Autopsy Report: Fras Moazahim Habib, Abu Ghraib Prison, Iraq (Death Certificate Included) (0139-04-CID789-83995)

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Autopsy report, preliminary autopsy report, trauma record, death certificate, and hospital report of death relating to the death of Fras Moazahim Habib. The cause of his death was a shotgun wound to the chest. Additional shotgun wound paths involved the right upper back and both arms. The location and appearance of the wound paths involving the right upper back and right arm make it likely that a single projectile resulted in both wounds. The manner of death is homicide. The circumstances surrounding his death were investigated by the CID (report 0139-04-CID789-83995).

Doc_type: 
Medical
Doc_date: 
Tuesday, October 12, 2004
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

DOD 004057
!dal Use Only I Law Enforce Only 0139-04-C1D789-83995
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icial Use Only / Law Enforce = Only 0139-04-C1D789-83995
ARMED FORCES INSTITUTE OF PATHOLOGY
Office of the Armed Forces Medical Examiner
1413 Research Blvd., Bldg. 102
Rockville, MD 20850
1-800-944-7912
PRELIMINARY AUTOPSY EXAMINATION REPORT
Name:
SSAN:
Date of Birth: Unknown
Date of Death: 18 AUG 2004
Date of Autopsy: 30 AUG 2004
Date of Report: 30 AUG 2004
Autopsy No.: ME04-630
AFIP No.: Pending
Rank: Detainee in U.S. Custody
Place of Death: Iraq
Place of Autopsy: BIAP Mortuary,
Baghdad, Iraq
Circumstances of Death: This Iraqi male was a detainee in U.S. custody at Abu Ghraib
prison in Baghdad, Iraq. A group of prisoners became unruly and the guards used lethal
force to subdue the crowd. A shotgun was fired and this detainee was struck and killed.
Authorization for Autopsy: Armed Forces Medical Examiner, per 10 U.S. Code 1471
Identification: Circumstantial identity is established by paperwork accompanying the
1,X6)-4
CAUSE OF DEATH: Shotgun Wound of the Chest
MANNER OF DEATH: Homicide
These findings are preliminary, and subject to modification pending further investigation
and laboratory testing.
For Official Use Only / Law Enforcement Use Only
MEDCOM - 999
Exhibit 21-
6 2
detainee and his designation as detainee number
DOD 004062
Fyxk ficial Use Only / Law Enforce Only 0139-04-CID789-83995
Autopsy ME04-630 2
:12)(6)-4
PRELIMINARY AUTOPSY DIAGNOSES:
I. Shotgun Wounds of the Chest and Both Arms
A. Penetrating Shotgun Wound of the Chest
1. Entrance: Left side of the back; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin, subcutaneous tissue, and muscle of the left
back, posterior left 9* rib (with fracture), lower lobe of left
lung, left atrium, right atrium, upper lobe of the right lung,
intercostal space below the anterior aspect of the right 2 I'd rib,
muscle and subcutaneous tissue of the right upper chest
3. Recovered: Deformed metallic foreign body located in the
subcutaneous tissue of the right upper chest
4. Wound Direction: Left to right, back to front, and upward
5. Associated Injuries: Bilateral hemothoraces (right 1400-
milliliters; left 2100-milliliters), hemopericardium (50-
milliliters)
B. Perforating Shotgun Wound of the Right Upper Back
1. Entrance: Right upper back; no evidence of close-range
discharge of a firearm on the surrounding skin .
