Sherin went missing from her home in Richardson on October 7 and her body was found on October 22 in a culvert in suburban Dallas by a cadaver dog after an intense search. The toddler's body was identified days later using her dental records.
Sherin died of "homicidal violence", a law enforcement official in Dallas, Texas, confirmed to WFAA TV station, indicating the manner of death for the girl.
Steven Kurtz with the Dallas County medical examiner's office said that Sherin was a victim of homicide, the Associated Press reported.
An earlier report had said that the autopsy report of Sherin has been handed over to the attorneys for the adoptive Indian-American parents of Sherin - Wesley Mathews and Sini Mathews.
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During a child custody hearing in late November, a doctor testified before a court that Sherin, who was adopted from India, had broken bones and had injuries in various stages of healing, indicating abuse.
His story changed after her body was found in a culvert, telling police that he "physically assisted" with pouring the milk down Sherin's throat and then moved her body after he realised she had choked and died.
Wesley also admitted to police that he removed Sherin's body from the home after changing his story multiple times on the events leading up to her death. Wesley and his wife Sini also left Sherin home alone the night before her disappearance, according to an arrest warrant affidavit.
The attorney representing Sini Mathews said the report, received on Tuesday evening from the Dallas County District Attorney's Office, does not implicate her in Sherin's death.
"There is nothing in the autopsy results that indicate Sini Mathews had anything to do with the death of Sherin Mathews," Mitch Nolte told WFAA in a statement.
The news about the autopsy report on Sherin has reportedly been sent to Wesley and Sini as they are expected to appear in court later today for a Child Protective Services (CPS) custody hearing for their 4-year-old biological daughter. She was removed from the home by CPS officials after Sherin went missing.
Today's hearing would mark the third CPS hearing for the Indian-American adoptive parents of Sherin.
Last month, the couple, hailing from Kerala, temporarily lost their rights to see their biological child, who has been placed with a family member in the Houston area.
During the hearing, both Wesley and Sini pleaded the fifth amendment in court in response to pointed questions about their alleged involvement in Sherin's death to avoid self-incrimination.
Richardson Police have scheduled a press conference later today to release more details of the case.
Meanwhile, a community group in Richardson has thanked the Richardson Police Department for its ongoing investigation into Sherin's death.
A group made up of Richardson residents presented police with a plaque yesterday, thanking them for their response and hard work in the complex and high-profile case that had attracted international media attention.
"To have the community come together and come to us and acknowledge the good work that the men and women of this police department have done means so, so much to us," said Richardson Police Department Chief Jimmy Spivey.