. or othr:r "'1OI1ll&lilics.
GASIROINruTINM. TRACT:
The csophlocus is in*! and lined by smooth. ifCy-while muoosa. 'I'M S1GmKh oonlllins approximalely SO mt of
liquid ""leri&l. "The &Ul0<: wall il inllcl.. Tho: duocxllIm.loops of small bowel and colon an: lIfIfCfTIaIbbIe.
"The Ippendix is not icknlif.ro.
MUSCULOSKEI.ET.... L SYSTEM;
(Sec: lbove ~Evilknc:e of Ir\illf)'~)

Muscle developmml is normal. No evidcnc:e or non-tmlll'lllic: bone or joint Ibnonn&lilin is 1IOlc:d.
RA DIOLQCIC EXAMINATION

Full body rwiioenpftsltn obIaillC'd and revnll metallic

f~1

in lhe ridU IO'A-er k:a-

M ICROSWP1C EXAM INATION

I. HeM (slida I·n&hl COfl)rwy Irtay. rip ~cnlric:lc; 2.lcfl vcnlficuh., posterior "'1I1l: )-kn \'nIlricular
lllmil wall; 4·kfl ventricular merior wall: S'KJlllm): mild WlOrwy lth<:rosclm:l1is (I); pllchy
subC'lldOC:ll"di,t (2) and inLCl1lililil fibrosis (4).
I. Conduction syllem
i. Rqion of the sino-alrial (SA) node. Ilides I I.12; nwlccd. predominltcly inlCr1titilil Itrill
fibrosis. mild thickenin& orlhr: SA nodIllrtCry. unrmw1clblc appe';n& S.... node.
11. Re&ion or lhe alriovenlricular (AV) node. slides Il-17: roaol replacemenl fibrosis ncar
1M c~ OrlM wntricular seplum (I)). mild Ihickcnina or AV nodIl utay. AV node
wilhoutsllll'llicMI micf'OliCOpic Ibnormllity (16).
2. Srlin (slidcs 6.7): roc:&) cm.bt'OVllSCular inlim.lthickcning (7).
l. Spleen (Ilide B); no siltRiflClnl microscopic abnormality.
4. Liver (Ilide 8): conacsllon.
S. Lunp (Ilide 9): wn&e$lion with pitchy pullTlOOlry cdcmIlIld ltelC<:lISis.
6. KKlnq's (slide 10): autolysis.

MEDCOM 0576

ACLU Detainee DeathII ARMY MEDCOM 576

AUTOPSY REPORT[(b){6)
FAISEL, Ghulal-Durt

1

s

APDITIONAL PROCEPURES

•
•
•
•

[)ocumenla" photo~nlphs are lllkm by I~ OAFME Slaffphotol:fllphcn.
Speocimo:ns m.-ined for IOlli~o.ogi~ tcsting andIOl' DNA idcntirK'lIlion are: blood. bilc. gamic <:onlcnls.
vitreous. lung. li~r.lid~y. spleen. adipose liuue and psoas muse Ie.
l1Ie 1lee11. bn.in and selccled portions of organs are rellIille'd in fonnalin.
Pcrsonlll dTe~ arc: ~lcued to tile: approprillt~ mortUllf)' 01"-'1'1IlllIno ~nllltiv<:s.
OPINION

According to reports. this 66 yeai' old male Civilian dc:tainee ~rtedly collapsed while elliling the latrinc:. He
unresponsive to ft'SII5l:ilDtiw efforts and was ullimzllely pronounced dead. Additlollil medic:al information
or history was not aVllilable.
"'115

Autopsy examination $hawed contusions of lhe right side of lho: fllCe and scalp lIIId lacenltion of the bridge of
the: nose. Ellamilllllllon of the ne"k revealed a non-displlll:l:d fl'll<:ture witllout appan:nt "on! injury. No ev;d"nc:~
of addiliolllli silll'ili"ant injury WlIS id""tified. Radiologi" ellllminalion showed tho: prcsenc:e of a metallic
fnlgmmt in the rightlow"r leg. <:onsist""t with remote injury. Mi"rosropi~ examilllltion of the hem showc:d
bolh lIlrial and ventri"ular fibrosis. Routine postmon"m IOlIkologi"al e:'laminatlon sIlowed tile: jlfC5Cnc~ of
nordiazepam (blood 0.029 mgll). Extended testing for heavy metals showed elC"'lted I"wls oflluminum in the
blood. Levels for alRnit: and c:admium were not elevaled and uranium and lead were below det«1ion limils.
Although tho: ClIoct etiology orthe my«:ardill fibrosis is uncertain. the interslit;a1 pattern Ind the dellrt'C of
atrial involvement are suggestive of amyloid. Special $Ulirtll (Congo red) were equivocal. however. Whlllel'er
the cause. I"thal "an:lilll: arrlt)'lhmia is a signirK'al\I c:ompli~ation llS5O\:iated wilh myOl:lllrdial fibrosis. In the
"urrenl l:BSC.'. bolh the dn:umS\l.nl:CslIlld lutopsy findings an: oonsistenl with collapse: followin~ I "ardiac event.
The facial and nc<:k injuri"s \I'm:: most "onsistent with. t"",,inal fall. Postmol1cm toxi"olO\licaltc:sting showed
low levels of I metllbolite of lhe therapeutic agent Valium. Elcvllled I"v"'s of.llIminum have been associated
with ncurotollicityl.bIIt the signi fi"anc:e of this r.ndin~ in the e:tJTn:nt casc is un"ena;n.
In summary. this dcc:edent most likely died of c:ompli"llIions (lethal urdiae armythmia) of"ltdia: myocllrtli~1
fibrosis. The mannc:T of dealh is IlItural.
(b)(6)