2. Wound Path: Skin and subcutaneous tissue of the right upper
back (tangential wound path)
3. Exit: Right upper back; no projectile recovered
4. Wound Direction: Left to right and slightly upward
C. Perforating Shotgun Wound of the Right Arm
1. Entrance: Posterior right arm; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin, subcutaneous tissue, and muscle of the
posterior right arm; muscle, subcutaneous tissue, and skin of
the anterior right arm
3. Exit: Anterior right arm; no projectile recovered
4. Wound Direction: Left to right, back to front, and slightly
downward (with the body in anatomic position)
D. Perforating Shotgun Wound of the Left Arm
1. Entrance: Posterior left arm; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin, subcutaneous tissue, and muscle of the
posterior left arm; muscle, subcutaneous tissue, and skin of the
anterior left arm
3. Exit: Anterior left arm; no projectile recovered
4. Wound Direction: Left to right, back to front, and downward
(with the body in anatomic position)
II. No evidence of significant natural disease processes, within the limitations
of the examination
For Official Use Only / Law Enforcement Use Only Exhibit 22
J j 3
MEDCOM - 1000
DOD 004063
cial Use Only / Law Enforce Only 0139-04-C1D789-83995
Autopsy ME04-630 3
',b)(6)-4
III. Changes of early to moderate decomposition
IV. The recovered projectile is placed in a labeled container and turned over
to the investigating agent who was present at the autopsy
V. Toxicology is pending
• Documentary photographs are taken by OAFME staff photographer, HMI
ADDITIONAL PROCEDURES/REMARKS ;b)(6)-2
USN
• pecunens retained for toxicologic testing and/or DNA identification are: cavity
blood, vitreous fluid, spleen, liver, brain, bile, urine, lung, gastric contents,
kidney, and psoas muscle
• Full body radiographs are obtained and demonstrate the metallic foreign body
subsequently recovered from the right chest wall
• Selected portions of organs are retained in formalin, without preparation of
histologic slides
• The dissected organs and clothing are forwarded with body
6)(6)-2
tt,
'b)(6)-2
M.D., DMO/FS
CDR MC USN
Chief Deputy Medical Examiner
For Official Use Only I Law Enforcement Use Only Exhibit 2 7
OUUU64
MEDCOM - 1001
DOD 004064
icial-ttae Only-MawErITarcern n ry U1 ..1-04-LAU I ii - t3.3995-
ARMED FORCES INSTITUTE OF PATHOLOGY
Office of the Armed Forces Medical Examiner
1413 Research Blvd., Bldg. 102
Rockville, MD 20850
1-800-944-7912
FINAL AUTOPSY EXAMINATION REPORT
(b)(6)-4
Name:
SSAN:
Date of Birth: Unknown
Date of Death: 18 AUG 2004
Date of Autopsy: 30 AUG 2004
Date of Report: 12 OCT 2004
Autopsy No.: ME04-630
AFIP No.: 2940933
Rank: Detainee in U.S. Custody
Place of Death: Iraq
Place of Autopsy: BIAP Mortuary,
Baghdad, Iraq
Circumstances of Death: This Iraqi male was a detainee in U.S. custody at Abu Gbraib
prison in Baghdad, Iraq. A group of prisoners became unruly and the guards used lethal
force to subdue the crowd. A shotgun was fired and this detainee was struck and killed.
