Jeffrey Epstein Death Investigation New York Field Office 90A-NY-3151227 EFTA00163517

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(U) Timeline 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) 07/23/19: Epstein’s first suicide attempt 07/24-29/19: Epstein placed on suicide watch 07/29/19: Epstein removed from suicide watch 08/09/19: Epstein's cellmate Efrain Reyes released 08/09/19: Epstein last observed on video returning to Special Housing Unit (SHU) at approximately 7:49pm 08/10/19: MCC staff discovered Epstein hanged in cell at 6:33am EFTA00163518

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(U) Epstein Housing Unit Details 4 Camera out of service Guard Station a Epstein Cell #220 7 Cameras EFTA00163519

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(U) Epstein Housing Unit Details Oo —s Epstein Cell j \ 220 ¥ : 6.) Q q UNCLASSIFIED EFTA00163520

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DE A Key Access Only Ce Held by SHU Officer Control J #1 Y < Access only #3 Controlér Key \ =) Access — Key beld y 4 by SHU Officer J we | Asay Access ITeUuC EXS PhrX it “Only . r rs ri. Held by y , XN Offiver = = t Control - | 4 “ . i Access only 7 \ Control or Key - 7" T RECREA Access — Key held by Visiting Officer N Camera Key Access a Only | Camera Held by y Visiting Officer x j ACP UNCLASSIFIED EFTA00163521

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(U) Epstein Housing Unit UNCLASSIFIED EFTA00163522

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(U) Epstein Housing Unit UNCLASSIFIED EFTA00163523

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© @ = af @ O — a real ”) 2. Ww 2 UNCLASSIFIED EFTA00163524

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(U) MCC Incident Log ae Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM SS! Inmate Name / Reg. No. Location of Incident EPSTEIN, JEFFERY REG#76318-054 a ZA Photograph(s) by Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 — Location of Incident Lt. S. JEAN Photograph(s) by — Date and Time of Photo 08/10/2019 6:49 AM UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163525

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U) MCC Incident Log Type of Incident INMATE SUICIDE Type of Incident INMATE SUICIDE | Date and Time of Incident 08/10/2019 6:33 AM 08/10/2019 6:33 AM Inmate Name / Reg. No. J Date and Time of Incident EPSTEIN, JEFFERY REG#763 18-054 EPSTEIN, JEFFERY REG#76318-054 Inmate Name / Reg. No. Location of Incident ZA Photograph(s) by Date and Time of Photo Location of Incident ZA Photograph(s) by Lt. §. JEAN alanis bcos ea Rel ES ES Date and Time of Photo 08/10/2019 6:49 AM Lt. S. JEAN 10/2019 6:49 AM UNCLASSIFIED EFTA00163526

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(U) MCC Incident Log Date and Time of Incident 8/10/2019 @ 6:33 AM Inmate Name(s) / Reg. No. | Jeffrey, Epstein #763 18-054 | 08/10/2019 6:33 AM = : Location of Incident photographs taken at outside hospital EPSTEIN, JEFFERY REGH76318-054 Location oftident 2 | el Photograph(s) by D. Mebane/CMC lf Location of Incident ZA es Le Lt. S. JEAN 1S, 08/10/2019 6:49 AM Date and Time of Incident Photograph(s) by Date and Time of Photo UNCLASSIFIED EFTA00163527

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(U) MCC Incident Log Type of Incident Date and Time of Incident 8/10/2019 @ 6:33 AM Inmate Name(s) / Reg. No. Jeffrey, Epstein #763 18-054 photographs taken at outside hospital D. Mebane/CMC Location of Incident Photograph(s) by UNCLASSIFIED Type of Incident | 8/10/2019 @ 6:33 AM Date and Time of Incident Inmate Name(s) / Reg. No. aaa Location of Incident Photograph(s) by OAIZOIABSS ER EREN wh QANQABZS 3504592 EPSTEIN. 9 EFTA00163528

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(U) Inside Epstein's UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163529

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ae / \ \ ip \ J UNCLASSIFIED EFTA00163530

