Virtual Autopsy Preliminary Experience in High-

Velocity Gunshot Wound Victims

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Present byMr. Anuson Sittirux 51312334EducationCert.of radiology technology Degree LL.B. Major Law

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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

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The bullet passed from right to left through the midthoracic vertebral bodies. Bone fragments are present to the left of the vertebral body

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Surface-rendered image of CT data shows the entry wound lateral to the right nipple

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Correlative photograph at autopsy shows the entrance wound

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Photograph at autopsy shows bone fragments protruding from the midthoracic spine angled in the direction of the path of the bullet

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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

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A distinct linear bullet track is not present

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Three-dimensional volume-rendered image of the skull shows the comminuted fracture of the posterior skull

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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

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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

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Lethal gunshot wound to the chest

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The bullet path through the right apex with a large cavity

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CT image shows a hemopneumopericardium, collapsed heart, multiple cystic spaces in the lingula along the bullet track,bilateralhemopneumothorax, and subcutaneous gas.

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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.

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Reconstruction image shows midline frontal entrance and right occipital exit

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Axial CT image shows frontal entrance wound has internal beveling and occipital exit wound has external beveling .

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Reconstructed oblique sagittal image shows bone and metallic fragments are distributed along track within soft tissue.

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Three-dimensional reconstruction of skull shows occipital entry fracture defect.

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Coronal reconstruction image shows projectile in right parietal lobe.

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Sagittal oblique reconstruction image shows wound path is determined by bone fragments along right petrous ridge and high-attenuation hemorrhage in wound path

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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.

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Coronal CT image at entry shows fractures of left mandible

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Coronal CT image shows C2 and C3 fractures and wound track

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Coronal CT image shows exit wound in right track

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Perforating gunshot wound of head and neck Oblique sagittal reconstruction image approximating wound track.

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Sagittal reconstruction image at exit shows larger defect and external bevel

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Three-dimensional reconstruction image of skull shows smaller entry and larger exit

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Three-dimensional reconstruction image of thorax viewed from posterior shows bone fracture defects in right sixth rib and medial margin of right scapula

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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

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Axial image of abdomen shows left lower rib fracture at site of exit.

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Axial CT image shows entrance wound in anterior left chest Note right pneumothorax and bilateral hemothoraces

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Axial CT image shows path crosses mediastinum and exits through right posterior rib.

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