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Autopsy Report

This entry may be read by all the players, but is technically for the character of Lex Luthor only. This means that no reporters (*ahem*) or winged vigilantes may get their hands on any of the information other than the basics that have already been reported to the general public.

This sort of information is usually only given to the family, upon request. If said family decides to share it, they may do so as long as the officials don't believe it will hurt the investigation.

The players may comment about this here and Lex may "email" his questions to the ME, Tamara Smith, in the comments. She'll get back to him as soon as she can.



Mr. Lex Luthor;

Inclosed, please find the autopsy report (30114981-B) for Mr. Lionel Luthor, as per your request dated August 16, 2004. The report was finalized and concluded November 19, 2004 by the Chief Medical Examiner of Kansas, Dr. Donna G.K. Peerwani. Included in the report is the toxicology findings and all information relevant to this particular process.

If you have any questions, please fell free to contact our office at (302) 555-4422 or email, tjsmith@metrpolismeoffice.com.

Please accept the condolences of this office.

Sincerely,

Dr. Tamara J. Smith, ME Metropolis

TJS/bm




AUTOPSY REPORT
NAME: LIONEL LUTHOR
Case No: 30114981-B
Approximate Age: 55 years
Height: 72 inches
Weight: 184.7 pounds
Sex: Male

We hereby certify that on the second day of August 2006, pursuant to Statute 49.25 of Kansas Criminal Code, an autopsy on the body of Lionel Luthor was performed at the Metropolis County Medical Examiner's Office in Metropolis, Kansas and upon investigation of the essential facts concerning the circumstances of the death and history of the case, we are of the opinion that the cause of death was as follows:

FINDINGS:
I. Sudden death associated with:
1. Myocardial Infarction due to:
a. Bullet wound to the left frontal lobe of head (aprox. 14 centimeters above left eyelid, center)
b. Bullet wound to the left frontal lobe of head (aprox. 19 centimeters above left eyelid, center)

(LV thickness = 1.9 cm)
II. Hepatomegaly (weight = 1695 gms) with mild fatty metamorphosis
III. Prostatic hyperplasia, mild
IV. No evidence of dehydration or electrolyte imbalance:
1. Postmortem vitreous chemistry non-contributory
2. Blood furosemide (Lasix) negative
V. Postmortem toxicology:
1. Cardiac blood fluoxetine = .076 ug/mL
2. Femoral vein blood fluoxetine = 0.778 ug/mL
3. Gastric fluoxetine = 4.2 ug/mL
4. Liver fluoxetine = 61.4 ug/mL
V. Postmortem blood 20 heavy metal screen negative
VI. Postmortem blood mercury negative (below detection level)

COMMENT:

Mr. Lionel Luthor was 55 years of age at the time of his death. He was CEO of LuthorCorp in Metropolis, where he was apparently discovered unresponsive, in his office. The exact downtime is unknown but could be as much as nine hours or more before he was discovered unresponsive. At LuthorCorp, no advanced cardiac life support protocols were instituted. Mr. Luthor was pronounced dead at 9:13am by ME Tamara Smith.

Records obtained from Mr. Luthor’s personal physician Dr. Richard Thorpe and the Federal Medical Facility in Grandville indicate that Mr. Luthor [sic] had clinical history of hypertension and type three liver failure, which he had recovered fully from October, 2004. Additionally, the recovery was considered unusual and sudden at the time as there was no treatment for the condition because it was in the last stages. Only pain management was being maintained.

Autopsy confirmed clinical history of hypertension. Most significant findings at autopsy included an enlarged heart with left ventricular hypertrophy and dilatation, and occlusive coronary atherosclerosis but within normal limits given his age, history and profession.

Postmortem toxicology was negative for any outside narcotics, prescribed or illegal.
In addition to the above studies, a comprehensive heavy metal screen as well as screen for mercury poisoning were carried out, all of which were reported negative. Postmortem vitreous chemistry did not indicate electrolyte imbalance and postmortem blood furosemide was negative.