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(U) OCME Epstein Autopsy Report FINAL DIAGNOSES: caine aa |. HANGING: — a LIGATURE FURROW OF NECK — iin. PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CONJUNCTIVAE AND OF ORAL MUCOSA CONFLUENT HEMORRHAGES OF RIGHT BULBAR CONJUNCTIVA PLETHORA OF FACE AND HEAD WITH PETECHIAL HEMORRHAGES OF FACE FRACTURES OF BILATERAL THYROID CARTILAGE CORNUAE AND LEFT HYOID CORNUA WITH ACCOMPANYING SOFT TISSUE HEMORRHAGES 1. SEE ANTHROPOLOGY REPORT F. RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM ll. ABRASIONS OF LEFT FOREARM ll. CUTANEOUS CONTUSIONS OF WRISTS \V. SUBCUTANEOUS HEMORRHAGE OF LEFT DELTOID MUSCLE V. HYPERTENSIVE AND ATHEROSCLEROTIC CARDIOVASCULAR DISEASE A. CARDIAC HYPERTROPHY (440 GM) B. LEFT VENTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) Vil. CERVICAL LYMPHADENOPATHY Vill. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TOXICOLOGY REPORT XI. SEE NEUROPATHOLOGY REPORT m 99 @> UNCLASSIFIED EFTA00163531

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(U) OCME Epstein Autopsy Report Continued CLOTHING: The body is received clad in a hospital gown INJURIES, EXTER! AND INTERNAL: These injuries are described in reference to standard anatomic planes. These injuries are grouped and labeled for descriptive purposes only; no sequence is implied. A. HANGING: There is a depressed, focally dried and abraded, noncircumferential ligature furrow of the neck that peaks slightly on both sides of the neck, more steeply on the right side than on the left. On the right side of the neck, the furrow bifurcates anterior to the ear, with one arm that peaks behind the right ear and one arm that extends to the right side of the back of the neck. On the back of the right side of the neck at the end of the lower arm of the furrow is a 1/2" x 1", irregular, red abrasion. The furrow ranges from 13-3/4" to 15° long (measured from both ends of the furrow on the right), and ranges from 1/8" to 1/2" wide. Anteriorly, the furrow passes over the thyroid cartilage. On the upper edge of the right side of the furrow beneath the chin is an adjacent, % x 1", inverted V-shaped, linear abrasion that ranges in width from 1/8" to 1/4". Beneath the left side of the mandible is a faint, 1/2" x 1-3/4", irregular, red abrasion with multiple, interspersed, deeper, red abrasions that measure up to % x 3/8" The face and head are plethoric above the furrow, with petechial hemorrhages of the face that are most marked within the eyebrows. There are multiple, petechial hemorrhages of the palpebral conjunctivae of both eyes, and confluent hemorrhages on the periphery of the right bulbar conjunctiva. There are faint petechial hemorrhages on the mucosal surfaces of the upper and lower lips Within the parenchyma of the tongue are multiple, focal, spotty, purple hemorrhages There is diffuse, purple hemorrhage at the base of the tongue. There are no hemorrhages of the anterior strap muscles of the neck. Posteriorly, there is a single hemorrhage in the left, deep, paraspinal muscles. Both thyroid cartilage cornuae are fractured, and the left comua of the hyoid bone is fractured, all with accompanying soft tissue hemorrhages. See also “Anthropology Report.” There are no fractures of the cervical vertebrae. B. OTHER INJURIES: On the back of the left forearm is an oblique, 1”, linear, red, abrasion with an adjacent, 1/2" x 1-1/4", faint, red abrasion. On the medial aspect of the back of the right wrist is a 1/8" x 1/2", faint, red contusion, and on the medial aspect of the back of the left wrist is a UNCLASSIFIED EFTA00163532

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(U) OCME Epstein Autopsy Report Continued Larynx The thyroid cartilage is almost entirely ossified and the cricoid cartilage is partially ossified. The thyroid exhibits two fractures: one to the left superior horn and one to the right superior horn (Figures | and 3). The fractures to both the left and right superior horns occur just superior to the junction with the lamina. The cricoid does not exhibit any fractures RIGHT Figure 3. Microscopic (10x) posterior views of fractures (white circles) to the left and right superior horns of the thyroid. SUMMARY: The hyoid bone exhibits a fracture of the left greater hom. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn BACKGROUND: On 12 Au were removed by Dr. Kristin Roman during the autopsy of a 66-year-old male and submitted for 2019, the Forensic Anthropology Unit received a hyoid and larynx that @ trauma analysis. The hyoid was cleaned warm water and a combination of sodium bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissucs of the thyroid and cricoid were m. ally removed to acilitate examination. The specimens were examined radiographically, macroscopically and microscop ly Hyoid Thyroid | Cricoid \ y 1 —_— Figure |. Diagram of the submitted hyoid Figure 2. Overview of the submitted hyoid and laryax (anterior view) showing the bone exhibiting a fracture to the left greater approximate fracture locations (red lines) horn (white arrow). FINDINGS: Hyoid The greater horns of the hyoid are bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures | and 2) UNCLASSIFIED EFTA00163533