Digitally

signed by E.
Hampton
OFFICE OF THE MEDICAL EXAMINER Reason:
Center for Forensic Medicine Certified Copy

Nashville, Tennessoe Date:

2024.06.18
08:29:56
REPORT OF INVESTIGATION BY COUNTY MEDICAL EXAMINER -05'00'
Davidson County Medical Examiner: Feng Li MD. 40. PhD.
Judicial Distict Number: 20 She trier: Loa iS2080
Distict Atorney: Honorable Glenn Funk. Case Number: MEG24-1075
Tom ra or EX
Riey Ray Stain 2Years ono22002
3876 W. Vilage Terrace, Springfield, MO 65810
Do cto Tow oDoan vettingRotor
ozo zs am | acison Metro Nashillo Police Dap, Complaint#: 24:196765
Ticeof ous
1740 151 Avo. N, Nashvilo, TN
orate summa
Ropartadl tho decedent was a 22 year id male who was discovered floaing i the Cumberand River by an employee.
ataconcrto plant at approximately 07:28 ours on 03/22/2024. 911 was contacted. Nashvile Fir respondedto he
Scone via boat 0 rtievs the decedents body. Death was confimed on scene. The decedent’ pas medical istrywas
unknown at the imo of Is report. Couniywide Communications contacted the Medical Examiner’ Office via pager to
request response. Due to thedecedent doath boing accident lato, Medical Examiner jurisdiction wasaccepted. |.
Investigator Melanie Byrd, responded (0 th vial scone whero tho decedont was discovered and late rospondod to ho
scene where ho decedent's body was relieved. Middle Tennesse Removal Sorvco transported the decedent body to
heCanterfor Forensic Medicine for further examination and postive identification. The decedent body wil later be
released to Groenlawn Funeral Hom at the family's request.
Investigator Melanie Byrd
0312212024 13:31 hours

Sormaion ceed [Roseyores Tomcoom Ora

Yes You Yos
Prysiian Response or Dos Coes
Gulproet Bowman, D.O.

aac Greenlawn Funeral Home

 ‘OFFICE OF THE MEDICAL EXAMINER
Center for Forensic Medicine
850 R.S. Gass Blvd.
Nashville, Tennessee 37216-2640
CASE: MEC24-1075
County: DAVIDSON
AUTOPSY REPORT
NAME OF DECEDENT: STRAIN.RILEY SEX. Male AGE: 22
DATE AND TIME OF AUTOPSY. March 23, 2024 at 9:30 a.m.
FORENSIC PATHOLOGIST: Gulprest Singh Bowman, 0.0.

PATHOLOGIC DIAGNOSES
I. Drowning
A. Decedent last witnessed alive on March 8, 2024 alone at the underpass of
the James Robertson Parkway Bridge after departing a local downtown
establishment.
B. Missing person report filed March 9, 2024.
C. Decedent discovered floating face down in the Cumberland River within
debris on March 22, 2024.
D. Water depth of at least 20 feet.
E. Pulmonary edema.
F. Pleural effusions.
G. No evidence of significant trauma.
Il. Femoral blood ethanol concentration = 0.228 g/100 mL.
1. Decomposition.

CAUSE OF DEATH: Drowning and ethanol intoxication

MANNER OF DEATH Accident
CIRCUMSTANCES OF DEATH: Drowned within Cumberland River while intoxicated

