Christopher Galindo v. State ( 2014 )


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  • Opinion filed August 29, 2014
    In The
    Eleventh Court of Appeals
    __________
    No. 11-12-00073-CR
    __________
    CHRISTOPHER GALINDO, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    On Appeal from the 42nd District Court
    Taylor County, Texas
    Trial Court Cause No. 24325A
    MEMORANDUM OPINION
    Christopher Galindo appeals his jury convictions for three counts of injury to
    a child. See TEX. PENAL CODE ANN. § 22.04 (West Supp. 2013). On the first count
    of second-degree injury to a child, the jury assessed Appellant’s punishment at
    confinement in the Institutional Division of the Texas Department of Criminal
    Justice for a term of twenty years and a $10,000 fine. For each of the two
    remaining counts of third-degree injury to a child, the jury assessed Appellant’s
    punishment at ten years confinement and a $10,000 fine. In three issues on appeal,
    Appellant argues that the trial court erred when it (1) denied his requests for the
    appointment of a defense expert, (2) admitted digitally enhanced photographs, and
    (3) allowed testimony regarding the child victim’s neurological damage.          We
    affirm.
    Background Facts
    Appellant was charged by indictment with three counts of injury to a child.
    The first count alleged that, on or about September 2, 2010, Appellant intentionally
    and knowingly caused serious bodily injury to G.B., a child fourteen years of age
    or younger, by causing G.B.’s head to strike an unknown object. The second count
    alleged that, on or about September 2, 2010, Appellant intentionally and
    knowingly caused serious bodily injury to G.B. by holding G.B.’s foot under hot
    water. The third count alleged that, on or about September 2, 2010, Appellant
    intentionally and knowingly caused bodily injury to G.B. by bruising G.B.’s
    genitals with his hand.
    When the trial court subsequently submitted the three counts in the court’s
    charge to the jury, it added the less culpable mental state of reckless conduct to
    Count One. Additionally, the trial court announced to the parties that, based upon
    the evidence offered at trial, it would submit the second count in the court’s charge
    on the lesser included offense of causing bodily injury rather than serious bodily
    injury. The jury convicted Appellant of recklessly causing serious bodily injury on
    Count One and of intentionally or knowingly causing bodily injury on Counts Two
    and Three.
    Abilene Police Officer Eric Vickers testified that, on September 2, 2010, he
    was dispatched to a residence on Arnold Street in Abilene, Texas, to investigate a
    reported injury to a child. Officer Vickers noted that the child had purportedly
    2
    fallen but that the APD’s policy is to perform a general inquiry when it is informed
    that a child has been injured. When Officer Vickers arrived at the scene, G.B. was
    being transported by ambulance to the local hospital. Officer Vickers encountered
    Appellant, the fiancé of G.B.’s mother, at the residence.
    Appellant told Officer Vickers that G.B. had fallen down the steps in front of
    the family’s trailer house and that he had found G.B. unconscious and not
    breathing. Officer Vickers doubted Appellant’s explanation because G.B. showed
    signs of a very severe head injury that was unlikely to have been caused by falling
    down a few steps. Officer Vickers also found Appellant’s reaction to the situation
    a bit alarming given that Appellant was in no rush to check on G.B.’s condition.
    Based on Appellant’s behavior, Officer Vickers asked his sergeant to send
    detectives to the scene for further investigation.
    Suzie Butz, a sexual assault nurse examiner (SANE), testified that she
    photographed G.B.’s injuries on September 2, 2010, at Hendrick Medical Center.
    Butz stated that she applied “SDFI” technology to some of the photographs. SDFI
    stands for “Secure Digital Forensic Imaging.”        She explained that SDFI is a
    computer program that applies a negative inverse filter to a photograph in order to
    highlight “different patterns of injury.” Butz noted that the SDFI images of G.B.’s
    injuries made his bruises more vivid and that they were not true and accurate
    depictions of how G.B. actually looked to the naked eye when the original
    photographs were taken. Butz stated that her examination of G.B. showed that the
    child was bruised all over his body, including his head, penis, arms, and stomach.
    Butz also noted that G.B. had a burn on his right foot that she believed to be a
    second-degree burn.
    Henry Higgins, M.D. testified that he treated G.B.’s head trauma at the
    trauma center of Hendrick Medical Center. Dr. Higgins stated that G.B. was in
    critical condition and in a deep coma when he first saw the child. Upon examining
    3
    G.B.’s body, Dr. Higgins found bruises that appeared to have occurred over several
    different time periods and a burn on G.B.’s foot. Based on G.B.’s injuries, Dr.
