NOTE: The person who helped with the spelling and definitions said simply, what the doctor described would be the results of someone who had been kicked, and kicked and kicked. The thoracic damage was possibly from strangulation. If a person is strangulated it follows there would be a loss of oxygen to the brain -- causing brain damage -- as the blood supply was blocked. - Jackie
The trauma was bad enough to be consistent with an auto wreck. Maybe Michael ran over her with his hot dog stand.