Sunset Express: An Elvis Cole Novel

What does Elvis' friend in the coroner office tell him about James Lester's death?

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Cole's friend says that when James Lester fell through the glass shower door, he was alive. There were no signs that he was hit or that there was a physical altercation. Cole's friend does tell Elvis that they did find one strange thing in the autopsy. He tells him that they found bruising on Lester's neck indicating a coughing fit or the possibility that Lester vomited. Elvis asks if he could have been strangled and the coroner says that is a possibility.