EFTA00163517.pdf

, .. ht / sie 1,4ig,DIT OiN......\ . 6 * “...". .S• / Ili ..:) lij e 4• * rtkr 4, `'. 'Pt' 4* IIII Jeffrey Epstein Ai. Death Investigation • ... 46. * it 4-.........y 4?-8'4 V OF 1:t..1.., 1 New York Field Office 90A-NY-3151227 EFTA00163517 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 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: Epstein's cellmate Efrain Reyes released • 08/09/19: Epstein last observed on video returning to Special Housing Unit (SHU) at approximately 7:49pm • 08/10/19: MCC staff discovered Epstein hanged in cell at 6:33am UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163518 (U) Epstein Housing Unit Details EFTA00163519 (U) Epstein Housing Unit Details EFTA00163520 (U) Epstein Housing Unit Details EFTA00163521 (U) Epstein Housing Unit EFTA00163522 (U) Epstein Housing Unit EFTA00163523 (U) Epstein Cell Area EFTA00163524  "F pc of Incident INMATE SUICIDE Type of Incident INMATE SUICIDE Date and Time of Incident US 10 20194'33 AM Date and I into of Incident ON 10 2019 6 33.1M Inmate Name / Rcg. No. EPSTEIN JEFFERY Ra;',2 76318-0.54 Inmate Name Reg. No. EPSTEIN. .1EFFERY REGP76318-054 Location of Incident Photograph(s) b b. S. JEAN- Li S. JE4N Date and l'itne of Photo ON /0 20/9 6 49 kt! Date and Time of Photo OS I0 '0/96 19 f.tl UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163525  Type of Incident INMATE SUICIDE Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33.111 Date and Time of Incident 08/10/2019 6:33.111 Inmate Name / Reg. No. EPSTEIN, JEFFERY REG4763I8-054 Inmate Name 1 Reg. No. EPSTEIN, JEFFERY REG;76318-054 Location of Incident Z.1 Location of Incident ZA Photograph(s) by 1.4 S. JEAN Photograph(s) by b. S. JEAN Date and Time of Photo OS /0 20/9 6:49.111 Date and Time of Photo 08'102019 6:49 AM l it .• - _ A., • gli ...---- . aah ,--......" UNCLASSIFIED EFTA00163526  Date and Time of Incident 8. I 0.20 I 9 a. 6:33 AM Type ofIncident INMATE SUICIDE j Inmate Name(s) / Reg. No. Jeffrey. Epstein #76318-054 Date and Time of Incident 08/10/2019 6:33:141 Location of Incident photographs taken at outside hospital Inmate Name /Reg. No. EPSTEIN. JEFFERY REG, 76318-05-1 Photograph(s) by D. Mebane"CMC Locution of Incident Photograph(s) by Lt. S. JEAN Date and Time of Photo 08/10/2019 6 -19 Alf UNCLASSIFIED EFTA00163527  Type of Incident NtA F>pc of Incident N'A Date and Time of Incident 8/10/2019 (0 6:33 AM Date and Time of Incident W10:2019 a 6:33 AN1 Inmate Name(s) / Reg. No. Jeffrey. Epstein #76318-054 Inmate Name(s) Reg. No. Jeffrey. Epstein #76318-054 Location of Incident photographs taken at outside hospital I.ocati.m of Incident photographs taken at outside hospital Photographs) hy D. Nlehane;CMC Photograph(s) by I). SlebanetC),IC UNCLASSIFIED EFTA00163528 (U) Inside Epstein's Cell EFTA00163529  - 11- " tee * • I A\ — -dill O1r ' t4 ' , 0 27 71 74 256 ZS 10 3\ 17 U, t9 70 71 I in ! ! • UNCLASSIFIED EFTA00163530  4, ST (U) OCME Epstein Autopsy Report FINAL DIAGNOSES: CAUSE OF DEATH: RANGING I. HANGING: MANNER OF DEATH: SUICIDE (HANGED SELF) 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) Hi. **CM ORaled OMRake Earrinw *swig.Medd NO Ma MOW O. C. RENAL ARTERIOLAR SCLEROSIS dopanCe) &natal, 110•0600:0• D. SLIGHT CORONARY ATHEROSCLEROSIS td((tA/Wi se li bieth E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS r taiit Maim 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 UNCLASSIFIED EFTA00163531 (U) OCME Epstein Autopsy el/ Report Continued a 'A "P 7 • 4 4 - *4we t.e oF CLOTHING: The body is received clad in a hospital gown. 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 1", 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. Anteriorly, the furrow passes over the thyroid cartilage. On the upper edge of the right side of the furrow beneath the thin 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 cornuae 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 EFTA00163532 (U) OCME Epstein Autopsy Report Continued BACKGROUND: oomph 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-year-old male and submitted for The thyroid cartilage is almost entirely ossified and the cricoid cartilage is partially a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium ossified. The thyroid exhibits two fractures: one to the left superior horn and one to the right bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissues of the superior horn (Figures I and 3). The fractures to both the left and right superior horns occur just thyroid and cricoid were manually removed to facilitate examination. The specimens were superior to the junction with the lamina. The cricoid does not exhibit any fractures. examined radiographically. macroscopically and microscopically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid Figure 2. (hen imc of the submitted hyoid and lary nx (anterior sits.) .shooing the hone exhibiting a fracture to the left greater approximate fracture locations I red lines:. horn IIs.hilt arrow 0. Figure 3. Microscopic (IRA) posterior stems of fractures (white circles) to the left and right superior horns of the thyroid. FINDINGS: Hyoid The greater horns of the hyoid arc bilaterally fused to the hyoid body. There is a fracture SUMMARY: of the left greater horn (Figures I and 2). 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 (eft superior horn. The Forensic Anthropology Om is accredited in Forensic Inspection tender INCITE(' 17020 lamed hv ANS1N Mid ArtInk:ahem Board. Refer to red(firare and trope of accreditation F10014 UNCLASSIFIED EFTA00163533