have the facts once he’d dissected the body. He’d never failed to establish a cause of death before. In no time, he’d figure out what had killed Takayama. The thought that he might not didn’t even cross his mind.
The autumn morning sunlight slanted into the hallway leading to the autopsy room. There was something dark and dank about the corridor, nonetheless, and as they walked, their rubber boots made a sickening sound. There were four of them: Ando, the technician, and the two policemen. The rest of the staff—another assistant, the recorder, and the photographer—were already in the autopsy room.
When they opened the door, they could hear the sound of running water. The assistant was standing at the sink next to the dissecting table, washing instruments. The faucet was abnormally large, and water cascaded from it in a thick, white column. The 350-square-foot floor was already covered with water, which was why all eight of them, including the two police witnesses, wore rubber boots. Usually, the water was left running for the duration of the autopsy.
On the dissecting table, Ryuji Takayama awaited them, stark naked, his white belly protruding. He was about five-three, and between the layer of fat around his middle and the muscles on his shoulders and chest, he was built like an oil drum. Ando lifted the body’s right arm. No resistance, other than gravity. Proof that life had indeed left the body. This man had once prided himself on the strength of his arms, and now Ando could move them about as freely as he would a baby’s. Ryuji had been the strongest of any of them in school; nobody was a match for him at arm-wrestling. Anybody who challenged him found his arm slapped flat on the table before he could even flex his biceps. Now, that same arm was powerless. If Ando let go, it’d flop helplessly onto the table.
He turned his gaze to the lower torso, to the exposed genitalia. The penis was shriveled amidst thick black pubic hair, and the glans was almost entirely hidden by the foreskin. The member was incredibly small, almost cute, given the robustness of the body. Ando found himself wondering if Ryuji and Mai had been able to have normal sexual relations at all.
He took up the scalpel and inserted it below the jaw, slicing the thick muscle in a straight line all the way down to the abdomen. The body had been dead for twelve hours and was completely cold. He broke the ribs with bone-cutters, removing them one by one, and then took out both lungs and handed them to his assistant. In med school Ryuji had been a diehard anti-smoker, and from the look of his lungs, he’d remained one to the end. They were a handsome shade of pink. With practiced movements, the assistant weighed and measured the lungs, announcing his findings to the recorder, who wrote them down. All the while, the room was bathed in flashes of light as photos were taken of the lungs from every angle. Everybody knew his job well, and everything went forward without a hitch.
The heart was enveloped in a thin fatty membrane. Depending on the light it looked either whitish or yellowish, and it was a bit larger than average. Eleven ounces. The weight of Ryuji’s heart. Point thirty-six percent of his total body weight. Just looking at the outer surface of the organ, which a mere twelve hours ago had still been pumping life-blood, Ando could tell it had suffered severe necrosis. The left part of the heart, below the fatty membrane, had turned a dark reddish-brown color, darker than the rest of the heart. Part of the coronary artery, branching off the surface of the organ to coil around it, was blocked, probably by a thrombosis. Blood had been unable to flow past that point, and the heart had stopped. Classic indicators of a heart attack.
Based on the extent of the necrosis, Ando had a pretty good idea where the blockage had occurred: in the left coronary artery, just before it branched off. With a blockage there the chance of death was extremely high. The cause of death, then, had pretty well been established, though he’d have to wait for test results, which wouldn’t come in for a day at least, to know what had caused the blockage. Ando pronounced with confidence a case of “myocardial infarction due to blockage of the left coronary artery” and moved on to extracting the liver. After that, he checked for abnormalities in the kidneys, spleen, and intestines, and examined the stomach contents, but nothing caught his eye.
He was about to cut the skull open when his assistant craned his neck suspiciously.
“Doctor, take a look at that throat.”
The assistant pointed to a spot inside the throat where it had been split open. Part of the mucus membrane on the surface of the pharynx had ulcerated. The ulcer wasn’t large, and Ando might have overlooked it had it not been for his assistant’s alertness. Ando had never seen anything like it before. It was probably unrelated to the cause of death, but he cut out a piece of it anyway. He’d have to wait until they ran tests on the tissue sample before he could tell just what it was.
Now, he made incisions in the skin around Ryuji’s head, and peeled back the scalp from the back to the forehead. The man’s wiry hair now covered his face, his eyes, nose, and mouth, and the white inner surface of the scalp was exposed to the overhead light. Anyone who saw it could tell that the human face was constructed out of a single slab of flesh. Ando removed the top of the skull and lifted out the brain.
It was a whitish mass covered with innumerable wrinkles. Even among the elite students who were assembled at their medical school, Ryuji had stood out for his brains. He was good at English, German, and French, and he’d ask questions in class that you couldn’t follow if you weren’t reading the latest foreign bulletins. That managed to intimidate even the lecturers. But the deeper he’d gotten into medicine, the more Ryuji’s interests had shifted toward the pure realm of mathematics. For a while, everyone in their class had been hooked on code games. They’d each take their turn devising a code, and the others competed to see who could break it first. Invariably, it was Ryuji. When it was Ando’s turn and he came up with a code he was sure couldn’t be cracked, Ryuji figured it out with ease. At the time, Ando had been less exasperated by Ryuji’s mathematical genius than chilled by the feeling that his mind had been read. He simply couldn’t believe that his code had been broken. Nobody else was able to solve it. But, in turn, Ando was the only one who ever broke one of Ryuji’s codes. Although he could claim that one triumph, nobody knew better than Ando himself that it had come through sheer luck, not through any logical acumen. He’d gotten tired of wrestling with the code and gazed out the window, where his eyes happened to settle on a sign for a flower shop. The phone number on the sign gave him an idea, and he stumbled on the key to the sequence of characters. It was pure chance that his thoughts had traveled in the same direction as Ryuji’s. Ando was convinced to this day that his moment of triumph had just been a fluke.
Back in those days, Ando had felt something akin to envy toward Ryuji. Several times he’d felt his self-confidence crumble under the burden of kmowing that he’d never dominate Ryuji, that he’d always be under Ryuji’s sway.
And now Ando was staring at that brain that had been so remarkable. It was only slightly heavier than average, and looked no different from any normal person’s brain. What had Ryuji been using these cells to think about when he was alive? Ando could imagine the process that had led Ryuji deeper and deeper into pure mathematics until eventually he’d abandoned numbers altogether and arrived at logic. If he’d lived another ten years, he’d surely have contributed something major to the field. Ando admired, and hated, Ryuji’s rare gifts. His brain’s cerebral fissure looked deep, and the frontal lobe loomed like an unconquerable ridge.
But it was all over now. These cells had ceased functioning. The heart had stopped due to a myocardial infarction, and the brain had died, too. In effect, physically at least, Ryuji was now under Ando’s dominion.
He checked to rule out cerebral hemorrhaging, and then replaced the brain in the skull.
Fifty minutes had elapsed since he had taken his scalpel. Autopsies usually took around an hour. Ando had basically finished the examination, when he paused, as if he’d remembered something. He reached a hand into Ryuji’s now-hollow abdominal area and felt around with his fingertips until he pulled out two round objects the size of a quail’s eggs. The pair of testicles, a grayish flesh-color, looked curiously adorable.
Ando asked himself who was more to be pitied, Ryuji, who’d died without issue,