EFTA00163486.pdf

Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00163486 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/09/19: Epstein placed with cellmate Nicholas Tartaglione • 07/23/19: Epstein's first suicide attempt • 07/24-29/19: Epstein placed on suicide watch • 07/29/19: Epstein removed from suicide watch • 08/09/19: Cellmate Tartaglione released • 08/09/19: Epstein last observed on video returning to Special Housing Unit (SHU) at approximately 7:40pm • 08/10/19: MCC staff discovered Epstein hanged in cell at 6:33am EFTA00163487 (U) Epstein Housing Unit Details EFTA00163488 (U) Epstein Housing Unit Details EFTA00163489 (U) Epstein Housing Unit Details Orit7 EFTA00163490 (U) Epstein Housing Unit EFTA00163491 (U) Epstein Housing Unit UNCLASSIFIED EFTA00163492 (U) Epstein Cell Area EFTA00163493 Type of Incident INMATE SUICIDE Date and Time of Incident Inmate Name Reg. No. Location of Incident Photograph(s) by Date and Time of Photo 08/10/2019 6:33 AM EPSTEDIJEFFERYREG,- 631N4)54 08/10/2019 6.49 A.11 I peat Incident I Tate of Incident Inmate Name. Rcg. No. Location of Incident Photograph(s) by Date and Time of Photo .C1.411. 117O1. 0s /0 2019 6 33 JAI EPSTEIN. .11: FFERI REGP76318054 UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163494 Type of Incident INMATE SUICIDE Rue and Time of Incident 08/102019 6:33 AM Inmate Name / Reg. No. EPSTEIN. JEFFERY REG#763 18-05-1 Location of Incident Z I Photograph(s) by Lt. Date and Time of Photo ON 10 ?019 6:49 AA/ es r „......." .. -, _...— . . •,. Type of Incident INMATE SUICIDE Date and Time of Incident I 08/10/2019 6733 AM Inmate Name !Reg. No. EPSTEIN. JEFFERY REG;76318-054 Location of Incident Zri Photograph(s) by 1.1 Date and Time of Photo 08/10/2019 6.49 Al! UNCLASSIFIED EFTA00163495 UNCLASSIFIED Date and Time of Incident II 8'10/2019 a 6:33 AM Type of Incident Date and Time of Incident Inmate Name Reg. No. Location of Incident Photographs) by Date and Time of Photo INMATE SUICIDE ma/2019 6:33 AA/ EPSTEIN, JE1•FERY REG#76318-054 ZA Lt o 2019 6:49 AA/ Inmate Name(s) Reg. No. Location of Incident Photograph(s) by Jeffrey, Epstein 476318-054 photographs taken at outside hospital CMC EFTA00163496 Type of Incident Date and Time of Incident 'innate Name(s) / keg. No. Location of Incident Photograph(s) by N. A 8 10 2019 a 6:33 AM Jeffrey. Epstein *76318-054 photographs taken at outside hospital MC pe of Inddent Date and Time of Incident Inmate Name(%) / keg. No. I.ocatit t of Incident Photograph(s) by 8'I 02019 a 6:33 AM Jeffrey, Epstein n76318-054 photographs taken at outside hospital UNCLASSIFIED EFTA00163497 (U) Inside Epstein's Cell UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163498 (V) Image EFTA00163499 (U) OCME Epstein Autopsy Report 4 * Sis . m vi e, re, AI /A7 , • e4 -4( 4- 40 • ?k'diu ov VI FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF NECK B. PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CONJUNCTIVAE AND OF ORAL MUCOSA C. CONFLUENT HEMORRHAGES OF RIGHT BULBAR CONJUNCTIVA D. PLETHORA OF FACE AND HEAD WITH PETECHIAL HEMORRHAGES OF FACE E. FRACTURES OF BILATERAL THYROID CARTILAGE CORNUAE AND LEFT HYOID CORNUA WITH ACCOMPANYING SOFT TISSUE HEMORRHAGES 1. SEE ANTHROPOLOGY REPORT F. RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM II. ABRASIONS OF LEFT FOREARM III. CUTANEOUS CONTUSIONS OF WRISTS IV. SUBCUTANEOUS HEMORRHAGE OF LEFT DELTOID MUSCLE V. HYPERTENSIVE AND ATHEROSCLEROTIC CARDIOVASCULAR DISEASE A. CARDIAC HYPERTROPHY (440 GM) B. LEFT VENTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TOXICOLOGY REPORT XI. SEE NEUROPATHOLOGY REPORT CAUSE OF DEATH: MANNER Of DEATH: HANGING SUICIDE (HANGED SELF) Nronvotetedbe of CAW4WIS Etrits I omelets ached frau, Copes of occurramfmn OCAElommiefen. p.,Oca: thr:ZZ/7 j gjoiltare Marko UNCLASSIFIED EFTA00163500 (U) OCME Epstein Autopsy Report Continued CLOTHING: The body is received clad in a hospital gown. tr'tta r l it * errs* * IN SST lit4 11 e s • ,4cu * • 2 ? nF 0 INJURIES. EXTERNAL