    Higgins believed that G.B. had been abused.
    Talmadge Trammell, M.D. testified that he performed emergency
    neurological surgery on G.B. at Hendrick Medical Center prior to G.B.’s transfer
    to Cook Children’s Hospital. Dr. Trammell explained that he made an incision in
    G.B.’s scalp and removed a section of G.B.’s skull in order to allow G.B.’s brain to
    swell.
    Randi Weaver, a nurse at Cook Children’s Hospital, testified that she
    assisted G.B. with his recovery from his injuries. She testified that G.B.’s left side
    was intensely weaker than his right side and that he was unable to move his left
    arm or leg. Weaver believed that G.B. would always have a problem manipulating
    the left side of his body due to his injuries.
    Appellant testified on his own behalf during the guilt/innocence phase. He
    testified that he was at home with G.B. on September 2, 2010, getting ready to
    leave to pick up G.B.’s sister from her school bus stop. Appellant stated that he
    was attempting to put shoes on G.B. but G.B. was being “fussy.” Appellant then
    put his hand on G.B. and pushed him. G.B.’s head struck a coffee table, and he
    lost consciousness. Appellant claimed that he only pushed G.B. in order to make
    G.B. sit down and that he did not intend for G.B.’s head to hit the table. Appellant
    testified that he initially told the police that G.B. had fallen down the stairs because
    he knew that his behavior had been reckless. Appellant noted that he has an anger
    problem, and he admitted hitting G.B. on multiple occasions.
    Appellant also testified that, a few days before G.B. hit his head, Appellant
    accidently burned G.B.’s foot while giving him a bath. Appellant was attempting
    to wash G.B.’s hair, but G.B. was not cooperating. In order to get the soap out of
    G.B.’s hair, Appellant held G.B.’s leg down in the bathtub. Appellant’s action
    4
    forced G.B.’s leg under the hot water faucet, and Appellant did not immediately
    realize that the water was burning G.B.’s foot. Appellant noted that he initially
    lied to the police about how G.B. had sustained the burn because he was afraid that
    he would have been arrested immediately if he had told the truth.
    Appellant also admitted that he intentionally pinched G.B.’s genitals a day
    before G.B. sustained his head injury. Appellant stated that he pinched G.B. for
    being “fussy.” Appellant testified that he consciously and intentionally pinched
    G.B.’s genitals despite the fact that he knew that his action would hurt the child.
    Analysis
    In his second issue, Appellant asserts that the trial court erred in denying his
    requests for the appointment of an expert in SDFI to assist with the preparation and
    presentation of the defense. According to the literature, SDFI-TeleMedicine LLC
    is a company that has developed a “Negative Invert Filter” computer software
    program that inverts or converts the color of each pixel in a digital photograph to
    create a “tonal inversion of a color positive image.” 1 As described in the literature,
    “[w]hen you apply a negative filter to a color positive image, a static string of
    computer code converts complementary colors for each pixel in the original image.
    It then color reverses the image, where red areas of the image appear ‘cyan-ish’,
    green areas appear ‘magenta-ish’ and blue areas appear ‘yellow-ish.’” As further
    described in the literature, “[a]fter the Negative-Invert Filter is applied, you get a
    picture that has high contrast, nothing more.”
    1
    The State offered the accompanying SDFI literature into evidence at the pretrial hearing on
    Appellant’s motion to exclude the SDFI images at trial.
    5
    Appellant initially presented his request for an expert in an ex parte motion
    filed eighteen days prior to trial.2 He alleged as follows in the motion:
    The state has notified defense counsel that the state intends to offer as
    evidence altered photographs produced by a Secured Digital Forensic
    Imaging Camera. Secured Digital Forensic Imaging purports to
    observe and record “subcutaneous” injury, that is, supposed damage
    to tissues below the skin which are not actually indicated by
    discoloration or other visible physical sign on the surface. In fact,
    SDFI is nothing more than a computer-generated image depicting an
    artistic representation of a purported condition which is not in fact
    visible or otherwise measurable or observable by any objective
    criteria. The state is proffering SDFI as a scientifically proven and
    reliable technology. Defendant requires expert assistance to testify as
    to the actual processes behind SDFI and the lack of scientific validity
    of this supposed technology.
