This specimen shows discrete bruising on the right side of the base of the tongue, of the lower part
of the left side of the epiglottis and of the left vocal chord. There is also discrete bruising in the
pharyngeal wall. Examination on the reverse side of the specimen shows no obvious bruising. The
pattern of bruising here is consistent with manual strangulation in which, on occasions, the thyroid
cartilage can be broken.