Office of the County Medical Examiner
5201 Harry Hines Blvd.
Dallas, Texas, 75235
Autopsy Number: M63-356
Name: OSWALD, Lee Harvey
Autopsy Date: 11-24-63, 2;45 P.M.
Coroner: Judge Pierce Mcbride
Autopsy by: Earl F. Rose, M.D.
Assistant: Sidney C. Stewart, M.D.
External examination reveals a 5 foot, 9 inch white male, the estimated weight is 150
pounds. Rigor is not present, slight cooling of the body. There is a faint posterior
Identification bands on the left wrist, the right wrist, the left great toe. The head
is examined. The hair is brown, slightly wavy. Small amount of dried blood in the hair
which has run from the hairline to the right and backward. Slight frontal balding. To the
right of the midline over the forehead is a 1/2 x 1/16 inch crusted superficial abrasion.
The hairline, left temporal region, is a 1/16-inch very superficial abraded area. There is
a left periorbital hematoma which is purple in the central portion, fading at the margins
to a faint lemon-yellow. Total diameter of this is 1 3/4 x 1 1/4 inch. The irrides are
grey-blue., the pupils are equal at 8 mm. The sclera and conjunctive are not remarkable.
Poorly defined scar on the dorsum of the nose which measures 1/4 x 1/4-inch. There is a
black material in the nares. Midline, upper lip, terminating at the vermilion margin is a
1/4 inch pale scar. To the left of the midline, the upper lip, is a 1/16-inch abrasion.
The buccal cavity is otherwise not remarkable. Oral hygiene is fair with some fillings.
The tongue is not remarkable. The beard measures between 1 to 2 mm. Examination of the
neck is made. At the upper end of the right sternocleidomastoid over the skin is a
transverse very superficial 3/4 inch scratch with some reddish antiseptic type of paint
surrounding this. Hair distribution is normal. The pubic area has been shaved. The penis
is circumcised. The testes are descended. The abdomen is flat.
Over the left pectoral region, 14 inches from the top of the head and 2 3/4 inches to
the left of the midline there is a 1 1/4 inch wound. The edges of this area are sharp.
Over the left chest is an oblique wound which originates 17 inches from the top of the
head and runs forward, downward toward the midline anteriorly measuring 7 1/4 inches and
closed by 12 running back sutures. This wound goes inferior to the left nipple. Over the
lateral aspect of the left arm, 16 inches from the top of the head is a 3/4 x 3/8 inch
wound. It goes into the subcutaneous tissue. 18 inches from the top of the head over the
lateral aspect anteriorly of the right arm there is a 1 x 1/2 inch wound which goes into
the subcutaneous tissue. 21 1/2 inches from the top of the head originating slightly below
the xyphoid running in the midline to above the pubis is a 10 1/2 inch anterior midline
wound closed by 5 wire sutures. Above the medial malleolus on the right side there is a 1
3/4-inch transverse cut-down incision. Cephalad to this is a transverse 1 3/4 inch
superficial transverse incised wound. Above the left medial malleolus there is a 1 1/2
inch cut-down type of incised wound. To the left of the midline region of the second
thoracic vertebra there is a very faint 3/8-inch bluish discolored wound. In the right
antecubital fossa is a very tiny needle puncture type of wound surrounded by bluish
discoloration. In the left antecubital fossa there are three small needle puncture type of
wounds surrounded by bluish discoloration. The nails are examined. They are somewhat dirty
although quite well cared for. No evidence of injury is noted. On the midportion dorsum of
the left hand, there is a poorly defined pale white oblique 1/2-inch scar. Over the volar
aspect of the right wrist there is a transverse superficial 1/4-inch abrasion. Volar
aspect of the left wrist there is a transverse 1 3/4-inch slightly raised white scar.
Medial aspect of the right knee reddish very poorly defined 7/8 x 1/4 inch reddish
discoloration. Over the left arm, below the deltoid there is a transverse 5/8 x 3/4 inch
somewhat puckered and irregular scar. A few striae along the lateral aspect of the thighs.
