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We moved back to the second cot and Makinson pulled back the sheet.

This man had been much older, possibly sixty. The Inspector had been right. The damage to the chest was markedly less than that on the first victim, a simple cross-cut over the sternum and two vertical wounds, each less than a foot in length, which enabled the flesh to be pulled back to expose the heart. “It almost seems to be the work of a different person,” I observed. “It’s certainly not the work of a professional, however, despite its relative neatness. Perhaps he had more time. Or perhaps he was simply not so nervous.”

I pulled the head to one side and looked at the damage at the back. The neck appeared to be almost completely destroyed right up to the hairline. The base of the skull was exposed and fragmented. Bending over, I could see that the wound extended down onto the shoulders.

“I wonder if we might turn him over,” I said.

Both Makinson and Holmes stepped forward and, between the three of us, we managed to twist the body onto its side.

The shotgun blast had indeed been concentrated on his lower neck and upper back, right between the shoulder blades. The flesh there had been pulverized exposing portions of the spine and lower shoulder blades, themselves showing some fragmentation.

I bent closer. “That’s interesting …”

“What’s that, old fellow? Found something?”

“Perhaps, perhaps not,” I said. “But there does seem to be some indication of another wound.”

Holmes and Makinson moved alongside me and looked where I was pointing. Just to the left of the start of the ruination caused by the shotgun blast, a tiny piece of skin appeared to have been removed. That piece of skin could, of course, have been merely the tip of a much larger piece and I mentioned this fact. “One has to consider it as cart tracks disappearing momentarily into a puddle from which they re-emerge on the other side,” I said. “The puddle in this case is the shotgun wound.”

“Are you suggesting that something was done to him before the shot was administered?” asked Makinson.

I looked back at the top of the wound, where it met the hairline, and lifted the shreds of loose skin and matted hair. It was as I suspected. The base of the skull was badly depressed, suggesting a hard blow from a solid object.

“He appears to have been struck from behind,” I said. “And with a blunt instrument. See, the skin is not broken. The fracture of the skull suggests that such a blow would certainly have rendered the man immediately unconscious and, very probably, would have resulted in his death by haemorrhage. I would need to open up the brain pan to confirm that,” I added, “but I would expect to find evidence of subdural haematoma plus bruising on the frontal lobes due to contra-coup.”

Holmes was smiling. “Capital, Watson, capital.” He strode to the window overlooking the corridor and spread his hands on the shelf. “Before we go any further, let us make one or two assumptions.” He turned around and checked them off on the fingers of his left hand.

“The killer murders his first victim by strangulation,” Holmes announced. “Then he sets about removing the victim’s heart, a process during which a piece of flesh disappears. The means by which the chest is opened up suggests fear or haste … it also, at least initially, makes the disappearance of the piece of flesh seemingly unimportant. I suspect neither fear nor haste played any part in these killings. Rather, it is the work of a severely deranged mind and one that is exceedingly cunning.”

He held up a second finger. “The killer strikes again. This time the method of slaying is inconclusive. Initial investigations suggest the cause of death to be a shotgun blast to the back but we now have evidence of a blow to the base of the skull. Which, not unnaturally, prompts the question why should he kill his victim twice? We also have suggested evidence which points to some kind of incision or skin removal immediately below the wound. The wound also extends, almost, to the site of the blow to the skull … as though, perhaps, the murderer were wanting