    Appellant asserted in the ex parte motion that his counsel had spoken with Sonja
    Eddleman, R.N., “a competent and qualified specialist in the field of forensic
    psychology or psychiatry.” He further stated that she would charge $1,000 to
    review the State’s proposed exhibits and testify at a pretrial hearing on their
    admissibility and that she would charge an additional $1,500 to testify at trial
    “regarding the principles, limited application, and lack of means of independent
    verification of such images.” Appellant concluded the ex parte motion by stating
    that the services of an expert in SDFI were necessary to enable him to prepare
    effectively for trial. The trial court denied the ex parte motion by written order on
    January 6, 2012.
    The trial court subsequently conducted a pretrial hearing on Appellant’s
    motion to exclude the SDFI images. After the trial court ruled that the images
    2
    A defendant is entitled to present a request for the appointment of an expert on an ex parte basis
    because he must reveal some details of his defensive theories in order to be entitled to the appointment
    under Ake v. Oklahoma, 
    470 U.S. 68
    , 82–83, 86 (1985). See Williams v. State, 
    958 S.W.2d 186
    , 191
    (Tex. Crim. App. 1997).
    6
    would be admissible at trial, 3 Appellant orally re-urged his ex parte request for the
    appointment of an SDFI expert. The trial court denied Appellant’s request for
    reconsideration.
    Appellant additionally presented his request for an SDFI expert at the end of
    the first day of trial after the SDFI images were admitted into evidence.
    Appellant’s counsel stated, “[A]t this time we renew our request for an expert to
    testify as to the limitations of the SDFI system, [its] inaccuracies and its non use in
    standard medical care, as we have previously identified an available expert to the
    Court in or [sic] request for same.” Appellant’s counsel further stated that his
    proposed expert was “a SANE nurse herself and an RN.” The trial court advised
    Appellant’s counsel to check on the proposed expert’s availability and “let [the
    court] know tomorrow morning.” The next day’s proceedings make no mention of
    the availability of the Appellant’s proposed expert. In his brief, Appellant states
    that “the renewed request was denied the next morning prior to resuming on the
    record.”
    To preserve error for appellate review, a complaining party must obtain an
    adverse ruling on the record. TEX. R. APP. P. 33.1; see Cienfuegos v. State, 
    113 S.W.3d 481
    , 488 (Tex. App.—Houston [1st Dist.] 2003, pet. ref’d). If the trial
    court refuses to rule on a request, the complaining party must object to the trial
    court’s refusal to rule. Moff v. State, 
    131 S.W.3d 485
    , 489 (Tex. Crim. App. 2004).
    In the absence of an adverse ruling on the record, Appellant did not preserve error
    on his renewed request for an expert after trial commenced.
    With regard to Appellant’s pretrial requests for the appointment of an expert,
    we review the trial court’s rulings for an abuse of discretion. Griffith v. State, 
    983 S.W.2d 282
    , 287 (Tex. Crim. App. 1998). When an indigent defendant makes a
    3
    See our discussion below of Appellant’s first issue pertaining to the admissibility of the SDFI
    images.
    7
    threshold showing that expert assistance would likely be a significant factor at trial,
    he is entitled to the appointment of an expert. 
    Ake, 470 U.S. at 82
    –83, 86; 
    Griffith, 983 S.W.2d at 286
    –87. To determine if a defendant is entitled to the requested
    expert, three factors are relevant: (1) the private interest that will be affected by the
    State’s action; (2) the governmental interest that will be affected if the safeguard is
    to be provided; and (3) the probable value of the additional or substitute procedural
    safeguards that are sought, and the risk of an erroneous deprivation of the affected
    interest if those safeguards are not provided. 
    Ake, 470 U.S. at 77
    ; Rey v. State, 
    897 S.W.2d 333
    , 337 (Tex. Crim. App. 1995). The purpose is to ensure that the
    indigent defendant has access to a competent expert to assist in the evaluation of
    his defense. 
    Ake, 470 U.S. at 77
    ; 
    Griffith, 983 S.W.2d at 286
    . The type of expert
    and the nature and complexity of the field of specialty must be considered in
    deciding if an expert will be helpful or a significant factor at trial. 
    Griffith, 983 S.W.2d at 287
    . “The key question appears to be whether there is a high risk of an
    inaccurate verdict absent the appointment of the requested expert.” Busby v. State,
    
    990 S.W.2d 263
    , 271 (Tex. Crim. App. 1999).