(b)(6)

IMedit:a' EXllminc:r (b)(6)

L-~

, b!tp;/IsD.wi. i!!5dia.ontIwitjlA hill! iorum

MEDCOM 0577

ACLU Detainee DeathII ARMY MEDCOM 577

- ..

-

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-

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"

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MEDCOM 0576

ACLU Detainee DeathII ARMY MEDCOM 578

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MEDCOM 0579

ACLU Detainee DeathII ARMY MEDCOM 579

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ARMED FORCRS INSTITUTE OF PATIlOLQGY

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omce of the Armed Forea Medlul Eumlacr
t413 Research Blvd., Bldg. 102

Rockville, MD 20150
1·301·3 J9-0000
(FAX 1-301-319-0635)
nNAL AUTOPSY REPORT

NO.m'b~}(@6'C-l

Name: ALI. bllllf:l Hamid

AUI0Jl$Y

D«te ofBirth!1bl(6J:::::l974 (32 yean)

AFIPNo.dlbR6)
Rank: Civilian mqi Detainet!

I

ISN:{b)(6)

Date ofDel~(b){6)

12006

Place ofDealh: Iraq (Camp Bucca)

Date of Autopsy: 04 JUN 1100 hours
Date of Report: 08 rut 2006

Place of Autopsy: Dover PQrt Mol'tUllJy

_ClrcamJtaoca of Death:
(b)(6)
Iis. 32 yeaMlld civilian Iraqi deW-: at lhc ThcatCl'" Internment Facility Ill.
Camp Bucca, lraq....no eoUapscd while playing volleyball. He was wvesponsivc to oral
COlIlIIWllI5 and made gurgling sounds. He was not breathing and was pulseless with
fixed and dilated pupils when rueived at !he nearest medical facility. Basic lIlld
lIdvuccd cwiac (CPRlACLS) life Slippon measures _re Wl$UCcessful.
AUlhoriuotfoa for AuIOIUY:

0fIi~

of the Anned Forces Medical Examiner, lAW 10

USC 1471
I..... n rill"" linn '--,

(b){6)
was identified by ddention camp wrist bracelet., toe illS and
trIIlSpOlUltonaoewncnlll. A muscle sample is collected for DNA comparison ifneeded.
CAUSE OF DEATH:

Arrhythmogenie Rillbt Ventricular Dysplasia
MANNER OF DEATH:

N.....

MEDCOM 0580

ACLU Detainee DeathII ARMY MEDCOM 580

AUTOPSY REPORT (b)(6)
ALI, IIlDul Hamid

2

F1NAL AUTOPSY DIAGNOSIS:
I. A. Cardlovuealar SJllem:
Can1iomeply, mild, 4SO pns.
Hean iSlUbmined for ftIrt!ta" Iptcialiud eUlIlillltion ... the Armed Forces
InslilUtc ofPatholoiY.
• AntIythmogeoie ri&hl venlricullll'dysplui..
• Coron&r}' arteries with DO lil"ilicant pIthologieal ehanses.
B. Respiratory System:
- PIllmonary edema, ex_ive, righlilina 1730 pamt and leA 1un, 1270 gramI.
Frotby nuid (lI11 the tnehca Ilnd major bronehi.

C. Otber Body SYltelD':
Pauivo eonsestion oflivcr,lpleen and kidneys.
D. lajurlet
A longitudinal superficial alnasiOl1 il noted on the plIfitcrior surface or the
proximal right
• No evidence orotber blunt or I!uope ron:e trIUIM.

rOlUl'l'l'\.

II: Evldeact of MedleallalervClltloa:

.. Endotnehea! lube. properly poIitioned.

b. Gutrie lube.
Co Multiple IV IiTICII into both antieubilal
do UrilW)'utheter, properly politioned.

rO$l8e.

