Mr. Specter. What did you observe, if anything with respect to bruising in the interior portion of the President's neck?

Dr. Perry. There was considerable hematoma in the right lateral portion of the neck and the right superior mediastinum, as I noted. As for bruising, per se, it would be difficult to describe that, since by definition, hematoma would be a collection of blood, and there was so much blood that the tissues were discolored. I did not attempt to ascertain trajectory or path of the bullet at the time, but directed myself to obtaining an adequate airway and carried my examination no further down than it was necessary to assure myself that the trachea was controlled and that there was no large vessel injury at that level.

Mr. Specter. Were there sufficient facts available to you for you to reach a conclusion as to the cause of the wound on the front side of the President's neck?

Dr. Perry. No, sir, there was not. I could not determine whether or how this was inflicted, per se, since it would require tracing the trajectory.

Mr. Specter. What did you observe as to the President's head, specifically?

Dr. Perry. I saw no injuries other than the one which I noted to you, which was a large avulsive injury of the right occipitoparietal area, but I did not do a minute examination of his head.

Mr. Specter. Did you notice a bullet hole below the large avulsed area?

Dr. Perry. No; I did not.

Mr. Specter. Dr. Perry, earlier I asked you whether you turned over the President at any time during the course of your treatment or examination of him, and you indicated that you had not, and I then asked you why, and you proceeded to tell me of the things that you did in sequence, as being priority items to try to save his life. Why did you not turn him over at the conclusion of those operative procedures?

Dr. Perry. Well, actually, I didn't have a specific reason, other than it had been determined that he had expired. There was nothing further that I could do and it was not my particular prerogative to make a minute examination to determine any other cause. I felt that that was a little bit out of my domain.