Authorization for Autopsy: Armed Forces Medical Examiner, per 10 U.S. Code 1471
Identification: Circumstantial identity is established by paperwork accompanying the
detainee and his designation as detainee number
CAUSE OF DEATH: Shotgun Wound of the Chest
MANNER OF DEATH: Homicide
For Official Use Only / Law Enforcement Use Only Exhibit 2S
,;ruui9
MEDCOM - 1014
13X13)-4
DOD 004077
I Use-enly 1 Law Enforce rely-- • --0-13-9107-89=8 3995
2
Autopsy ME04-630
:b)(6)-4
FINAL AUTOPSY DIAGNOSES:
I. Shotgun Wounds of the Torso and Both Arms
A. Penetrating. Shotgun Wound of the Chest
1. Entrance: Left side of the back; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin, subcutaneous tissue, and muscle of the left
back, posterior left 9th rib (with fracture), lower lobe of left
lung, left atrium, right atrium, upper lobe of the right lung,
intercostal space below the anterior aspect of the right 2" rib,
muscle and subcutaneous tissue of the right upper chest
3. Recovered: Deformed metallic foreign body located in the
subcutaneous tissue of the right upper chest
4. Wound Direction: Left to right, back to front, and upward
5. Associated Injuries: Bilateral hemothoraces (right 1400-
milliliters; left 2100-milliliters), hemopericardium (50-
milliliters)
B. Perforating Shotgun Wound of the Right Upper Back
1. Entrance: Right upper back; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin and subcutaneous tissue of the right upper
back (tangential wound path)
3. Exit: Right upper back; no projectile recovered
4. Wound Direction: Left to right and slightly upward
C. Perforating Shotgun Wound of the Right Arm
1. Entrance: Posterior right arm; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin, subcutaneous tissue, and muscle of the
posterior right arm; muscle, subcutaneous tissue, and skin of
the anterior right arm
3. Exit: Anterior right arm; no projectile recovered
4. Wound Direction: Left to right and back to front (with the
body in anatomic position)
D. Perforating Shotgun Wound of the Left Arm
1. Entrance: Posterior left arm; no evidence of close-range
discharge of a firearm on the surrounding skin
2. Wound Path: Skin, subcutaneous tissue, and muscle of the
posterior left arm; muscle, subcutaneous tissue, and skin of the
anterior left arm
3. Exit: Anterior left arm; no projectile recovered
4. Wound Direction: Left to right, back to front, and downward
(with the body in anatomic position)
For Official Use Only / Law Enforcement Use Only
MEDCOM - 1015
Exhibit 2e)
thRi30
DOD 004078
iartis -only-Maw Enforcem 0111 y
Autopsy ME04-630 3
-0-1197-04=C117789-8 3955
:b)(6)-4
IL No evidence of significant natural disease processes, within the limitations
of the examination
III. Changes of early to moderate decomposition
IV. The recovered projectile is placed in a labeled container and turned over
to the investigating agent who was present at the autopsy
V. Toxicology is negative for ethanol and drugs of abuse
For Official Use Only I Law Enforcement Use Only
MEDCOM - 1016
Exhibit 24 . ,
ti 1
DOD 004079
rcial-Ltse-On ly / taw Enforce
Autopsy ME04-630 4
EXTERNAL EXAMINATION
The remains are received clad in a cut away green shirt and white, boxer type shorts. No
identification band is noted on the body, but the sequence of numbers r"' is written
on the lower chest left of the anterior midline. The body is in an early to moderate state
of decomposition, with changes that include clouding of the corneae, loss of turgor of the
globes of the eyes, marbling of the soft tissue, and generalized skin slippage. Bloody
fluid is present in the oral cavity.
The body is that of a well-developed, well-nourished appearing, 70 Vs-inches, 180-pounds
(estimated), White male. The age of the individual is unknown. Lividity is posterior and
fixed, except in areas exposed to pressure. Rigor has passed. The body temperature is
that of the refrigeration unit.
The scalp is covered with medium length, black hair in a normal distribution. Facial hair
consists of a black beard. The irides are brown and the pupils are round and equal in
diameter. The external ears are unremarkable. The nose and maxillae are palpably
stable. The teeth are natural and in fair condition.
The neck is mobile and the trachea is midline. The chest is symmetric. The abdomen is
flat. The external genitalia are those of a normal adult, circumcised, male. Both testes
are descended into the scrotum. Pubic hair is present in a normal distribution. There is
no evidence of external trauma to the urogenital area. The buttocks and anus are
unremarkable.
The upper and lower extremities are symmetric and without clubbing or edema. The
fingernails are intact. No tattoos or other significant identifying body marks are noted.
EVIDENCE OF MEDICAL INTERVENTION
• ElectrOcardiogram monitoring pads on both sides of the upper chest and on the
left lower quadrant of the abdomen
• Gauze dressing is tied around the wrists and feet
RADIOGRAPHS
Full body radiographs are obtained and show a metallic foreign body on the right side of
the upper torso.