~

EKG pads.
r. Automatic Defibrillator Pads (2) on the 10110.

III. Evldeaee COllecdoa: none
IV. I"tlne-tloa Mub:
It taIlOOL(b)(S)
lbHSI
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-----l-

Multiple IClJS are llOled orch.in and both dlltllthi;ha.
VI. TOlleofac:
Neptivc.
CllboxyhcmoeJobin uturalion in the blood 112% (1).3% saluntlon il expeeted
in IIOII-arnokera).
Cyanide, negative.
No evidence or cthaool. ~ed nxdieariont ordrup ohbllie.

MEDCOM 058\

ACLU Detainee DeathII ARMY MEDCOM 581

AlrrOPSY REPOR1i(b)(6)

ALI, Is_I D.mSeI

1

]

EXTERNAL EXAMINATION
The WlC'-I. body is that of I wcl1-developcd. well-nourished male.. The body weips l'il7
pounds, is 72~ in height ard appears compatible with the reported age of)2 years. The
body is o:.old. Rigor il present to an equal dcgroe in all cxb"Cmitieli. Lividity is present and
fixed on the posterior surfaee oflhe body, except in ~ cJCposcd 10 PftSSlU'C. The 5ClIlp
hair is Black and hal a Black musbchc. The irides .e brown. The eomeae anl dull The
eonjunetivae ~llightJy eol1gCSlcd.. TheKlmc ate unremaJkablc. Tbeextemal wdilOl)'

unals. external nares .00 on.l cavity are free orromgn material and ~ secretiOl\$.
The nual d:cleton;1 palpably intact. The lips are without evident iniWY, and reveal
postmortem drying. The teeth are natur1l and in good eondition. Examination oflhc neck
mocalcd no cvidcnec oflnjwy. The chest is ufln:rrwbblc. No injury oflhe ribs or Aemwn
,. evident CXIema1I'l. The aWomen is UIIl'eITIIlbble. No mljor liUJ'gicaJ acarsare notod.

The extremities show no evidence of remote or reecnllrauma. The Jin1emJ.ils are intaet.
T.-u~ ~bJ(6)
- - _
(b)(6 A skin t-s is nMed behind the right ear. TIle external gmillllil are those ofa nom'Ial
adult~sed male. The posterior tono n without note.

__J

EVIDENCEOFIHERAP¥

Endotndlealtube and pslrie tube, properly positioned, multiple IV lines into both
anticubital fossae, urinary eathelCl", properly plllIitioncd, EKG pads and AUlomatic
Defibrillator Pads..

EVIDENCE OF INJURY
No evidence of major lnIuma. reeenl or rt:mole, is idCl'1lified. AIl abnsion is noted on the
back of the right forearm. Minor scan; ~ noted on the distil thigh, bilalenny.

INTERNAL EXAMINATION
BODY CAVlTIESj
1lIc body is opened by the usual thorac:o-abdominal incision and the ehest plalc is removed.
No adhesions arc noted ofthc body cavities. 200 ml ofcffusioll fluid ~ present in each of
the ri&hl and kl\ pleural eevirics and in the pericardia! cavity. No CJ:CC$I fluid is seen in thc
peritoneal eavity. All body orpna ~ preacnl in thc nonnal anltomieal position. 1'lIe:rl! is
no internal evidencc ofblunl forccorpmctnting injury to the Ih~nal region.
HEADi (CENTRAL NERVOtJS SYSTEM)
The aealp is rt:flceted. The; ca1Varilllll of thc skull is removed. 'The dura mater and falx
eercbri ate intaeL There is 110 epidu.ral or aubdlnl hcmon1lage pruenl The leplomc:ningcs
arc thin and dctieelc. 'The brain weighs 1470
Thc cclebl'll hCl'l'lisphcrea art:
symmCfrieal. Thc $UUClUrCS It the base of thc brain. including cranial ncrvtI and blood

srams.

v*cla, arc intal:l. Coronal scctio11ll tlwuih the ecrebnl1 hemispheres rt:vea1ed 110 lesions.

MEDCOM 0582

ACLU Detainee DeathII ARMY MEDCOM 582

J

AUTOPSY REPORT (b)(6)

A.lJ, hmad Hamid

Trmsverx sectiOM Ihrwgh the bl2in Item and een:bcl1um are wll'Cmarbble.
significant pathologies! eIW1ges are noted.