Some of the hair of the chest has been shaved. In addition, to the left of the midline
there is a round poorly defined round impression on the skin, the diameter of which s 2
inches. Over the medial aspect mid-distal third of the left arm there is a 1 1/4-inch
vertical scar with cross hatching. 23 inches from the top of the head and 3 3/8 inches to
the left of the midline anteriorly and 10 3/4 inches to the left of the midline
posteriorly, over the lower aspect of the left chest there is an entrance type of wound
which measures 1/4 x 5/16 inch in diameter. This is surrounded by a contusion ring, the
total diameters of the contusion ring are 3/8 of an inch.
22 inches from the top of the head and 9 3/4 inches to the right of the midline
anteriorly and 8 1/4 inches to the right of the midline of the back there is a vertical 2
x 1 inch gapping wound. Posterior to this by 1/2 inch there is a 3/4 x 3/8 inch irregular
INCISIONS: The standard "Y" thoracoabdominal and
intermastoid incisions are utilized. Reflecting the skin there is found to be a wound
between the fourth and fifth rib which extends through the soft tissue and measures 6
inches in length. This conforms to the wound on the left chest. The incision is continued
through the abdominal wound as well as the thoracotomy wound to the left of the midline of
SEROUS CAVITIES: examination of the serous cavities is made. In the
left pleural space approximately 175 cc. of blood. In the right pleural space there is in
excess of 600 cc. of blood. In the peritoneal cavity there is in excess of 1000 cc. of
blood with clot formation. In addition, there is a massive retroperitoneal hemorrhage. The
omentum adjacent to the transverse colon and stomach is hemorrhagic and irregularly torn.
The abdominal panniculus measures 1 3/4 inches.
THE COURSE OF THE WOUND IS FOLLOWED. It is found to notch the
undersurface of the seventh rib at the costochondral junction, this is surrounded by
hemorrhage. In its course it notches the diaphragmatic attachment in this region, however,
the left lung is not penetrated. The course is found to go from left to right and
backward. In its course it is found to strike the anterior edge of the spleen and there is
a cruciate laceration of the spleen measuring approximately 1.5 x 2 cm. The missile is
found to penetrate the stomach along the greater curvature of the body of the stomach, the
penetration measuring 9 mm. It exits from the stomach along the posterior wall, lesser
curvature, 2 cm. Distal to the cardioesophageal junction. The penetration measures 8 m. It
pursues a course backwards and to the right slightly caudad to the celiac axis and there
is extensive hemorrhage in this area. The anterior and right anterior-lateral aspect of
the aorta is torn with the superior mesenteric artery being severed. The right renal
artery shows destruction and hemorrhage along the cephalad portion. The right renal vein
is torn and the tear involves the inferior vena cava, the dorsal surface. It courses
through the upper pole of the right kidney along the anterior surface causing a jagged and
irregular laceration covering a distance of 5 x 2 cm. with penetration into the calyces.
It becomes peritonealized in the hepatorenal pouch and there is a jagged and irregular
laceration of the liver covering a distance of 9.5 x 2 x 2 cm. From the liver it
penetrates the diaphragm posteriorly on the right side. It then passes adjacent tot he
lung in the pleural space and the right lung is not penetrated. The eleventh rib to the
right of the midline irregularly fractured and an exit type of wound in this region and in
the soft tissue along the posterior axillary line right side there is an incised wound and
fragmentation of the rib.
NECK ORGANS: The neck organs are examined. They are not remarkable.
The hyoid is intact. No evidence of injury is noted. The thyroid gland is not remarkable
LUNGS: The trachea and bronchi are not remarkable. The right lung is
quite well aerated. The left lung is atelectatic. The peribronchial tissue is not
remarkable, however, there is hemorrhage in the posterior mediastinum.
HEART: Examination of the right atrium as well as the right ventricle
and a pulmonary artery shows frothing bubbles. The epicardium is markedly congested with
petechial hemorrhages, more marked over the left ventricular portion. The heart weighs 330
gm. There are a few subendocardial petechial hemorrhages. Along the anterior right
ventricular surface there is a single suture. This is in the epicardial fat. The right
ventricle measures 2 to 3 mm., the left 1.2 to 1.3 mm. The valvular circumferences are as
follows: aortic valve - 11.5 cm., mitral valve - 10.5 cm., tricuspid valve - 11.5 cm., and
pulmonic valve - 7 cm. The coronary arteries are examine in situ, found to be thin,
delicate, of normal distribution and free of occlusions. There are left ventricular
LIVER: The liver weighs 1260 gm. The penetration of the liver has
previously been described.