EVIDENCE OF INJURY
I. Shotgun Wounds of the Torso and Both Arms
A. Penetrating Shotgun Wound of the Chest
There is an entrance shotgun wound on the left side of the back, situated 18-
inches below the top of the head and 3 %-inches left of the posterior midline. No
soot deposition or gunpowder stippling is present on the surrounding skin. The
3/16-inch wound has a 1/8-inch marginal abrasion between 5 and 8 o'clock. The
wound path goes through the skin, subcutaneous tissue, and muscle of the left side
For Official Use Only I Law Enforcement Use Only Exhibit 2S
(i uau32
MEDCOM - 1017
0 1 3-9-tarzet0789-b ,5995
(b)(6)-4
DOD 004080
iefaHdse-enty-t-Law-Enfo-reerne Only 0139-0 - 89783995-
Autopsy ME04-630 5
b)(6)-4
of the back and enters the pleural cavity through the posterior aspect of the left 9 th
rib, which is fractured. The path then continues through the lower lobe of left
lung, the pericardium, both atria of the heart, the pericardium, and the upper lobe
of the right lung. The wound path then exits the right pleural cavity below the
anterior aspect of the right r rib and perforates the chest wall musculature. A
deformed, metallic projectile is recovered from the subcutaneous tissue of the
right upper chest. The projectile is placed in a labeled container and turned over
to the investigating USACID agent. Injuries associated with the wound path
include bilateral hemothoraces (right 1400 milliliters; left 2100-milliliters) and
hemopencardn. un (50-milliliters). The direction of the wound path is left to right,
back to front, and upward.
B. Perforating Shotgun Wound of the Right Upper Back
There is an entrance shotgun wound on the right upper back, situated 16-inches
below the top of the head and 7 1/8-inches right of the posterior midline of the
body. The 5/16-inch wound has a 1/2 x 5/8-inch eccentric marginal abrasion
between 6 and 12 o'clock. No soot deposition or gunpowder stippling is present
on the surrounding skin. The wound path goes through skin and subcutaneous
tissue prior to exiting the body through a'/4-inch skin defect situated 15-inches
below the top of the head and 8-inches right of the posterior midline. A 1/4x 'I4-
inch eccentric marginal abrasion is present between 12 and 6 o'clock. No bullet
or bullet fragments are recovered. The direction of the wound path is left to right
and slightly upward.
C. Perforating Shotgun Wound of the Right Arm
There is an entrance shotgun wound on the posterior aspect of the right arm,
situated 6-inches below the top of the right shoulder and 2-inches medial of the
posterior midline of the right arm. The 1/4-inch, irregular, defect is surrounded
by a minimal ring of contusion. No soot deposition or gunpowder stippling is
present on the surrounding skin. The wound path goes through the skin,
subcutaneous tissue, and muscle of the posterior right arm and the muscle,
subcutaneous tissue, and skin of the anterior right arm. A 1/4-inch exit wound
within a 1 Y2 x 1-inch area of contusion is situated 6-inches below the top of the
right shoulder and 1 3/4-inches lateral to the anterior midline of the right arm. No
bullet or bullet fragments are recovered. The direction of the wound path is left to
right and back to front. .
D. Perforating Shotgun Wound of the Left Arm
There is an entrance shotgun wound on the posterior aspect of the left arm,
situated 5-inches below the top of the left shoulder and 2-inches medial to the
posterior midline of the left arm. The 1/4-inch, irregular, ovoid defect has no
associated abrasion or contusion. No soot deposition or gunpowder stippling is
present on the surrounding skin. The wound path goes through the skin,
subcutaneous tissue, and muscle of the posterior left ann and the muscle,
subcutaneous tissue, and skin of the anterior left arm. A 1/4-inch exit wound
within a 1-inch area of contusion is situated 7 1/4-inches below the top of the left
For Official Use Only / Law Enforcement Use Only Exhibit 25
oUthiS3
MEDCOM - 1018
DOD 004081
rc ial-Ilse-Orttyl-Law-Enf —et397tr4 eltilt9 - 8 3-eiej5
Autopsy ME04-630 6
Ib)(6)-4
shoulder and 1/4-inch medial to the anterior midline of the left aim. No bullet or
bullet fragments are recovered. The direction of the wound path is left to right,
back to front, and downward.