4

No

NECK:
Examinstion ofebe soft tissues ofebe neck, inciudinSIlrap muse1es, thyroid s'1JId and Lal}e
vesJell, rtvea\$ no llbnorTl\llities. The hyoid bone &lid larynx are intlcL

CABDIQVMCYLM SYSTEM:
The perican1iallUl"flCel are smooth, slilleflins illld wutnWbble.; the pericardial SlIe is lite
of aisnifiell1l fluid ancIlIdIIe:sions. The heart weighs 4S0 ~ The aorta lIlId its major
lnanches and ebc venae cavae and their major tributaries follow the IISIl&I distribulim and
art grossly unmrwbble. The be:Irt iii liJced in formalin and albmitted lOr funher studies.

(Please see the Cadiovascular ConsuItstioo Report below).
RFJjiPIRATORY SYSTEM:

The upper airway is clear of debris and foreisn malerial, but revuls prcsmce of frothy fluid;
the m\l\XlSll surfaces are smooth, yellow-1M and ~ble. The pleural sllrfacell are
IIIIOOd1, s'ilteninS and IURlTllJbble bilatcrally_ The pulmonN)' pemdlyma is red-pwple,
exuding exl:CUive arnollllts of edemalDllS fluid; no fl:,cal lesiolll are noted. The pubnOfllll)'
arteries are nonnally devdoped, pRtent and withoutlhrombus or embolus. The right llUlll
weighs 1370 pns; the left 1270 grams.

UVER 4F BILIARY SYSTEM;
The hepatic capsWc is smooth, s'isteninll snd inlact, covering dark red-brown, markedly
eongestod puencb)ml with JJO IDcaI JesionI noted The pllbladder contains dart green
muooid bile; \be muc:osa is velvety and \lI1I'C:I'I1tIbblc. No stone: present. The extnhcpatic
biliary IRe is pRlOIt, wilholl1 evidence of c.alo:IIli. The ijve- weighs 2060 gnms.

6' ·OONTABY TRACT;
The tor\8Ue exhibits no evidenc:e of I'CICtIl1 injUl'}'. The Cliopllagus is lined by grsy-wllile,
smooth TII\Il:OSI.. The gastric muc:osa is arranged in the usual rugal folds and the lumen
oontains ~ fluid. The gastrie ITI\JOOSS is eongested with no ulea-arion. The smallll11d
lqe bowels are uruemarbble. The pancrcaI hu. nomlaI pink-tan lobulated appcsranr.c
II'1d the: duets are elear. The appendix is ptesen1 and gros.sly ~IcabJe.

GENrTOURINARY SYSTEM:
The rmll Clp$UIc$ are smooth and thin, semi·tnNpa='lt and $trip with esse Ii-om the
underJyina smooth, I'Cd-brown cortical surf.Iees. The corti<:a lU'C sharply delincatecl from
the medullary pyramids, which IlC n:dl'urplc !O lin IInll urutrnarlcable. 1'bc: calyces, pclvca
aod IlI'elm an: lIIlI'C:IJWkable. The urinary bll(lcler contains no urine (urirwy cathdcr is in
plac:e}; the mllCOA is gray-tan andlll1lell1albble. The right kidney weiiIU 1$0 pwn.!!:!be
left 170 pama.

MEDCOM 0583

ACLU Detainee DeathII ARMY MEDCOM 583

,

AUTOPSY UPORT (b)(6)
ALI, IJIUd H••1eI

NiDCVLOENDOIHEYAL SYSTEM;
The lpIecn 11M almOlldl, inllCt apP,1e eovcring m1-pulJlle,llIOdentely firm pan:nchyma;
the lympboid folliclelll"C unmnatbble. The ~Jionall)mph nodes appeIr nonnal The
Ipleen
260 pm.

wei""

ENDQtB.lNE SW'EMj
The pruitti)', thyroid IlId IlIreNJ gIIlIds 1ft Ulltemlrtlblc.

APDmONAL PROCEDURES

I. OoeumentlJ)'pholOJfIPN; lll1lllken by In OAFME pholOJflpber.
2. Full body ndiogrlp!ll doeumcnl abIence oflir:elclal injuricl; or cvidcnceo(

""""..

3. SpecimeN retained for IOllieologica1 and/or DNA flIcntifieltion are: blood,
vit_ nuid, bile, urine, guttie eonlcnlS 1IlII1Wue Alnpla from liva", hmg.

kidney, Iplccn, bnin, pIG. muxle IIId Jdipose tiuuc.
... Rcpre.entalivc KdiollS ofOf'j.lll& ~ ~tained In formalin (or miel"OSCOpie
aarninalion If needed in the futlll'C.
5. C1othiJt&, pcnon.Il errccullld military SCII' an:: ~Icased 10 the appropriate
TnOrtuIl'y openllions repraenwivc.
CAllDIQVASCVJ..ARCQr!~ULJ

