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    "title": "Ruby, Jack",
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        "John F. Kennedy Assassination Records Collection",
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    "seq": 68,
    "pageIndex": 0,
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    "ocrText": "Autopsy Protocol\nLouis F. Rich\n37 W/M\nEXTERNAL EXAMINATION: The body is that of a thin, white male measuring 5 ft.\n7 in. in length and weighing 117 lbs. He appears the recorded age of 67 years\nThere are no external marks of violence on the body. The pupils are equal.\nThe ears, nose and mouth show no abnormalities The trachea lies in the mid-\nline. There is a marked scoliosis of the spine. The abdomen is flat. There\nare early sacral decubiti measuring 1 in. in diameter. The lower extremities\nshow marked muscular atrophy. The feet are very dirty. There are crusted\nabraded areas over the volar aspects of the right forearm.\nBODY CAVITIES: The usual Y-shaped incision is made. The viscera lie in their\nusual positions. There is no abnormal accumulation of blood or fluid.\nCARDIO-VASCULAR SYSTEM: The heart weighs 295 grams. There is moderately\nsevere atherosclerosis but no occlusion is present at any point. There is no\ninfarction, old or recent. The valves are normal. The aorta shows moderate\natherosolerosis.\nRESPIRATORY SYSTEM: The larynx and trachea are patent. The left lung weighs\n675 grams. The right lung weighs 850 grams. Both lungs were partly adherent\nto\nthe chest wall by fibrinopurulent adhesions, particularly the right lower\nlobe which is almost completely adherent to the chest wall by such lesions.\nOn\ncut section into the lungs there are diffuse confluent bronchopneamonio\nareas with almost complete consolidation of the right lower lobe. In addition,\nthere is marked emphysema of the entire lungs.\nASTRO-INTESTINAL SYSTEM: The esphagus is intact. The stomach, small\nintestines and colon show no hemorrhage or ulceration. The liver is red-brown\nin color, normal in size and shape and on cut section shows moderate central\ncongestion. The gall bladder is distended with bile. The pancreas is normal.\nSPLEEN: The spleen weighs 125 grams. On cut section the pulp is very soft.\nADRENALS: These show no hemorrhage or necrosis.\nGENITO-URINARY SYSTEM: The both kidneys are normal in size and shape and\npale reddish tan in color. There is no infection or hemorrhage.\nCENTRAL NERVOUS SYSTEM: The scalp is reflected in the usual manner. The\ncalvarium is removed. There is no hemorrhage in the scalp n or is there\nfracture of the skull. The dura is of normal translucency, The leptomeninges\nare thin and delicate. The brain weighs 1150 grams. There are no contusions\nor softenings in any part of the brain. The dura is striped from the base of\nthe skull and no fractures are found. A small area of encephalomalacia is four\nin the right internal capsule and globus pallidus region.\nPROVISIONAL ANATOMICAL DIAGNOSIS:\n1. Bilateral confluent bronchopneumonia\n2. Arteriosclerosis, generalized.\n3. Encephalomalacia, old, right internal capsule and globus pallidus.\n4. Early decubiti of sacrum.\n5, Pulmonary emphysema, severe.\nRonald A. Welsh, M.D., Pathologist\nsmk"
}