The autopsy, which included toxicology tests and a brain examination, found that Paddock had anti-anxiety medication in his system. It also confirmed what authorities had previously said — that Paddock died of a self-inflicted gunshot wound to his head after he opened fire at an outdoor concert from his 32nd-floor Mandalay Bay suite, killing 58 people and injuring hundreds more.

“It seems that based on the autopsy reports there were no physical excuses for what Steve did,” said his younger brother Eric Paddock, who lives in Orlando, Fla. “We may never understand why Steve did this.”

The bullet that killed Paddock entered the roof of his mouth and traveled to the back of his head and then upward without exiting his body, leaving fractured bones along the way, the report says. Paddock also had scrapes on his right upper calf and knee and a bruise on his left calf.

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