DIAGNOSIS: Antlythmogcnic Riilll VenuiaJlu Dyspluia

Hbtory: 32 ycarold mile 1rIqi dctJincc who eollapRd while pllying volleyball.
Hean: 0410 gn.ml; normal cpicardill fll; cloJed Jorwncn ovale; normallel'l \/Clluic:ular
chamber dimClllionl: left vcntriwlv eavily dilll'lclt:r 40 nun, left venuiculv ITee Win

IhieknesJ 12 nun, vcnlric:u1u ICpIwn thicknc:u 14 mm.; npl vcntricuJu dilalltion with
fibrofMty rep1accment, focal nJIImUl1l1le1l'ring. and eoancly trabc!c1Jlaled endocardial
lUl'face"';1II focalthiekcning; mildly thickc:nod and redlUldanl mil1'l!J valve lealku; small
fcncalnlion, left coronary cusp of IOrtic VIM; b'InImul1lllCm, Interior and poJIcrior
ri&hl ventricle; hillOlosicll ICClioni allow l1'I!IIImu...1 librofany replaccmcnl of righl
ventricle with fbcal allcnullion Ind vac:uoliZilion of myocll"dial fibcrl, and rIf1: foci of
unlle cen nectOIll with Iymphohilliocyt.ie inlillratcs; Wlrt:marll.lblo leA ventric:ulv

myocardium.

MEDCOM 0584

ACLU Detainee DeathII ARMY MEDCOM 584

AUTOPSY REPORl\L(b::"::"'---_ _

6

ALl,lIl1l.11cl Hamid

r

OPINION
(b)(6)

132 year-old Iraqi <ktainu, who collapsed while pllying volleybaillt
an inlmlrnent facility, died from cardiac urhythmia JeCOndary fO "armythmogcnic niht
vcntriculardyspl.asia. ExamiDation of the heart revealed fibrofatty repbcemenl,
transmunJ scarring and fenestration of the right vcntrietc. There was 110 evidence of
_ t OfTelTlOtc trauma. Toxicological5tudiea were negacive for ethanol, screenecl
medicatiOllli and drugs ofabuR. Manner of death il ~nalUR.I".
(b)(6)

b)(6)

MEDCOM 0585

Medical EXlminer

ACLU Detainee DeathII ARMY MEDCOM 585

.~.

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11 II ,

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Am It. ,'eu
(b)(6)

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AU, ISMAEL HAMID

OmClOr11D~mFOR.CUMUlICAL

'XAMn<U

AltMlD FORCES INST1TtITJ: or PATMOLOGY
WASHINGTON, DC 2(1)" fOlD

SSo-\H:

'"'opI)'t

r(b)(6)
TO"mIIIJAu '.lI:j!!}/§.l
DIIY Rqaort Geun.,: 1_ 12, 200ll

j

CONSULTATION REPORT ON CQNT8IRJITOB MAnBlAL
IlU'OftT orTOXlCOLOCTCAL UAMlNATJON

Coaditioa ofSpecl:wIus: OOOD
Dale ofladdCllt(b)(6j 2006

DIIt. ReceIved: 6IliI2oo6

CARBON MONOXIDE: The carlIoxyhemoalobin utuntion in tho blood was 2% u
decerrrIined by lpectrophotometry with • limit ofquantitatlon of I%. CWoxybemoaJobin
WlII'lltionI of 0-3% are expected for non-smoken mel )·10% (or ~ Sanndol1l above
I0% ~ CQIlIidcrod elevaIeCIlDCI are confimled by ps el1f\unatoppby.
VOLA11LES: The HEART BLOOD AND URINE were examined for the poe_ of
ethanol at • cutoff 0£20
No etbaool wu detected.

mwdL.

CYANIDE: 111m! wu DO cyanide detected in the heart blood.. The limit of quantiWloll
for e)Uidc is O.2S mgIL. Normal bbld cyanide concentrations are lea tIIaa 0.1 S maIL. LetbaI
coneelIlntiOl1l ofcyanide are 1lJ1lI.= lbI;n 3 ~.
DRUGS: The URINE wulCJeened for aceWninopben, amphetamine, lIIludcptCSllJlll,
ucihiswnillea, bubitunlles, baw "'iuepina, c:mD.IbillOids. dII0r0quloc:, "'OC'!nc,
delctrometborpbaD. UdocaillP, narootic: malPc:a. opialu, pheneyclidlM, phenothi.zinn,
salicylale.l, ~c aminelI and verapunil by IU chronwopphy. color test or
Unm"M"lIy. The followlni drup were dcteetcd:

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

MEDeOM 0586

ACLU Detainee DeathII ARMY MEDCOM 586

_M_

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2064

MEDCOM 0587

ACLU Detainee DeathII ARMY MEDCOM 587

ARMED FORCES INSTITUTE OF PATHOLOGY
omee tlrlbe Anaed Forctll Medl",' EJ;1I.11ll",
1413 Resean:h Blvd., Bldg. 102
Rockville, MD 20150
1-)01-319-0000
Al!fOPSY EXAMINATION REPORT

