In a paradigm-shattering move, Horatio has left the skybox and is actually attending an autopsy in the same room where Alexx is conducting it. He's still standing ten feet from the gurney, but he's in the room, so that's progress. Alexx fills him in: the liver temp indicated that the girl died somewhere around 5 AM that morning, and her body is covered in insect bites. If we had Gil on the case, this would be the point where Gil began matching bug bite to specific insect, and lecturing anyone present on biological and metaphorical significance of each insect introduced. Here, I'm not so sure. Alexx continues as Horatio creeps ever closer -- the girl also sustained blunt force trauma to the right side of her head. Alexx concludes, "Blood loss could have led to endotoxic shock, but I'll have to do more testing." Horatio concludes that somebody hit the girl and dumped her. The bug bites -- and their significance therein -- go completely unremarked upon. Alexx points out that the cause of death is still uncertain and could therefore be accidental. Horatio decrees, "Teenage girl doesn't wind up by the side of the road dead and it'd be an accident. What about sexual assault?" Well, it's nice to see them address the fact that this girl was found in her skivvies, however indirectly. Alexx mentions that there was slight vaginal tearing around the opening. Then, with the saddest expression I've ever seen, she holds a diaphragm aloft. Alexx comments, "Fifteen years old and she was planning on having sex." How did they figure out she was fifteen? Horatio comments, "Well, someone was. Maybe someone who didn't get their way." I can appreciate how he's always looking for the sinister motive, blah dee blah, but inserting a diaphragm isn't exactly a random drive-by event. Unless there were roving gangs of contraceptive commandos running wild and forcibly inserting diaphragms or Norplant into unwilling girls, it's pretty safe to assume the girl inserted the diaphragm herself.