INTRODUCTION: Background: The application of virtual autopsy (virtopsy), which employs imaging modalities like non-contrast computed tomography (NCCT) and X-rays, is increasingly gaining relevance in forensic pathology. This approach provides a non-invasive adjunct or alternative to traditional autopsy, particularly useful in trauma cases where radiological visualization of internal injuries enhances diagnostic accuracy.

OBJECTIVE: To evaluate the utility and findings of virtual autopsy in trauma-related deaths at a tertiary care institute over a defined period.

METHODS: A retrospective descriptive study was conducted on 139 trauma cases subjected to virtual autopsy at a tertiary care hospital between 2022 and 2024. Imaging modalities such as NCCT of the head, chest, abdomen, and extremities, along with digital radiography, were used. Patient demographics, type of injuries, imaging modalities used, and probable cause of death were analyzed.

RESULTS:  Of the 139 cases, 85.6% were male and 14.4% female. The majority of victims were in the 20– 40 year age group. Head trauma was the most common injury pattern observed (67.6%), followed by thoracic (33.1%) and abdominal injuries (22.3%). Commonly identified injuries included skull fractures, intracranial hemorrhages (SAH, SDH, IVH), rib fractures, liver lacerations, pelvic fractures, and long bone fractures. NCCT Head was the most frequently used imaging tool (90.6%). The leading causes of death were severe head injury (48.2%), hemorrhagic shock due to internal injuries (29.4%), and cardiopulmonary arrest (19.4%).