Nvne: BTB LohIl..Ybi, Monder Mthmoud

AUIOpSy No.; (b)(6)

~)(6)
ISN: (b)(6)

AFIP No.: (b)(6)
Rank: Civitmn
Place or Death: I~
Place of AllIOpsy: Pon Mortuary, Dover
AFB. Of

[)M.r;ofOlrdl:(b)C6)
1944
Dale or DedI: (b)(6)
2006
OalcfTlme of AulOpSy: II APR 2006
@ l100hn
DtlcofR.cpon: 26JUN 2006

Clrhl_IIIIllCft of De.tb: This 62 year<lld dcWnec _ found llIII'UpOIl5iw met
brouahc 10 the)4411 Field Medical Hospital. Despite lratmenl the cleu.inec eJlpiml The
dcceued is ~ed as hlIvi"lll JIQl medical history signifkuM for smokin& met diabctc:s
melJitu5.
A.ttloriDllolll for Alliopsy: Officeordle Armed Forces Medical Enminer. lAW 10

USC 1471
ldtatlftellrioll: Praumptiw idendfiealion from Ullminalton of lICCompanyinl
pIIpCl'WOIt met wriSlI6enlitic:lltJon bnleeleL Post-mortem IIn,erprints, denial c.hartiIl&
lind DNA oblIIincd.

MANNER OF DEATH: NII",,.I

MEDCOM 0588

ACLU Detainee DeathII ARMY MEDCOM 588

AUTOPSY REPORT(bj(6)
BTD Loblybi, MOldu Mlbmoud Abdlllkldrl"lli (b)(6)

2

PlNAL AUTOPSY DIAGNOSIS

I.

CaniiovlSClllu System:
A.
Clrdiomcilly. Helf1 wcight17G-1l1VIIJ (Predicled normal heII'I weiahl

B.

C.
II.

(ot I male with I body welllhl or 164·pounds is 295-llJVlIS with llowrr
9S% confidence limit or202·grams Win l.Ipper 9S% c:onfidefKe limit or
4J2-pms)
AtbcrosclefOlic COTOlIIry Artery DIKlK:
I.
90% stenosis or thr left Interior descmding coronuy 1I'ICl')' by
Ithrrosclel'Odc plaque
2.
7S% stenosis of thr Irft cil'l:umf1ell COI'Onlr)' &Itrfy by
athrrosclefOllc plaque
3.
7S% stenosis ofthr riiht coronary MeT)' by IUllrrosclerotie plaque
Rt-rnote M)'OtIl'dilllnf'aretion: 2.S<entimetcr JCIr in 1hr IIIIrtior WIlli or
thr left ventricle IMI extencls 10 lhe.pelt

Puimonlry System: Pulmonll')' cdemlllId conarst1on (Luna wcillhts: riaht18G-

pms; left nG-pams)
Ill.

Genitourirwy System: Benlllll Nephrosclerosis

IV.

Heplllobitlhary System: St.llllll post cholecystectomy

V.

No sillllilicant inJurieJ ldenllfled

VI.

Minor ll\ll.lrirs: Abrasions (4) of thr left side of the (ICe TllIIllina In artatrSl
dimension from \I,-inch to I 'I.-inches

VII.

POSHllOl"lrrtl chanlles:
A.
Uvidily Is fixed on t!Ie pomriOl' surflCC or the body except In IlreU
C.

exPQ'Cd 10 ~
Rigor hu pISsed
Moderate decomposition orthe intelNll orpns

D.

Skin sllpJllie on llle left ankle

D.

VIII.

Toxicology (AFlr):
A.
CARBON MONOXIDE: TheCll'box~rmoll1obill hrrMlllobln saturation
is I%.
8.
VOLATILES: There is noethanol detected in t!Ie blood and vitteous
nl.lld.
C.
CYANIDE: ~ is no C)'lfIide detected In the blood.
D.
DRUGS: No ~ed drupoflbuse Of mrdiCllions an: detected in the
urine.

MEDCOM 05119

ACLU Detainee DeathII ARMY MEDCOM 589

1

AUTOPSY REPORT~)(6)

l

DTB Loll.lybl, MoDder M.bllloud AbdulklderaJ ]lb)(6)

EXT£RNAL EXAMINATION

The body is tIlIt of. well-de~loped.well-nourished Ippeuing. n-ineh all, 164-pourwls
male whose Ippe:Il8IlCe is consistent with the ~poT1ed Ige of61-yean. Lividity is
posterior SurfflCe of the body except in llteaS exposed to pl'eSSIll'e. Rigor
".".,.

