
COURT OF APPEALS
EIGHTH DISTRICT OF TEXAS
EL PASO, TEXAS






ALEX CRANK, II,

                            Appellant,

v.


THE STATE OF TEXAS,

                            Appellee.

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No. 08-09-00109-CR

Appeal from the

227th Judicial District Court

of Bexar County, Texas 

(TC# 2007CR10969) 





O P I N I O N

            A jury convicted Alex Crank, II, of murdering his father and sentenced him to 99 years in
prison.  On appeal, he argues that his conviction should be reversed because gruesome, needless,
and inflammatory pictures were admitted into evidence.  We affirm.
            The indictment charged murder under two theories:  intentionally and knowingly causing
the victim’s death; and committing an act clearly dangerous to human life with intent to cause
serious bodily injury.  Appellant admitted that he shot the victim.  The victim survived for over a
week.  The defense’s trial strategy was to show that the victim’s death resulted from medical
negligence rather than the shooting.



            Appellant’s attorney began his opening statement by admitting that Appellant shot the
victim.  He asserted, however, that the shots were not fatal.  According to counsel, the victim’s
wounds were healing, but while he was in the hospital he developed another condition that was
not properly treated.
            Among other evidence, the State presented the testimony of the first law enforcement
officer to arrive at the scene of the shooting.  During his testimony, two photographs of the
victim were admitted into evidence without objection.  The first photo shows the victim lying in
a grassy area.  His head is barely visible, but it appears bloody.  The victim’s head is more visible
in the second photo, which was taken while the victim was still lying in the grassy area.  His head
is swollen and thoroughly covered with blood.  This photo shows some of the victim’s bullet
wounds as well.  In both of the photos, the view of the victim’s face is partially obstructed by
medical equipment and gauze.
            Appellant’s brother Timothy also testified during the State’s case-in-chief.  After
speaking with his father’s doctors, Timothy expected his father to die from the bullet wounds and
he prepared himself for his father’s death.  Yet his father survived the first night in the hospital
and seemed to improve the next day.  Over Appellant’s objection, the State introduced two
photographs, Exhibits 20 and 21, during Timothy’s testimony.  The photographs show the
victim’s body, from his upper torso to his head, lying in a hospital bed.  One photograph was
taken from the right side and one from the left.  They display some of the victim’s bullet wounds,
a patch over one of his eyes, tubes coming out of his neck and mouth, and blood around his nose,
mouth, and one ear.  Timothy believed that the photographs were taken three-to-five days after
the shooting because his father looked better in the photos than he did when he was first admitted
to the hospital.  Although his condition seemed to improve for several days, the victim eventually
developed additional medical problems and was placed on life support.  Two days later, the
family decided to terminate life support.
            The pathologist who performed the autopsy testified that the victim died from
“complications of multiple gunshot wounds.”  Using two diagrams and ten autopsy photographs,
she explained the victim’s injuries.  Appellant’s attorney objected to the photographs, but not the
diagrams.
            The first photograph was used for identification and shows the victim’s face with his eyes
closed and a board with an identification number below his chin.  A few partially healed wounds
are visible on the victim’s face.  The next photos, Exhibits 24 and 25, show a gunshot wound on
the right side of the victim’s face.  Exhibit 24 depicts this wound from a slight distance, and
Exhibit 25 is a close-up.  Exhibits 26 and 27 show wounds on the left side of the victim’s face. 
The entire left side of the face can be seen in Exhibit 26; there is a laceration in the corner of the
eye, a bullet hole near the cheekbone, and a bruise around the mouth.  Exhibit 27 is a close-up of
the bullet hole near the cheekbone.  Exhibits 28 and 29 are two views of the victim’s right
earlobe.  They show where a bullet entered and exited the earlobe and proceeded into the
victim’s neck.  The same bullet then exited on the left side of the victim’s neck, which is
depicted in Exhibit 30.  The next photograph, Exhibit 31, is of the victim’s left side from his
upper torso to his head.  It shows the exit wound on the victim’s neck, as well as three other
bullet holes near his shoulder and some surgical incisions that had been sutured.  The last
photograph was Exhibit 32.  It is a close-up of the three bullet holes near the shoulder.   
            In keeping with counsel’s opening statement, the defense presented the testimony of a
medical expert.  He believed that the hospital staff acted recklessly in failing to notify the
victim’s doctors about medical signs that the victim was experiencing internal bleeding.  As a
result of this recklessness, the victim suffered a cardiorespiratory arrest.  Before this happened,
the victim “was clearly making progress” and was “on the mend.”  Plans were already being
made for his release to a rehabilitation facility.  The defense expert testified that “[i]n all medical
probability,” the victim would have been released from the hospital to a rehabilitation center if he
had not experienced the cardiorespiratory arrest.
            Appellant argues that Exhibits 20, 21, and 23 to 32 should not have been admitted into
evidence pursuant to Rule 403 of the Texas Rules of Evidence.  He asserts that the photographs
had almost no probative value because he never denied that he shot the victim.  The photos
merely showed the appearance of the victim’s wounds without providing any insight into what
caused his death.  Appellant asserts that the pathologist’s diagrams were sufficient to
demonstrate the victim’s injuries.  Moreover, because the healing process had already begun, the
pathologist could not even say whether most of the bullet holes depicted in the photographs were
entrance or exit wounds.  Appellant contends that the photographs were substantially likely to
make an irrational and indelible impression on the jury because they were gruesome and morbid.