    The burden is on the defendant to make a sufficient threshold showing of his
    particularized need for the expert’s assistance. See 
    Griffith, 983 S.W.2d at 286
    –87;
    
    Rey, 897 S.W.2d at 339
    . In order to carry this burden, a defendant must offer more
    “than undeveloped assertions that the requested assistance would be beneficial.”
    
    Williams, 958 S.W.2d at 192
    (quoting Caldwell v. Mississippi, 
    472 U.S. 320
    , 323–
    24 n.1 (1985); 
    Rey, 897 S.W.2d at 339
    (quoting same). The defendant must show
    both that there exists a reasonable probability that an expert would be of assistance
    and that denial of expert assistance would result in a fundamentally unfair trial.
    Davis v. State, 
    905 S.W.2d 655
    , 659 (Tex. App.—Texarkana 1995, pet. ref’d).
    We analyze whether a defendant made a sufficient threshold showing by
    examining the facts and arguments before the trial court at the time of the
    8
    defendant’s motion. 
    Rey, 897 S.W.2d at 342
    n.9. In his ex parte motion for
    appointment of an expert, Appellant asserted that he needed an expert to show that
    the SDFI process was unreliable and lacked scientific validity. However, he did
    not support this assertion with an affidavit from his proposed expert. Although
    Appellant’s counsel verified the motion, the defendant must show more than the
    mere conclusions of defense counsel. See Norton v. State, 
    930 S.W.2d 101
    , 111
    (Tex. App.—Amarillo 1996, pet. ref’d). Furthermore, Appellant alleged in the
    motion that his proposed expert was an “R.N.” and that she was an expert “in the
    field of forensic psychology or psychiatry.” Thus, the motion did not demonstrate
    that Appellant’s proposed expert was an expert in a field related to the topic of
    digital photo enhancement. Appellant did not offer any additional or corrected
    information pertaining to his proposed expert’s qualifications when he
    subsequently re-urged his motion.
    We hold that the trial court did not abuse its discretion when it denied
    Appellant’s motion for appointment of an expert. As stated above, a defendant
    must offer more “than undeveloped assertions that the requested assistance would
    be beneficial.” 
    Williams, 958 S.W.2d at 192
    (quoting 
    Caldwell, 472 U.S. at 323
    –
    24 n.1). Appellant did not make the required preliminary showing of his need to
    obtain an expert witness. We overrule Appellant’s second issue.
    Appellant’s first and third issues address the admissibility of evidence at
    trial. We review a trial court’s ruling on admissibility of evidence for an abuse of
    discretion. See Coble v. State, 
    330 S.W.3d 253
    , 272 (Tex. Crim. App. 2010). We
    will uphold the trial court’s decision unless it lies outside the zone of reasonable
    disagreement. Salazar v. State, 
    38 S.W.3d 141
    , 153–54 (Tex. Crim. App. 2001).
    In his first issue, Appellant asserts that the trial court erred in admitting the
    SDFI images at trial. Appellant filed a pretrial motion challenging the SDFI
    images on the basis that they did not have proven scientific reliability.          He
    9
    additionally alleged that their probative value was outweighed by the danger of
    unfair prejudice, confusion, or delay. On appeal, Appellant presents his scientific
    reliability contention as Issue “1A” and his unfair prejudice contention as Issue
    “1B.”
    The State called Butz as a witness at the pretrial hearing on Appellant’s
    motion to exclude the SDFI images. She testified that she produced the contested
    photographs using SDFI by taking photographs of G.B.’s injuries and then
    transferring the images into the SDFI computer program. Butz explained that
    SDFI does not alter the original photograph but, instead, makes a copy of the
    photograph and then applies a filter to that copy. She noted that the filter reverses
    the colors in the photograph to show “a better outline of your bruising or your
    patterns.” Butz stated that SDFI technology is readily accepted in “[her] field” in
    the medical community and widely used in sexual assault and child injury
    programs.     She further testified that she had personally been using SDFI
    technology for two years.
    On cross-examination by Appellant’s counsel, Butz acknowledged that the
    colors of the SDFI image are different than those of the original photograph in that
    the entire color scheme of the original photograph is reversed. Butz stated that the
    SDFI process accentuates bruises and markings that are not immediately visual in
    the original photograph. She denied having any knowledge of how the process
    was designed. Butz testified that she was aware that other SANE programs use
    SDFI photo enhancement but that it is not used in “straight medical applications.”
    The trial court denied Appellant’s pretrial motion to exclude the images
    produced by SDFI. In reaching its holding, the trial court stated that the SDFI
    images showed the “same obvious bruising” as did the original photographs but in
    a different color. The trial court also stated that it believed that the process by
    which SDFI images are produced is a “soft science” rather than a “hard science.”