INTERNAL EXAMINATION
HEAD:
The scalp is uninjured. There are no skull fractures or other evidence of significant
trauma present. The calvarium is removed to demonstrate an absence of epidural or
subdural hemorrhage. Examination of the brain reveals a normal pattern of gyri and
sulci. Serial sectioning reveals no evidence of traumatic or atraumatic abnormalities.
The vessels at the base of the brain have a normal distribution and appearance. The brain
weighs 1380-grams.
NECK:
The thyroid cartilage and hyoid bone are intact. The larynx is lined by intact white
mucosa. The thyroid gland is symmetric and red-brown, without cystic or nodular
change. The tongue is free of bite marks, hemorrhage, or other injuries.
BODY CAVITIES:
The ribs, sternum, and vertebral bodies are visibly and palpably intact. Injuries to the
chest and mediastinum have been_described previously. There is no abnormal
accumulation of fluid in the peritoneal cavity. The organs occupy their usual anatomic
positions.
RESPIRATORY SYSTEM:
The right and left lungs weigh 320 and 180-grams, respectively, and have the previously
described injuries. The external surfaces are deep red-purple. No mass lesions or areas
of consolidation are present. The pulmonary arteries are free of emboli.
CARDIOVASCULAR SYSTEM:
The 310-gram heart has the previously described injuries. The epicardial surface is
smooth, with minimal fat investment. The coronary arteries are present in a normal
distribution, with a right-dominant pattern. Cross sections of the vessels show no
significant atherosclerosis. The myocardium is homogenous, red-brown, and firm. The
valve leaflets are thin and mobile. The walls of the left and right ventricles are 1.4 and
0.5-centimeters thick, respectively. The endocardium is smooth and glistening. The
aorta gives rise to three intact and patent arch vessels. The renal and mesenteric vessels
are unremarkable.
LIVER & BILIARY SYSTEM:
The 1450-gram liver has an intact, smooth capsule and a sharp anterior border. The
parenchyma is tan-brown and congested, with the usual lobular architecture. No mass
lesions or other abnormalities are seen. The gallbladder is empty. The mucosal surface
is green and velvety. The extrahepatic biliary tree is patent.
For Official Use Only I Law Enforcement Use Only Exhibit 26
(JUU6 3 4
MEDCOM - 1019
DOD 004082
Fo ficial Use Ontr /taw Enforcem • myy Tr3s04-U11:789=8-3995
Auto s ME04-630 7
The 180-gram spleen has a smooth, intact, red-purple capsule. The parenchyma is soft,
maroon, and congested, with early decompositional changes.
PANCREAS:
The pancreas exhibits early to moderate decompositional changes.
ADRENAL GLANDS:
The right and left adrenal glands are symmetric, with yellow cortices, gray medullae, and
early decompositional changes. No masses or areas of hemorrhage are identified.
GENITOURINARY SYSTEM:
The right and left kidneys weigh 140 and 110-grams, respectively. The external surfaces
are intact and smooth. The cut surfaces are red-tan and congested, with uniformly thick
cortices and sharp corticomedullary junctions. The pelves are unremarkable and the
ureters are normal in course and caliber. White bladder mucosa overlies an intact bladder
wall. The urinary bladder contains 150-milliliters of light yellow urine.
GASTROINTESTINAL TRACT:
The esophagus is intact and lined by smooth, hemorrhagic appearing mucosa. The
stomach contains approximately 100-milliliters food particles, including beans and rice.