AND INTERNAL: These injuries are described in reference to standard anatomic planes. These injuries are grouped and labeled for descriptive purposes only; no sequence is implied. A. HANGING: There is a depressed, focally dried and abraded, noncircumferential ligature furrow of the neck that peaks slightly on both sides of the neck, more steeply on the right side than on the left. On the right side of the neck, the furrow bifurcates anterior to the ear. with one arm that peaks behind the right ear and one arm that extends to the right side of the back of the neck. On the back of the right side of the neck at the end of the lower arm of the furrow is a 1/2' x 11, irregular, red abrasion. The furrow ranges from 13-3/4" to 15* long (measured from both ends of the furrow on the right), and ranges from 1/8" to 1/2" wide. Anteriorty, the furrow passes over the thyroid cartilage. On the upper edge of the right side of the furrow beneath the chin is an adjacent. % x 1". inverted V-shaped. linear abrasion that ranges in width from 1/8" to 1/4". Beneath the left side of the mandible is a faint, 1/2" x 1-3/4", irregular, red abrasion with multiple, interspersed, deeper, red abrasions that measure up to''/. x 3/8". The face and head are plethoric above the furrow, with petechial hemorrhages of the face that are most marked within the eyebrows. There are multiple, petechial hemorrhages of the palpebral conjunctivae of both eyes, and confluent hemorrhages on the periphery of the right bulbar conjunctiva. There are faint petechial hemorrhages on the mucosal surfaces of the upper and lower lips. Within the parenchyma of the tongue are multiple, focal, spotty, purple hemorrhages. There is diffuse, purple hemorrhage at the base of the tongue. There are no hemorrhages of the anterior strap muscles of the neck. Posteriorly, there is a single hemorrhage in the left, deep, paraspinal muscles. Both thyroid cartilage comuae are fractured, and the left comua of the hyoid bone is fractured. all with accompanying soft tissue hemorrhages. See also "Anthropology Report? There are no fractures of the cervical vertebrae. B. OTHER INJURIES: On the back of the left forearm Is an oblique. 1", linear, red, abrasion with an adjacent, 1/2" x 1-1/4". faint. red abrasion. On the medial aspect of the back of the right wrist is a 1/8" x 1/2", faint. red contusion, and on the medial aspect of the back of the left wrist is a UNCLASSIFIED EFTA00163501 (U) OCME Epstein Autopsy Report Continued ; g ♦ 4.6. b y c-IIU OF 1.• Laryn.r The thyroid cartilage is almost entirely ossified and the cricoid cartilage is partially ossified. The thyroid exhibits two fractures: one to the left superior horn and one to the right superior horn (Figures I and 3). The fractures to both the left and right superior horns occur just superior to the junction with the lamina. The cricoid does not exhibit any fractures. Figure 3. Microscopic (10x) posterior virus of fractures to bite circles) to the left and right superior horns of the thyroid. SUMMARY: The hyoid bone exhibits a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Figure I. Diagram of the submitted hyoid and larpn (anterior slew) showing the approximate fracture locations I red lint"). BACKGROUND: On 12 August 2019. the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-yearsold male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissues of the thyroid and cricoid were manually removed to facilitate examination. The specimens were examined radiographically. macroscopically and microscopically. 2cm flin 1 igure 2. Oscars tea of the submitted hyoid bone exhibiting a fracture to the kit greater horn tw Ink arrow 1. FINDINGS: Hyoid The greater horns of the hyoid are bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures I and 2). The Forensic Anthropekty (hut is atentliled in totemic Investor, ,...In ISO/IEC 17020 Ettore! hi 4NNLVarsoc Accreditation Rnard. Refer to cerhfinsie and wipe of arrtrthrishon Fl-0014 UNCLASSIFIED EFTA00163502