In conclusion, Mr. Lionel Luthor's death is attributed primarily to a heart attack brought un by trauma caused by the bullet wounds and complete brain failure. Ballistics tests confirm that there were no gun powder residue on either one of Mr. Luthor’s hands and no weapon found at the scene of the crime, ruling out suicide as cause of death.

The manner of death is therefore ruled as murder.

CAUSE OF DEATH: SUDDEN CARDIAC DEATH DUE TO TRAUMA TO THE LEFT FRONTAL LOBE OF THE BRAIN

MANNER OF DEATH: UNNATURAL

Signature Tamara J. Smith, M.D.

Signature Donna G.K. Peerwani, M.D.

A CERTIFIED COPY ATTEST AUGUST 11, 1998 DONNA G.K. PEERWANI, M.D. CHIEF MEDICAL EXAMINER TARRANT COUNTY, TEXAS BY [signature] PATRICK O’DOULL

30114981-B Lionel Luthor Page 2 of 8

GROSS ANATOMICAL DESCRIPTION
Photo 1: Identification

I. CLOTHING AND PERSONAL EFFECTS: The body is presented to the Morgue secured in a body bag and clad in:
1. Black two piece suit (Armani), sent to K. Langston MME Office Labs
2. White button up shirt (Armani), sent to K. Langston MME Office Labs
3. Dark blue and black tie (Gucci), sent to K. Langston MME Office Labs
4. Platinum cufflinks in the shape of inverted double LL’s
5. White undershirt, sent to K. Langston MME Office Labs
6. Black boxer briefs
7. Black socks
8. Black loafers (Kenneth Cole)
Added to file (8-15-04) Clothing and personal effects collected, catalogued and sent to the Metropolis Police Department’s evidence room.

II.THERAPEUTIC INTERVENTION:

1. None

30114981-B Lionel Luthor Page 3 of 8

III. EXTERNAL BODY DESCRIPTION:

The body is that of a normally developed, well-nourished and well-hydrated, adult Caucasian male appearing somewhat younger than the given age of 55 years, with a body length is 72 inches and body weight is 184.7 pounds. The body is well-preserved, unembalmed and cool post refrigeration. Rigor is fully developed. Lividity is developed, posterior, dependent, purple and slightly blanchable.
The scalp is covered by long, wavy brown and occasional gray hair with frontal. The face has a slight growth associated with a day without shaving. Body hair is male distribution and average.

The calvarium is symmetric and intact to palpation and the scalp is intact, disregarding the entrance wounds at the left forehead. The eyes are open, the corneae are clear and the conjunctivae are slightly congested. There are no bulbar or palpebral conjunctival petechia present The irides are blue and the pupils are 10 mm and equal. Orbital soft tissues are unremarkable without ecchymosis or edema and the orbits are intact. The nasal cavity is unremarkable with intact septum. Oral cavity is likewise unremarkable not counting the two fillings at the 22 and 27th bicupsid. The lips and oral mucosa are cyanotic and the jaws are edentulous. There are focal contusions of the upper lip described below. The external auditory canals are clear and there are 2 cm creases in each earlobe. The bony structures of the face is intact not counting the two millimeter holes marked “1" and “2" in the diagrams. Neck, larynx and hyoid are symmetric and intact. The trachea and larynx are midline and mobile.

The anterior chest is symmetric without barrel configuration. The breasts are male. The abdomen is somewhat concave and the pelvis is intact. The penis is circumcised and the testes are descended; there are no palpable testicular masses

30114981-B Lionel Luthor Page 4 of 8

or notable atrophy. The perineum and anal orifice are unremarkable except for a small external hemorrhoidal tag. The back is symmetric and intact.
Extremities are symmetric, normally developed and intact. The nailbeds of the hands are cyanotic and slightly clubbed, and those of the feet are pale and clubbed.

IV. INJURIES: Cutaneous injuries are sparse and consists of:

1. A 3/8 by 1/2 inch circular hole is found on the upper left forehead, 14 centimeters above the end of the left eyebrow.
2. A 3/8 by 1/4 inch circular hole is found on the upper left forehead, 19 centimeters above and one inch right of the left eybrow.
3. superficial abrasions on the dorsal right forearm near the elbow ranging from 1/16 inch diameter up to 1/4 x 1/8 inch (no evidence of surrounding cutaneous reaction).

