Does this look like it's simply staging to you?
BTW there would be no postmortem swelling/expansion of her neck. Dead bodies do not bleed, nor do they swell until much, much later, days later as a matter of fact after gasses build up and make it expand. Another view of her
neck IOW the ligature mark on her neck would not be blood red unless it was applied while she was still alive. A ligature applied to a dead body would not leave a red mark. In fact the mark would be entirely different.
The necklace was not "entagled" as in twisted around the ligature. Check ACR's website for the autopsy photo's that show it was merely parallel to the cord.
Here you go if you have trouble finding it.
This one is a closeup of the mark on her face, but it shows the necklace better IMO.
Actually he does when he lists it as the #1 final diagnosis finding. From the report.
FINAL DIAGNOSIS:
I. Ligature strangulation
A. Circumferential ligature with associated ligature furrow of neck
B. Abrasions and petechial hemorrhages, neck
C. Petechial hemorrhages, conjunctival surfaces of eyes and skin of face
II. Craniocerebral injuries
A. Scalp contusion
B. Linear, comminuted fracture of right side of skull
C. Linear pattern of contusions of right cerebral hemisphere
D. subarachnoid and subdural hemorrhage
E. Small contusions, tips of temporal lobes
III. Abrasion of right cheek
IV. Abrasion/contusion, posterior right shoulder
V. Abrasions of left lower back and posterior left lower leg
VI. Abrasion and vancular congestion of vaginal mucosa
VII. Ligature of right wrist
Toxicologic Studies
blood ethanol - none detected
blood drug screen - no drugs detected
CLINOCOPATHOLIGICAL CORRELATION: Cause of death of this six year old female is asphyxia by strangulation associated with craniocerebral trauma.
He need not state that it was specifically ligature strangulation in the CC because he already did in the FD.