virtual autopsy preliminary experience in high-velocity gunshot wound victims 1
TRANSCRIPT
![Page 1: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/1.jpg)
Virtual Autopsy Preliminary Experience in High-
Velocity Gunshot Wound Victims
1
![Page 2: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/2.jpg)
Present byMr. Anuson Sittirux 51312334EducationCert.of radiology technology Degree LL.B. Major Law
2
![Page 3: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/3.jpg)
Lethal gunshot wound to the chest CT image shows the entry wound as an irregular linear soft-tissue defect in the right anterior chest with associated subcutaneous gas
3
![Page 4: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/4.jpg)
The bullet passed from right to left through the midthoracic vertebral bodies. Bone fragments are present to the left of the vertebral body
4
![Page 5: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/5.jpg)
Surface-rendered image of CT data shows the entry wound lateral to the right nipple
5
![Page 6: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/6.jpg)
Correlative photograph at autopsy shows the entrance wound
6
![Page 7: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/7.jpg)
Photograph at autopsy shows bone fragments protruding from the midthoracic spine angled in the direction of the path of the bullet
7
![Page 8: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/8.jpg)
Features of a gunshot wound to the head at virtual
autopsy CT images of show multiple calvarial fracturesposterior settling of the brain and pneumocephalus.Metallic fragments and foci of gas are present in the left cerebellum
8
![Page 9: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/9.jpg)
A distinct linear bullet track is not present
9
![Page 10: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/10.jpg)
Three-dimensional volume-rendered image of the skull shows the comminuted fracture of the posterior skull
10
![Page 11: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/11.jpg)
Features of a pulmonary gunshot wound track shown at virtual autopsy CT image of the neck and chest shows a gunshot wound path through the trachea and right lung apex
11
![Page 12: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/12.jpg)
CT image of the upper chest shows a linear high-attenuation wound track containing numerous small cystic spaces Autopsy showed a hemorrhagic defect at the site of bullet penetration of the trachea
12
![Page 13: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/13.jpg)
Lethal gunshot wound to the chest
13
![Page 14: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/14.jpg)
The bullet path through the right apex with a large cavity
14
![Page 15: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/15.jpg)
CT image shows a hemopneumopericardium, collapsed heart, multiple cystic spaces in the lingula along the bullet track,bilateralhemopneumothorax, and subcutaneous gas.
15
![Page 16: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/16.jpg)
Lethal gunshot wound to the orbit and head CT image shows three distinct metallic fragments in the brain parenchyma that correlate to the jacket,penetrator and a fragment of the leadcore.There are multiple calvarial fractures pneumocephalus and destruction of the leftorbit.
16
![Page 17: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/17.jpg)
Reconstruction image shows midline frontal entrance and right occipital exit
17
![Page 18: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/18.jpg)
Axial CT image shows frontal entrance wound has internal beveling and occipital exit wound has external beveling .
18
![Page 19: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/19.jpg)
Reconstructed oblique sagittal image shows bone and metallic fragments are distributed along track within soft tissue.
19
![Page 20: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/20.jpg)
Three-dimensional reconstruction of skull shows occipital entry fracture defect.
20
![Page 21: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/21.jpg)
Coronal reconstruction image shows projectile in right parietal lobe.
21
![Page 22: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/22.jpg)
Sagittal oblique reconstruction image shows wound path is determined by bone fragments along right petrous ridge and high-attenuation hemorrhage in wound path
22
![Page 23: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/23.jpg)
CT image shows projectile wound track passes into posterior fossa through inferior portion of petrous ridge. Nonlinear path of projectile indicates that it was diverted by impact on occipital bone.
23
![Page 24: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/24.jpg)
24
![Page 25: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/25.jpg)
Coronal CT image at entry shows fractures of left mandible
25
![Page 26: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/26.jpg)
Coronal CT image shows C2 and C3 fractures and wound track
26
![Page 27: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/27.jpg)
Coronal CT image shows exit wound in right track
27
![Page 28: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/28.jpg)
Perforating gunshot wound of head and neck Oblique sagittal reconstruction image approximating wound track.
28
![Page 29: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/29.jpg)
29
![Page 30: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/30.jpg)
Sagittal reconstruction image at exit shows larger defect and external bevel
30
![Page 31: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/31.jpg)
Three-dimensional reconstruction image of skull shows smaller entry and larger exit
31
![Page 32: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/32.jpg)
Three-dimensional reconstruction image of thorax viewed from posterior shows bone fracture defects in right sixth rib and medial margin of right scapula
32
![Page 33: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/33.jpg)
Images show evidence of tissue and organ damage and bone interaction with bilateral pleural fluid. Axial image of chest shows wound entrance in right chest wall Bullet passes through posterior mediastinum
33
![Page 34: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/34.jpg)
Axial image of abdomen shows left lower rib fracture at site of exit.
34
![Page 35: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/35.jpg)
Axial CT image shows entrance wound in anterior left chest Note right pneumothorax and bilateral hemothoraces
35
![Page 36: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/36.jpg)
Axial CT image shows path crosses mediastinum and exits through right posterior rib.
36
![Page 37: Virtual Autopsy Preliminary Experience in High-Velocity Gunshot Wound Victims 1](https://reader035.vdocuments.net/reader035/viewer/2022062217/56649ec65503460f94bd189b/html5/thumbnails/37.jpg)
37