</b>V. INTERNAL EXAMINATION</b>

1. INTEGUMENT: A Y-shaped thoraco-abdominal incision is made and the organs are examined in situ and eviscerated in the usual fashion. The subcutaneous fat is normally distributed, moist and bright yellow. The musculature of the chest and abdominal area is of normal color and texture.

2. SEROUS CAVITIES: The chest wall is intact without rib, sternal or clavicular fractures. The pleura and peritoneum are congested, smooth glistening and essentially dry, devoid of adhesions or effusion. There is no scoliosis, kyphosis or lordosis present. The left and right diaphragms are in their normal location and appear grossly unremarkable. Pericardial sac is intact smooth glistening and contains normal amounts of serous fluid.

3. CARDIOVASCULAR SYSTEM: The thoracic and abdominal aorta and major branches are intact. There is moderate atheromatous disease of the aorta with multiple ulcerated plaques in the abdominal aorta.

The heart is moderately enlarged and weighs 546 grams presenting concentric left ventricular hypertrophy with dilatation. The left ventricular wall measures 1.9 cms in thickness and the right 0.5 cms. There is mild sclerosis of all cardiac valves except the pulmonic and there is minimal redundancy of the mitral and tricuspid valve leaflet margins. The cardiac valves are otherwise unremarkable. 4. PULMONARY SYSTEM: The neck presents an intact hyoid bone as well as thyroid and cricoid cartilages. Larynx is comprised of unremarkable vocal cords and folds, appearing widely patent without foreign material, and is lined by smooth, glistening membrane. Epiglottis is a characteristic plate-like structure without edema, trauma or pathological lesions. Both the musculature and the vasculature of the anterior neck are unremarkable. Trachea and spine are in the midline presenting no traumatic injuries or pathological lesions except for scattered tracheal mucosal petechiae above the level of the Endotracheal balloon.

The lungs are slightly hyper inflated. The right lung weighs 788 grams and the left 594 grams. Peripheral bronchi contain small amounts of mucoid debris. There is anthracotic pigmentation of the lungs, mild to moderate bronchiectasia and mild emphysema visible in aerated portions of the lung, especially the apices of the upper lobes. There are no mass lesions and there is no gross evidence of pneumonitis or pulmonary embolization.

5. GASTROINTESTINAL SYSTEM: The pharynx and esophagus are intact with unremarkable gastro-esophageal junction. The stomach is intact and empty except for some brownish fluid. Some 10 grams of blood tinged mucoid debris are found in the stomach. There are no particles noted. The loops of small and large bowel are unremarkable with intact and unremarkable mesentery. Appendix is absent.

The liver is slightly enlarged and weighs 1695 gms and the inferior hepatic borders are slightly blunted. There is no evidence of trauma as would be expected from the kind of type 3 liver failure that Mr. Luthor suffered from.

The pancreas weighs 177 grams. The parenchyma is slightly autolyzed, tan and there is patchy fatty infiltration. The major ducts are patent.

6. GENITOURINARY SYSTEM: The renal cortical surfaces are finely granular and the capsules strip easily. The right kidney weighs 179 grams and the left 196 grams. There are small cortical cysts up to 3 mm diameter in each kidney. The cortices and medullae are congested. The medulla presents normal renal pyramids with unremarkable papillae. The pelvis is of normal size and lined by gray glistening mucosa. There are no calculi. Renal arteries and veins are normal.

The ureters are of normal caliber lying in their course within the retro peritoneum and draining into an unremarkable urinary bladder containing 150 mL of clear urine. External genitalia present an unremarkable penis without hypospadia, epispadias or phimosis. There are no infectious lesions or tumors noted. The descended testicles are of normal size encased within an intact and unremarkable scrotal sac and on palpation abnormal masses or hernias are not present. The prostate is slightly enlarged due to mild benign prostatic hyperplasia.

7. HEMATOPOIETIC SYSTEM: Thoracic lymph nodes are anthracotic. Hepatic hilar nodes are slightly enlarged and fleshy as are pulmonary hilar nodes. The thymus is involuted. The spleen is intact, weighs 260 grams and is congested and slightly autolyzed. Bone marrow is red and firm.