The autopsy was performed at theCenterfor Forensic Medicine. The purpose of this report is to
provide a certified opinion to the County Medical Examiner and District Attomey General. The
facts and findings to support these conclusions are fled with the Tennessee DepartmentofHealth.
The autopsy was performed in the presenceofDavid Zimmerman, M.D.
 MEC24-1075
STRAIN, RILEY
Page 2of 4
GENERAL EXAMINATION
“The body is that of a normally developed, well nourished, adult male, measuring
‘approximately 76 inches in length, weighing approximately 182 pounds and appearing consistent
wih the subsequently confirmed age of 22 years. The deceased is clad in a tan and black short-
sleeve shit, blue plaid undershorts and black socks. A blue watch surrounds the left wrist. A
white metal necklace and yellow metal necklace with a pendant surrounds the neck. All clothing is
wet and covered in a dense film of dark mud.
EXTERNAL EXAMINATION
‘The body is not embalmed and displays changes of decomposition, including marbling,
bloating, green and red discoloration and patchy skin slippage. Rigor mors is partially developed
inthe joints. Livor mortis cannot be assessed.
‘The scalp hair is medium in length and brown. The eyes are closed; the conjunctivae are
congested and without petechiae; the sclerae are white; the coneae are cloudy; and the irdes are
dark. The nares are patent. The ears are normal in location and formation. The facial bones are
intact to palpation. The mouth is slightly open revealing natural teeth in good condition
‘The neck, chest and abdomen appear normally formed.
‘Theupper and lower extremities, including the hands and feet, appear symmetrical and
atraumatic. The hands and feet are waterlogged. The fingernals are short and ntact,
“The external genitalia are those of an adult male and are atraumatic; the testes are
palpated within the scrotal sac and have postmortem gas formation.
‘The back is straight and free of trauma. The anus is patent and unremarkable.

INTERNAL EXAMINATION
All intemal organs demonstrate changesofdecomposition.
HEAD: An intermastoid incision is made around the cranium and the scalp is retracted; no.
hemorrhage is identified. Openingofthe cranial cavity exposes smooth, tough dura without
evidence of epidural, subdural or subarachnoid hemorrhage. The 1500 g brain appears normally
formed and edematous with translucent leptomeninges. The cerebral vessels follow the usual
distribution and are freeofsignificant atherosclerotic changes. On cut sections, the parenchyma is
soft and has no evidence of infection, tumor of trauma. Removalof thedura uncovers an intact
cranial and basilar skull
BODY: The body is opened with a Y-shaped incision. The organs occupy their usual
positions and relationships. The right and left pleural cavities contain approximately 500 mL and
280 mL, respectively, of thin, red-brown fluid. The peritoneal cavity containsa scant amount of
similar-appearing fluid. Inspection of the thoracic and abdominal cavities after evisceration fais to
reveal significant musculoskeletal abnormalities.
NECK: There is no evidence of infection, tumor or trauma. The hyoid bone and laryngeal
 MEC24-1075
STRAIN, RILEY
Page3 of 4
cartiages are intact. The airway is patent and unobstructed without significant inflammation or
neoplasia. No cervical dislocations or fractures are present
CARDIOVASCULAR SYSTEM: The 300 g heart has an unremarkable smooth epicardial
surface. The coronary arteries arise normally and are free of significant arteriosclerosis. On cut
sections, the endocardium is smooth and glistening and the myocardium is uniformly dark red and
Soft without discrete lesions or fibrosis. The cardiac valves are thin, pliable and normaly formed.
The aorta is opened and displays a smooth tan intimal surface.
LUNGS: The right and left lungs weigh 570 g and 390. respectively, and display smooth
purple-red pleural surfaces with mild congestion and edema. There is no evidence of infection,
tumor or trauma, The pulmonary vessels and airways are unobstructed.
ALIMENTARY SYSTEM: The tongue is atraumatic. The esophagus, stomach and small
and large intestines reveal no evidence of significant natural disease or trauma. The stomach
contains less than 100 mL of tan, partially digested food particles. The pancreas is unremarkable.
HEPATOBILIARY SYSTEM: The 1550 g liver has an intact capsule and tan-brown, soft
parenchyma with postmortem gas formation and without significant fibrosis or neoplasia. The.
gallbladder is unremarkable.
ENDOCRINE SYSTEM: The pituitary, thyroid and adrenal glands are normal in size, shape
and location and are without abnormality on sectioning.
LYMPHORETICULAR SYSTEM: The 150 g spleen is very soft. Significant
lymphadenopathy is not identified.
‘GENITOURINARY SYSTEM: The right and left kidneys weigh 150 g each and display
‘smooth and shiny cortical surfaces. On cut sections, the parenchyma is tan-red and soft with
distinct cortico-medullary demarcations. The collecting systems, ureters and bladder show no
evidenceofsignificant natural disease or trauma. The bladder contains a small amount of urine.
The prostate gland is unremarkable.
TOXICOLOGY
Specimens are collected (see separate report.
RADIOGRAPHS
Full body radiographs are performed prior to examination.
IDENTIFICATION
Positive identification as Riley Strain is established by comparison of antemortem and
postmortem dental radiograph comparison performed by Dr. John Kenney, Forensic Odontologist.
CONCLUSION
‘The decedent is a 22-year-old male who was reportedly witnessed to leave a local
‘downtown establishment and was last seen alive alone at the underpass of James Robertson
 MEC24-1075
STRAIN, RILEY
Page 4 of 4
Parkway Bridge on March 8, 2024. A missing persons report was filed on March 9, 2024. Search
efforts were initiated, and the decedent was subsequently discovered face down in the
‘Cumberland River within debris on March 22, 2024.
Autopsy findings are significantfoa decomposed male with pulmonary edema and pleural
effusions (fluid within the chest cavity) and without significant trauma.
Postmortem toxicology detected ethanol (0.228 g/100 mL), isopropanol (12 mg/dL),
caffeine, cotinine, nicotine and THC.
After review of available investigative information including video surveillance, autopsy
examination and toxicologic analysis,i is my opinion that Riley Strain, a 22-year-old male, died as
a result of drowning and ethanol intoxication.
MANNER OF DEATH: Accident