            Rule 403 allows for the exclusion of relevant evidence if its probative value is
substantially outweighed by the danger of unfair prejudice.  See Tex.R.Evid. 403.  We review
the admission of photographs over a Rule 403 objection for abuse of discretion.  See Davis v.
State, 313 S.W.3d 317, 331 (Tex.Crim.App. 2010).  The following factors must be balanced in
any Rule 403 analysis:  (1) the probative value of the evidence; (2) the potential to impress the
jury in some irrational yet indelible way; (3) the time needed to develop the evidence; and (4) the
proponent’s need for the evidence.  Erazo v. State, 144 S.W.3d 487, 489 (Tex.Crim.App. 2004). 
In a Rule 403 analysis involving photographs, the following additional factors are relevant:
(1) the number of photographs; (2) their size; (3) whether they are in color or black and white; (4)
whether they are gruesome; (5) whether a body is clothed or naked; and (6) whether the body has
been altered by an autopsy.  Id.  Autopsy photographs are generally admissible unless they depict
mutilation of the victim caused by the autopsy itself.  Davis, 313 S.W.3d at 331.
            Here we have twelve color photographs that are five-inches wide and between seven-and-
eight inches long.  In several of the photos, the victim’s shirtless torso is on view.  None of the
photos indicate any alteration from the autopsy.  All of them are gruesome in the sense that they
show blood and open wounds, and a lay jury would likely find any photograph of a dead person
to be disturbing.  But the photographs are not especially repugnant for a murder case.  The
number of the photographs and their graphic nature owe much to the nature of this particular
murder, which involved multiple gunshot wounds, including several to the face.  In other words,
they are gruesome simply because “they depict disagreeable realities . . . of the brutal crime
committed.”  Chamberlain v. State, 998 S.W.2d 230, 237 (Tex.Crim.App. 1999).  This does not
render them inadmissible.  See id.
            Contrary to Appellant’s argument, the photographs had more than minimal probative
value.  Their probative value arose from the defense’s theory of the case.  Because the defense
argued that medical negligence, not the gunshot wounds, caused the victim’s death, it was
important for the prosecution to establish the seriousness of the gunshot wounds.  The hospital
photographs suggest that the victim’s condition was grave even during the period that the outlook
for his recovery was improving.  Moreover, the pathologist testified that the autopsy photographs
would help the jury understand her testimony regarding the victim’s wounds.
            As noted above, the photographs are not particularly gruesome.  Appellant points out that
the photographs include color close-ups of the victim’s dead, bloody, and puffy face, but he does
not contend that they were misleading in any way.  Considering that this is a murder case and the
photographs simply showed the injuries that were inflicted by the defendant and the eventual
effect of the injuries, the photos likely would not impress the jury in an irrational way.  As the
Court of Criminal Appeals has stated, “[W]hen the power of the visible evidence emanates from
nothing more than what the defendant has himself done we cannot hold that the trial court has
abused its discretion merely because it admitted . . . into evidence photographs which are
gruesome.”  Sonnier v. State, 913 S.W.2d 511, 519 (Tex.Crim.App. 1995).
            The State did not spend a lot of time presenting the photographs.  The discussion of the
hospital photographs spans just over three pages in the reporter’s record, including the bench
conference in which their admissibility was determined.  The discussion of the autopsy
photographs spans approximately fifteen pages in the reporter’s record, including additional
bench conferences and pages in which the pathologist’s diagrams were also presented.  It only
took about six pages for the actual presentation of the autopsy photographs to the jury.  To put
this in context, there are over five-hundred pages of testimony from the guilt phase of the trial.
            The last Rule 403 factor to be considered is the State’s need for the photographs.  We
must answer three questions to evaluate this factor.  First, did the State have other evidence to
establish the fact to which the photographs related?  If so, how strong was the other evidence? 
Finally, is the fact relevant to an issue in dispute?  Erazo, 144 S.W.3d at 495-96.  The
photographs established that the victim was shot multiple times.  Although Appellant did not
dispute this fact, he did dispute the seriousness of the gunshot wounds.  The State arguably could
have gotten by with the pathologist’s testimony and her diagrams, but the photographs were more
powerful than the dry testimony and diagrams alone.  The Court of Criminal Appeals has rejected
the proposition “that visual evidence accompanying oral testimony is cumulative of the testimony
or that it is of insignificant probative value.  Visual evidence accompanying testimony is most
persuasive and often gives the fact finder a point of comparison against which to test the
credibility of a witness and the validity of [her] conclusions.”  Chamberlain, 998 S.W.2d at 237.
            On balance, we conclude that the trial court did not abuse its discretion in admitting the
photographs.  But even if the court had abused its discretion, we would conclude that the error
was harmless.  See Tex.R.App.P. 44.2(b); Flores v. State, 299 S.W.3d 843, 859 (Tex.App.--El Paso 2009, pet. ref’d).  There was overwhelming evidence of Appellant’s guilt.  See Flores,
299 S.W.3d at 859 (considering the overwhelming evidence of guilt in concluding that admission
of photographs was harmless).  It was undisputed that he shot the victim.  The only issues in
dispute were causation and justification.  Because Appellant chose to testify in support of his
claim of self-defense, the prosecutor was able to have him repeatedly state in front of the jury
that he intentionally fired multiple shots toward the victim.  Two gruesome photographs of the
victim at the scene of the crime were admitted into evidence without objection.  Moreover, the
State did not mention any of the photographs during its closing arguments.
            Appellant’s sole issue is overruled, and the judgment of the trial court is affirmed.


April 29, 2011
DAVID WELLINGTON CHEW, Chief Justice

Before Chew, C.J., McClure, and Rivera, JJ.

(Do Not Publish)
