Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 * y Poet i «4 I) UNCLASSIFIED ey T CRIME road EFTA00164864

--=PAGE_BREAK=--

(U) Timeline 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) 07/09/19: Epstein placed with cellmate 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: Cellmate Tartaglione released 08/09/19: Epstein last observed on video returning to Special Housing Unit (SHU) at approximately 7:40pm 08/10/19: MCC staff discovered Epstein hanged in cell at 6:33am EFTA00164865

--=PAGE_BREAK=--

(U) Epstein Housing Unit Details Guard Station v4 S x 4 <f f Lax. ie ys A ~ / = Epstein Cell 6 he ~ #220 * f \% Cameras ° a \ — S \ a \ 7 — \ ie \ — \ ~steeeag, > qd O EFTA00164866

--=PAGE_BREAK=--

(U) Epstein Housing Unit Details UNCLASSIFIED EFTA00164867

--=PAGE_BREAK=--

#3 by SHU Officer Camera Controlor Key Be — Key held Key Access Only oN Held by SHU Officer // \ a Y Key Access Only Held.by XY Offizer Control + #1 Access only Control or Key Access — Key held by Visiting Officer Key ACCOSS (Gee Only Held by Visiting Officer Control Access only #2 Camera UNCLASSIFIED EFTA00164868

--=PAGE_BREAK=--

(U) Epstein Housing Unit UNCLASSIFIED EFTA00164869

--=PAGE_BREAK=--

(U) Epstein Housing Unit UNCLASSIFIED EFTA00164870

--=PAGE_BREAK=--

(U) Epstein Cell Area UNCLASSIFIED EFTA00164871

--=PAGE_BREAK=--

(U) MCC Incident Log Type of Incident INMATE SUICIDE Type of Incident Date and Time of Incident INMATE SUICIDE 08/10/2019 6:33 AM Date and Time of Incident [0/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 = I Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident - Location of Incident Photograph(s) by Photograph(s) by Date and Time of Photo Date and Time of Photo UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00164872

--=PAGE_BREAK=--

(U) MCC Incident Log INMATE SUICIDE Type of Incident INMATE SUICIDE | 08/10/2019 6:33 AM EEE EPSTEIN, JEFFERY REG#76318-054 Type of Incident Date and Time of Incident 08/10/2019 6:33 AM Date and Time of Incident SS EPSTEIN, JEFFERY REG#76318-054 Inmate Name / Reg. No. Inmate Name / Reg. No. ZA Location of Incident Location of Incident | ZA Photograph(s) by Ft Date and Time of Photo 08/10/2019 6:49 AM Photograph(s) by 08/10/2019 6:49 AM Date and Time of Photo UNCLASSIFIED EFTA00164873

--=PAGE_BREAK=--

(U) MCC Incident Type of Incident INMATE SUICIDE Date and Time of Incident Date and Time of Incident | 8/10/2019 @ 6:33 AM | Jeffrey, Epstein #763 18-054 Inmate Name(s) / Reg. No. 08/10/2019 6:33 AM Location of Incident Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 L Location of Incident | ZA UNCLASSIFIED 08/10/2019 6:49 AM EFTA00164874

--=PAGE_BREAK=--

(U) MCC Incl Type of Incident Date and Time of Incident Inmate Name(s) / Reg. No Location of Incident Photograph(s) by 8/10/2019 @ 6:33 AM Jeffrey, Epstein #763 18-054 photographs taken at outside hospital UNCLASSIFIED Type of Incident SS Date and Time of Incident 8/10/2019 @ 6:33 AM et Inmate Name(s) / Reg. No. Jeffrey, Epstein #763 18-054 Location of Incident Photograph(s) by | rr photographs taken at outside hospital Or1Z914953 EEREN wy AQADABZS ost ye B3504592 EPSTEIN, JE EFTA00164875

--=PAGE_BREAK=--

(U) Inside Epstein's Cell UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00164876

--=PAGE_BREAK=--

\ # i UNCLASSIFIED EFTA00164877

--=PAGE_BREAK=--

(U) OCME Epstein Autopsy Report FINAL DIAGNOSES: na |. HANGING: a men LIGATURE FURROW OF NECK eee cee ————— 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 . RESUSCITATION ATTEMPTED 1. ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM ll. ABRASIONS OF LEFT FOREARM lll. CUTANEOUS CONTUSIONS OF WRISTS IV. 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 900 @> aa UNCLASSIFIED EFTA00164878

--=PAGE_BREAK=--

(U) OCME Epstein Autopsy Report Continued CLOTHING: The body is received clad in a hospital gown INJURIES, E RNAL 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 cornua 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 EFTA00164879

--=PAGE_BREAK=--

(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 supenor 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 horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn BACKGROUND: On LDA were removed by Dr. Kristin R 1 2019, the Forensic Anthropology Unit received a hyoid and larynx that an during the autopsy of a 66-year-old male and submitted for @ trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissues of the thyroid and cricoid were manually rem facilitate examination. The specimens were Hyoid Thyroid Cricoid Figure 1. Diagram of the submitted hyoid and laryax (anterior view) showing the approximate fracture locations (red lines). Figure 2. Overview of the submitted hyoid bone exhibiting a fracture to the left greater 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 EFTA00164880