Back Bones Are Forever Save as PDF

I knew where the chief’s thoughts were pointed. No defense wounds. Of course not. The infant was far too helpless to take action to save her own life, and the manner of death probably had not involved a blow. There would not have been even reflexive reaction.

One thing struck me right off. Everyone in the room was working quietly, talking in hushed tones when a question was posed or an instruction was given. No jokes. No quips. None of the irreverent humor used to ease tension at crime scenes and autopsies.

The baby looked far too vulnerable lying naked on the cold stainless steel.

“Temperance. Thank you.” Over his mask, LaManche’s eyes looked weary and sad. “The child measures thirty-seven centimeters long.”

Haase’s rule: during the last five months of gestation, fetal length in centimeters divided by five equals the number of months of pregnancy. I did a quick calculation.

“She’s small for a full-term baby,” I said.

“Oui. Crown-rump length. Biparietal diameter. Every measure. The detective and I are wondering with what accuracy you can determine her age.”

I knew what LaManche wanted. A fetus is considered viable after seven months of gestation. If born earlier, survival is possible but unlikely without medical intervention.

“In case you find no abnormality but the mother claims the baby was premature and stillborn,” I said.

“That’s usually their story. The kid was dead, I panicked and stashed the body.” Ryan’s jaw muscles bunched, relaxed. “Without a witness or evidence to the contrary, such cases are bastards to prosecute.”

I thought a moment. “I haven’t looked at the attic baby yet, but the one from the window seat is desiccated and contorted. The tissue is so adhered, it will be tough removing the bones without damaging them. And standard X-rays will be of limited use due to bone and tissue superimposition. I’m thinking the best approach with the mummified remains might be MSCT.”

Four blank looks.

“Multislice computed tomography. I suggest we use it for this baby, too. That way I can measure and observe the skeleton while it’s articulated by soft tissue. A big advantage of MSCT is that it gives an isotopic image and doesn’t distort the anatomical reality. I can measure the long bones on 2-D reconstructions and get anatomical length directly without need for a correction factor. After we view the scans, you can proceed with your regular autopsy.”

As I spoke, my eyes roved the tiny girl on the table. She’d been brushed clean but not yet water-sprayed.

“It cannot hurt.” LaManche looked at Pomier. “The staff at St. Mary’s has been helpful in the past. Phone the radiology department. See if it is possible to use their scanner.”

In his haste to do as directed, Pomier pivoted too quickly. His shoe knocked a caster on a portable light snugged to one end of the table. The floor stand wobbled. Ryan grabbed and steadied the extension arm holding the halogen bulb.

As the light jumped, my eyes caught something my brain didn’t process.