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Batalis said the fractured neck was consistent with strangulation, but he could not determine whether Pegram was injured while he was alive.

He was able to confirm that her head injuries were caused by blunt force trauma and that the woman had muscle relaxants and alcohol in her system when she died. However, he was unable to determine her blood alcohol level.

He said there were also injuries that made him suspect sexual assault, but his medical condition made it difficult to draw that conclusion.

He also said he noticed two unusual items on Pegram’s body, black electrical tape wrapped around her right wrist and more tape wrapped around her neck several times.

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