Briana had bruising all over her head and ears and human bite marks on her face, neck, and body. A blunt force injury to her head in the last three days or less resulted in a large subdural hematoma on her brain. X-rays revealed her skull was fractured in two places, on two different bones, and that the fractures were 5-7 days old. Old blood was found during brain tissue examination, which meant that she had received a separate brain injury in the past.
Briana's optical nerves were filled with both fresh and old blood, which meant that She had been violently shaken on at least two occasions. X-rays of her torso revealed two broken ribs that were broken several weeks before her death. She also had recent bucket-handle fractures of her thighs and one of her arms. This type of fracture results from the limbs being forcefully twisted or yanked causing the growth plate to be separated from the bone, thus resembling the profile of a bucket handle being lifted from its horizontal position.
In addition, Briana's anus and vagina were both injured. She had a significant abrasion on her buttocks which went all the way into the buttocks which was consistent with sexual assault. Immediately after Briana was pronounced dead, a nurse observed that her anus gaped open with no muscle tone. At autopsy, the anal opening was dilated to a full inch. Internal examination showed an injury a half-inch to an inch inside the anal opening and vaginal injuries inside the labia menorah, including three small injuries to the hymen.
During her brief life, Brianna's family never took a single picture of her, not a single image of her playing, laughing or smiling. This is the only picture available, her autopsy photos. Lindell Wright (Detective in the case) said "Before they started the autopsy and her little face was lying on a white sheet and I thought She looks asleep". "So I just took the picture(autopsy photo) and airbrushed the photo to see what Brianna would have looked like when she was alive".