“Electronicallysigned by Gulpreet S. Bowman, D.0. on Monday, June 17, 2024"

Gulpreet Singh Bowman, 0.0.
Assistant Medical Examiner
sash
 NMS Labs CONFIDENTIAL
200 lsRood Hosta, PA190442200
: Prone (215)6574900Fa. (2196572972
— Res] e-mail [email protected]
Rober Modober, RD, FAB DABCC.TG, LaborerDiecer
Toxicology Report Pationt Name STRAIN, RILEY
Reportlssued 04/23/2024 1200 PationtiD
Lo 20-1075
TS ns
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Tor 10341 Sex
Forensic Medical Management Services -Nashvile ~~Workorder 5s
B50RS. Gass Bud 24124438
Nashite, TN 37216 Page 1015

Positive Findings:
Anaivta Result Uns MaixSource
Evanat = mgidl 001 Femoral Blood
BloodAlcohol Concentration (BAC) ozs T00mL 001Femoral Blood
sopropancl mga 001 Femoral Blood
Caffeine PresumpPos megimL 001Femoral Blood
Cotnine PosumpPos ngmL 001 Femoral Blood
Nicotine PusumpPos ngmL 001 Femoral Blood
Delta Carboy THC ow ngmL 001 Famoral Blood
Deltas THC > ngmC 001 Femoral Blood
Soo Detaled Findings secon or addon information
Testing Requested:
Tost Test Name
TW Eecioyies snd Gueess Pana Vireo) Fa Foren
sin Posimaien, Expanded wiireous Noh Confirmation, 800d
(Foronsi)
Tests Not Performed:
Portollf the requestad stingwasunable 1 be performed. Refer othe Analysis Summary and Reporting Limits
Socion fordeals.
Specimens Received:
1D TubelContainer Volume! Golction MatixSource Labeled As
Wass DateTime
007 Gray SopperGloss Tobe 925m CZIAONTIO FemwraBed 20%
002 RodSopper lasteTube 25mL 03232024 1301 Viveous Fluid 201075
003 Wie Gop
Contsiner Plastic Sel 00041301 Une 2u1075
Al sample voumesiweights re approximations
Specimens ceived on 13262024.

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