...

present on the

The scalp is covered with soon gnr,y ItId blsck hair with mile pattern blading. The irides
an: dark and the comea are OlWlCified. The extemalauditory canals and can an:
unrenwbble. The: nares an: pIltent and the lips an: Itnlumatic. The is red-brnwn purge
nuid in the lIIIJ"eS. The: nose llIId maxillae are palpably stlIble. The moulh is edentulOllS.
There is post-mortem skin slippage on the left side of the flCe.
The ned. is ItnIight, lIITd the tJXhc:a is midline lIITd mobile. The chest is symmetric. The
Ibdomen is nit. The ~nialill an: those ofl normll adult male. The tesles ate descended
lIITd free of masses. Pubic hair is plt:Sent in a llOmIIl distribution. The lIITUS is
unretnIlbblc. There an: llIUS ofpylbrown discolOl1ltion without underlying
llcmontIage on the left and right buttocks.
There is green discoloration on the chest and abdomen. There is a oS-inch ~niCII SUTgiCII
scar 011 the center of the upper abdomen lIITd I <I-inch oblique incision on the risht side of

"'" ."""""'-

Tbe upperlllTd Iowercxtrcmities ate symmetric lIITd without clubbing oredema. There is

I III-inch scar on the right elbow. T'hete is postmortem skin slippage on the left ankle.
Tbete is lIlT orangelyellow poll-mortem Ibrasion on the right hand.

CLOWING AND PERSONAL EFfECfS
The following clothing items and personal etrec1S are present on the: body &I the time: of

lutopsy:
•

A yellow jump-suit

• Two pain of white briefs
• One white sock
• Wrapped in I green sheet
•
•

MEDICAL INTERVENTION
EndolTlchcaJ lnlllbation
InlTl_accus (righl for=nn)
RADIOGRAPHS

A complete set of~tmonem radiopphs is obtained and ~I'IICS the followi"8:
• Calcified coronary mcriu
• Calcified external ililC and femoral aneries
• Intemal fixation plate (tiilrt libil)

MEDCOM 0590

ACLU Detainee DeathII ARMY MEDCOM 590

AUTOPSY REPORT (b}(6)
I
BTB Lollaybl, MOIIde';:MahmCHId AbdulkadenJ (b){6)

4

EVIDENCE QF INJURY
No sianifieant injuril:' are identified.

INTERNAL EXAMINATION

HEAD:
The plea! and subgalea! soft tissues oflhe scalp ~ free of injury. The caI...arium is
intact, as is tile dwa miter benealh il.. CIc:artX,cb,ospinaJ fluid sllITOWlds the ISOO-pm
brain, which has unremarkable gyri and sulci. Coronal 5e(:tioM dem(lIISlnl\e sharp
demarcation between white and pey malter, without hemonballe or contusive injury.
The ...entricles are ofnonna! size. The basal ganglia, bninstem, cerebellum. and alleria!
systems we (ree of i~ury or other abno~lities. There are no skull t'radures. The:

allanlo-occipital joint is stlble.

=,

The anterior st:ap muscles oftlle neck are homogenous and red-brown. without
Ilernonbage. The thyroid car1ilage and hyoid are intxt. The Larynx is lined by inlatt
white m\lCO$L The thyroid is symmetric arid rcd-brown. without c)'$l~ or nodular
change. The: tongue is me o(bite marks, hemorrhage, or other injuries.

BODY chymES:
The ribs, sternum. and vcnebnJ bodies are visibly and palpably intact No excess fluid is
in tile pleural, pericardial, or peritonea! ca... ities. 'The organs occupy their usual anatomic
positions.
RESPIRATORy SYSTEM;
The risht IIIld left lungs weigh 7&0 and n(l-arams. <apeclivcly. The extel1\.ll surfltX:S
are smooth and deep red-purple. The pulmonary puenc:hyma is diffusely congested and
edematous. No mass lesions or ~as of consolidation IJl: present.
CARDIOYASCULAR SYSTEM;
The nO-gram hC8l1 is contained in an intact pericardial sac. The epicardial surface is
smooth. with modcnte (at invcstmC'l1t. The COl'OI'Wy arteries are present in a normal
distribution, with. risht-40minant panem. Cross sections o(the ...euels show 90%
stC'llOSi! o(\hc lel\ antcriordC!Cmdina coronary ancty. 7S% stenosis of\hc Iel\
cil'Cllmflex coronary artery and 7S% steroolIis of the right coronary ancry by caleified
.lhcrosclerotic plaql/C:li. There is a 2.S-centimcteT tr.ns-mural tan-whitc: fibrous 5CIII" in
the anterior wall o(thc left ...entricle that extends to thcapcx. The .... I...e luflcts arc thin
and mobile. The walll ofthc left and rillht ventricles are 0.9 and 0.3-cmtlmcten lh~k,
respectively. The endoo:::Mlium is smooth and &listening. The aorta gives rise to three
intact and patent arch ...essell and exhibits mild .lhel'O!Clel'Osis. The renal and mesenteric
vessels are ullfCJTl&rbble.

