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indicative of previous head trauma, likely a contusion.
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How long ago?
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No way to know for sure.
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What about her current injuries?
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Three depressed skull fractures
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that left rectangular impressions approximately one inch wide.
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Is that the cause of death?
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No, actually this was:
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this vertical fracture bisected the thyroid prominence
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and fractured both superior horns,
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causing a soft tissue hemorrhage.
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She choked on her own blood.