GALL BLADDER & BILIARY TREE: Not remarkable.
PORTACAVAL SYSTEM: Examination of the portacaval system is made. There
is frothing blood in the portacaval system. Extensive hemorrhage is noted to surround
this, particularly in the region of the pancreas.
PANCREAS: The pancreas is surrounded by hemorrhage. The parenchyma of
the pancreas is not penetrated and the ductal system is not remarkable.
SPLEEN: The spleen weighs 200 gm. The penetration of the spleen has
previously been described.
DIAPHRAGMS: The penetration of the diaphragms have been previously
RETROPERITONEAL TISSUE: There is massive hemorrhage.
GREAT VESSELS: The penetration of the aorta has previously been
described. The aorta is otherwise smooth and elastic. There is extensive periaortic
hemorrhage which extends above the diaphragm in the posterior mediastinal tissue.
KIDNEYS: The kidneys weigh 450 gm. The destruction to the right kidney
has previously been described. The capsule strips with slight difficulty. The cortical
surfaces are smooth and pale. The cortiomedullary junction is indistinct. The cortices
measure 5 to 7 mm. There is hemorrhage into the parenchyma with destruction of the right
kidney as previously described. The penetration of the calyces has also been described.
About the pelvis of the right kidney there is extensive hemorrhage. The pelvis and ureters
are otherwise not remarkable. The bladder contains bloody urine. The prostate is grossly
ADRENALS: The adrenals are both surrounded by hemorrhage, however,
both are intact.
INTESTINAL TRACT: The small and large bowel are examined. They are
free from penetrations. The appendix is identified. The large bowel contains some formed
stool. The penetrations of the stomach have previously been described and there is blood
in the stomach. The rugal pattern is not remarkable. The duodenum is not remarkable.
THYMUS: The thymus weighs approximately 15 gm., is quite fibrotic.
SCALP, SKULL, CRANIAL CAVITY AND DURA: Not remarkable. No evidence of
injury is noted.
BRAIN: The brain weighs 1450 gm. The brain is symmetrical. The
external surface of the brain is not remarkable. Configuration is normal. Multiple
sections through the brain are taken and fail to reveal any abnormalities. The ventricular
system is symmetrical. No abnormalities are encountered. The vascular system is not
remarkable and the vessels are thin and delicate. The calvarium is not remarkable. The
cervical vertebra and odontoid are not remarkable.
Aorta: There is disruption with fresh hemorrhage. No inflammation or
Heart: There are hemorrhages in the epicardial fat, mild interstitial
edema and focal fragmentation of the muscle fibers.
Lung: Areas of atelectasis and focal alveolar hemorrhagic
Liver: Disruption with fresh hemorrhage, otherwise non-contributory.
Bowel: There are disruptions of the stomach with hemorrhages adjacent.
The remainder of the bowel sections are non-contributory.
Spleen: There is disruption along one margin, otherwise
Lymph Nodes: Non-contributory.
Adrenals: There is extensive fresh hemorrhage adjacent, otherwise
Skin: Section through the entrance wound shows disruption with fresh
hemorrhage. There is no organization or inflammation. Some amorphous debris and fibers in
the depth of the wound.
Kidney: Sections show disruption of the right kidney with hemorrhages
which are marked in the pelvic fat and perirenal tissue.
Central Nervous System: Multiple sections are examined and they are
Chest, left, gunshot wound.
Penetration of the spleen, stomach, aorta, kidney, liver, and diaphragm. Massive
Right and left hemothorax.
Heart, left ventricular epicardial and myocardial hemorrhages.
Atrium, right; ventricle, right; pulmonary artery, - air.
Lung, left, atelectasis.
Chest, left thoracotomy.
Abdomen, laparotomy incision.
Arm, left; arm, right; ankle, right; ankle, left - cutdown incisions.
Chest, right, incised wound.
Eye, left, periorbital hematoma.
Forehead and lip, abrasion.
Left wrist and left arm, scars.
CAUSE OF DEATH:
Hemorrhage secondary to gunshot wound of the chest.
Earl F. Rose, M.D.
JWM NOTE: There are accompanying toxicological reports,
diagrams, and 27 35mm Kodachrome slides taken during the autopsy not herein provided.
Compare this autopsy with that performed of JFK found elsewhere on this site.