30114981-B Lionel Luthor Page 6 of 8

8. CENTRAL NERVOUS SYSTEM: A scalp incision, craniotomy and evacuation of the brain is carried out in the usual fashion. Scalp is intact despite contusions and presents rare subgaleal petechia. Calvarium is likewise intact without bony abnormalities or fractures.

The cerebrospinal fluid is clear and the leptomeninges are congested. The arteries of the base of the brain and dural sinuses are intact.. The brain has not been destroyed with apparent entry wounds and weighs 1493 grams. There is major supratentorial and cerebellar swelling with evidence of herniation. The gray and white matter of the brain are congested but there are no exit wounds. The ventricular and aqueductal systems are patent and contain clear cerebrospinal fluid. The upper cervical spinal cord is unremarkable.

SPECIMENS AND EVIDENCE COLLECTED

1. Heart blood 60 mL, femoral blood 30 mL urine 30 mL, vitreous humor 5 mL bile 30 mL and frozen brain, lung, liver and kidney for toxicology and postmortem chemistry.
2. Samples of the viscera in fixative with sections for microscopic examination.
3. 108 photographs (roll #112376-112380).
4. Blood in a red top tube and a cloth swatch blood sample are reserved along with fingerprints and palmprints.

MICROSCOPIC DESCRIPTION:

HEART: There is no evidence of thrombosis.. Representative sections of the anterior free walls of the right and left ventricles, mid intraventricular septum and upper intraventricular septum to include conduction system are examined. There is orderly mild hypertrophy of the left ventricle with delicate interstitial and perivascular fibrosis. There is no evidence of inflammation or other notable pathology.

LUNG: Representative sections of each pulmonary lobe are examined and everything within normal limits.

STOMACH: Representative section of the gastric wall is notable only for mononuclear infiltration of the mucosa.

LIVER: The lobular architecture of the liver is intact and everything within normal limits. (See Note 1)

KIDNEYS: Representative sections of each kidney are examined and everything within normal limits.

BLADDER AND PROSTATE: A section of urinary bladder is remarkable only for patchy mononuclear infiltration of the remaining submucosa. The mucosa is lost by postmortem autolysis. A section of prostate is remarkable only for perivascular mononuclear infiltration. There is no evidence of malignancy.

SPLEEN: Representative section of spleen is unremarkable and everything within normal limits.

ADRENALS: Representative sections of each adrenal gland are notable only for postmortem autolysis.

BRAIN: Representative sections of cerebral cortex from frontal, parietal and occipital lobes, mesencephalon, pons, cerebellum and medulla are examined. Neurons are uniformly well preserved in all sections. There is vascular congestion and notable edema is found only in the section of medulla. In the section of occipital cortex there is localized perivascular mononuclear inflammatory accumulation in at least one vessel and there are accumulations of hematoid and laden macrophages in perivascular spaces of the frontal lobe section. There is no evidence of active neuropathology.

T0XIC0L0GY TEST RESULTS
OFFICE OF CHIEF MEDICAL EXAMINER DONNA D.G. PEERWANI, M.D., DABFP
TOXICOLOGY LABORATORY SERVICE CHIEF MEDICAL EXAMINER
200 WASHINGTON SQUARE EMILE FRANCOIS, PH.D., DABFT
METROPOLIS, KANSAS 76104 CHIEF TOXICOLOGIST
NAME: LIONEL LUTHOR PRIORITY: 1
M.E. CASE NUMBER: 30114981-B M.E. TOX NUMBER: 9865A3-04
BLOOD ETHANOL NEG
URINE ETHANOL NEG
URINE CANNABINOIDS ADX NEG
URINE COCAINE ADX NEG
URINE OPIATES ADX NEG
BLOOD CYANIDE NEG
URINE CYANIDE NEG
GASTRIC CYANIDE NEG


Note One:

Inquiries were made to Mr. Lionel Luthor’s next of kin in asking permission to study the liver, bile and blood of the deceased. Request was denied.
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