The gastric wall is intact. The duodenum, loops of small bowel, and colon are
unremarkable. The appendix is present.
MUSCULOSKELETAL:
No non-traumatic abnormalities of muscle or bone are identified.
MICROSCOPIC EXAMINATION
Selected portions of organs are retained in formalin, without preparation of histologic
slides
For Official Use Only / Law Enforcement Use Only Exhibit 2-g
5
MEDCOM - 1020
DOD 004083
ADDITIONAL PROCEDURES/REMARKS
entary photographs are taken by OAFME staff photographer, HMI
USN
• Specimens retained for toxicologic testing and/or DNA identification are: cavity
blood, spleen, liver, brain, bile, urine, lung, gastric contents, kidney, and psoas
muscle
• Full body radiographs are obtained and demonstrate the metallic foreign body
subsequently recovered from the right chest wall
• The dissected organs and clothing are forwarded with body
b)(6)-2
icial Use Only-traw-Eri rorcem 0139---04=C1DT8978399-5--
b)(6)-2
Auto s ME04-630 8
b)(6)-4
MD. DMO/FS
CDR MC U
Chief Deputy Medical Examiner
OPINION
This White male detainee in U.S. custody died as a result of a shotgun wound to the chest
that caused injury to the lungs and heart. There was also extensive bleeding into the
chest cavity. A metallic projectile was recovered from the subcutaneous tissue of the
right upper chest and turned over to the USACID Agent who was present at the autopsy.
Additional shotgun wound paths involved the right upper back and both arms. The
location and appearance of the wound paths involving the right upper back and right arm
make it likely that a single projectile resulted in both wounds, with re-entry of the
projectile into the right arm after exiting the right back. The manner of death is
homicide.
For Official Use Only / Law Enforcement Use Only Exhibit 28
MEDCOM - 1021
DOD 004084
PhD
Certi ng dentist, orensic Toxicology Laboratory
Office of the Armed Forces Medical Examiner
IMPLY TO
. AITENTION OP
ffrelal 17-§613F4 Lalir Eiif&C-int Only
DEPARTMENT OF DEFENSE
ARMED FORCES INSTITUTE OF PATHOLOGY
WASHINGTON, DC 203066000
0139-04-C1D789-83995
AFIP-CME-T
TO:
OFFICE OF THE ARMED FORCES MEDICAL
EXAMINER
ARMED FORCES INSTITUTE OF PATHOLOGY
WASHINGTON, DC 20306-6800 .
PATIENT IDENTIFICATION
AFLP Accessions Number Sequence
2940933 00
Name
:b)(8)-4
SSAN: Autopsy: ME04-630
Toxicology Accession #: 044549
Date Report Generated: September 13, 2004
CONSULTATION REPORT ON CONTRIBUTOR MATERIAL
AFIP DIAGNOSIS REPORT OF TOXICOLOGICAL EXAMINATION
Condition of Specimens: GOOD
Date of Incident: 8/18/2004 Date Received: 9/7/2004
VOLATILES: The BLOOD and URINE were examined for the presence of ethanol at a
cutoff of 20 mg/dL. No ethanol was detected.
DRUGS: The BLOOD was screened for acetaminophen, amphetamine, antidepressants,
antihistamines, barbiturates, benzodiazepines, cannabinoids, chloroquine, cocaine,
dextromethorphan, lidocaine, narcotic analgesics, opiates, phencyclidine, phenothiazines,
salicylates, sympathomimetic amines and verapamil by gas chromatography, color test or
immunoassay. The following drugs were detected:
None were found.
'32)(6)-2
(6)(6)-2
PbegbABFT
Director, Forensic Toxicology Laboratory
Office of the Armed Forces Medical Examiner
For Official Use Only / Law Enforcement Use Only
MEDCOM - 1022
Exhibit 21
U (16 7
DOD 004085

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8893
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72