Koji Suzuki - Spiral

“Who dialed 911?”

“I did.”

“From where?”

“Professor Takayama’s apartment.”

“And he hadn’t done so, correct?” Ando shot a glance at the lieutenant, who nodded. He’d already confirmed that there had been no request for an ambulance from the deceased.

Ando briefly considered the possibility of a suicide. Distraught at his lover’s cruel treatment of him, a man decides to take his own life and swallows poison. He decides to call the woman who’s driven him to it, to accuse and torment her. Instead, all he can manage is a dying scream.

But, according to the report, suicide didn’t seem to be a possibility. There were no signs on the scene of anything that might have contained poison, nor any proof that Mai had taken such an object away from the premises. Besides, one look at the shape she was in dispelled any such suspicions. One had to be quite obtuse to the subtleties of relations between the sexes not to see at a glance how deeply Mai Takano had respected her professor. The moistness that welled up in her eyes now and then was not due to guilt about having driven her lover to take his own life; it came from profound sorrow at the thought of never being able to touch his body again. For Ando, it was like looking in a mirror; he confronted his own grief-stricken face every morning. That kind of devastation couldn’t be faked. Then there was the fact that she’d come down to the M.E.’s office to claim the body after the autopsy. But most important of all, Ando couldn’t imagine a guy as dauntless as Ryuji Takayama killing himself over something like a break-up.

Which left the heart or the head.

Ando had to look for signs of sudden heart failure or cerebral hemorrhaging. Of course, he couldn’t rule out the possibility that an examination of the stomach contents would turn up potassium cyanide. Or signs of food poisoning, or carbon monoxide poisoning, or one of the other unexpected causes that he occasionally came across. But his suspicions had never been far off the mark before. Takayama had sensed something wrong with him all of a sudden, and he’d wanted to hear his girlfriend’s voice one last time. But there hadn’t been enough time to do more than scream before his heart stopped beating. That had to be it more or less.

The technician who was assisting Ando that day poked his head into the office and said, “Doctor, everything’s ready.”

Ando stood and said, to no one in particular, “Well, time to get started.”

One way or another, he’d 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.

2

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.