MEDCOM 0591

ACLU Detainee DeathII ARMY MEDCOM 591

AUTOPSY REPORT l(b}(S)
BTB Lobaybl, MODder.~M'".h=.=,C">"Abd'lkaderal[(b}(6}

,

LlyER" BILIARy SYSTEM:
The ISoo.gram liver has an inl8Cl, smooth capsule and • sharp anterior border. The
plIR:IIdlyma is tan·brown and congested, with the usual lobular architeetlU'e. No mass
lesions orolher abnormalities are sem. The pllbladder is not identified and is replaced

by IIUIllel'OUS adhesions. The exlBhepatic biliary tree is patent.
SPLEEN:
The 24D-gram .spleen is encased with numerous adllesions. The pmen.ehyma iJ maroon
and congened. witb dinLnct Malpighian c:orpllSCles.

PANCREAS;

The pancreas is firm and yellow-tan, with the uroaI lobu!v architecture. No mass lesions
or other abnormillilic:s are seen.
ADRENALS:

The right and left adrenal &lands are symmetric, witb bright yellow cortices and grey
medullae. No masses or areas ofhemorrbage are i4enlifiod.
GENITOURINARy SYSTEM;
The right and leA kIdney.s weigh 200 and lBO-grams, Iespet:tively. The eJlternal.surf8l:e.l
are granular. The cut.surfa.:es are red·tan and conaested, with unifonnly Ihick cortices
and sharp corticomalullary jlllle:tions. The pelves are IIJV1lmarkable and the ureter.s arc
normal in COLll'Se and will«. White bladder mucosa overlies an intact bladder wall. The
bladder C«IWRlI approximately 3D-miIllliten of clear yellow urine. The pro.state is
lIOrmilI in .size, witb lobular, yellow-tan pamlChyma. The leT'lIinal vesicles arc
wuanarl;ablc. The tcIIes are free ofmass lesions, cont\l.lioRll, or other abnonnalities.

GASJROINIESTINAL TRACT:
The esophagWl is intact and lined by smoolh, grey-white mucosa. ThcSlomacll contaillli
scant brown fluid. The gastric wall is intact. The doodenwn, loops of.small bowel, and

colon arc unremarkable. The appendix is not identiflod.

MICROSCOPIC EXAMINATION
Sel~ted portions

of orgaN arc retained in formalin, without F:ftparation of hiSlOIOJie

slides.

MEDCOM 0592

ACLU Detainee DeathII ARMY MEDCOM 592

J

AtITOPSY REPORT (b)(6)
BTB Lob.ybi, MoDlIn MiibatOud Abdullwtenl [(b)(6)

1.
2.
3.
4.
5.

6.

1

6

ADDITIONAL PROCEDURES
Documenwy photographll are tIkc:n by OAFME staff photographers.

Full body radiographs are obtained. No blunt rort:e or penetraling injuries are
identified. No met.l1ic ron:ign objects are identified.
Specimens retNned for tOll!eology testing and/or DNA identification are: blood,
vinous fluid., urine. liver, spleen, bfain, IIlI\i. kidney, muscle and adipose.
The dissected organs ~ forwarded with the body.
~r1OnaJ dfecb are relased to \he appropriate mortlwy operations ~presenlatiYeS.
Identifying marks include: Two surgical scatS 01\ the abdomen.
QPINION

This 62 year-old male died of hypertrophic and arterioscleTOlic cardiovascular disease.
The: he:an weighed 77O-grams. 11Jere WIIS evidence ofa remote myocardial infnction in
the anterior wall of !be left ventricle. signifiCll1t pulmonary conges1iOll and edema and
benign nephrosclerosis. Closs sectioning of the eOl'01llJ)' arteries ellhibited 90'% stenosis
orthe left anterior deteending coronary artery, 75% stenosisorlhe left circwnDex
coronary artery IIDd 75% stCllOSis or\he right coronary arter)' by calcified atherosclerotic
plaques. The abrasions orthe left side of!he rau are consistent with injuries sustained
during aleoninal collapse. The IOllicology screen is negative. The mAnllCf of death Is

~""".
(b)(6)
(b)(6)

(b)(6)

Medical Ellaminer

rn(b~)(~')'----U'e<licarExaminer

MEDCOM 0593

ACLU Detainee DeathII ARMY MEDCOM 593

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MEDCOM 0594

ACLU Detainee DeathII ARMY MEDCOM 594