    10
    The trial court further opined that the fact that the SDFI images did not reflect what
    G.B. actually looked like could be either explained to the jury or revealed through
    cross-examination.
    At trial, the State offered approximately seventy photographs of G.B. into
    evidence during Butz’s testimony. Of these seventy photographs, twenty-two of
    them were SDFI images. The original photograph from which each SDFI image
    was made was also included within the photographs offered into evidence.
    Appellant’s counsel conducted a voir dire examination of Butz in the
    presence of the jury prior to the admission of the SDFI images. In doing so,
    counsel established that the color pattern of the SDFI images was changed from the
    originals, that G.B.’s body appeared paler in the SDFI images, and that the bruises
    appeared “more vivid and darker” than they actually appeared “to the naked eye.”
    Appellant’s counsel reiterated these differences between the SDFI images and the
    corresponding original photographs during his cross-examination of Butz.
    Appellant objected at trial that the SDFI images were not accurate depictions of
    what they purported to depict and that their prejudicial value exceeded their
    probative value. The trial court overruled Appellant’s objections and admitted the
    SDFI images.
    If scientific, technical, or other specialized knowledge will assist the trier of
    fact to understand the evidence or determine a fact issue, a witness qualified as an
    expert by knowledge, skill, experience, training, or education may testify thereto in
    the form of an opinion or otherwise. TEX. R. EVID. 702. It is a trial court’s
    responsibility under Rule 702 to determine whether proffered scientific evidence is
    sufficiently reliable and relevant to assist the jury. Jackson v. State, 
    17 S.W.3d 664
    , 670 (Tex. Crim. App. 2000). To be considered sufficiently reliable as to be of
    help to a jury, scientific evidence must meet three criteria: (1) the underlying
    11
    scientific theory must be valid; (2) the technique applying the theory must be valid;
    and (3) the technique must have been properly applied on the occasion in question.
    Vela v. State, 
    209 S.W.3d 128
    , 133–34 (Tex. Crim. App. 2006); Kelly v. State, 
    824 S.W.2d 568
    , 573 (Tex. Crim. App. 1992).
    “Hard sciences” are those based on scientific methods that are susceptible to
    rigid scientific testing, such as chemistry; “soft sciences” include nonscientific
    disciplines that rely principally upon technical or specialized knowledge, skill, or
    experience, such as psychology. See Weatherred v. State, 
    15 S.W.3d 540
    , 542 n.5
    (Tex. Crim. App. 2000).             Because the distinction between various types of
    testimony may often be blurred, the Court of Criminal Appeals “explicitly
    refrained from developing rigid distinctions between ‘hard’ science, ‘soft’
    sciences, and nonscientific testimony.” Morris v. State, 
    361 S.W.3d 649
    , 654–55
    (Tex. Crim. App. 2011). Soft sciences are fields that are based primarily upon
    experience and training as opposed to the scientific method. Nenno v. State, 
    970 S.W.2d 549
    , 561 (Tex. Crim. App. 1998), overruled on other grounds by State v.
    Terrazas, 
    4 S.W.3d 720
    , 727 (Tex. Crim. App. 1999). Kelly’s requirement of
    reliability applies but with less rigor when soft sciences are at issue. 
    Id. The trial
    court concluded that the process of digitally enhancing photographs
    through the use of the SDFI process constituted a matter of soft science. We
    conclude that the trial court did not err in making this determination. The scientific
    or technical question concerning the SDFI process in this case is essentially a
    matter of comparing each SDFI image to the original photograph from which it
    was made. In this regard, the trial court noted that the SDFI imagines revealed the
    “same obvious bruising” as did the original photographs.4 The task of comparing
    the original photograph to the SDFI image does not appear to be a matter that is
    4
    We would be presented with a much different question if the SDFI images in this case depicted
    latent injuries that were not revealed in the original photographs.
    12
    particularly complex. See, e.g., Rodgers v. State, 
    205 S.W.3d 525
    , 533 (Tex. Crim.
    App. 2006) (noting that the fields of tire comparison and shoe comparison are not
    particularly complex). Butz testified that the SDFI process is something that she
    has been trained to use and that it is used in her SANE program and other SANE
    programs in the state. Thus, the trial court had evidence that she possessed training
    and experience in the field. We conclude that the trial court did not abuse its
    discretion by determining that the SDFI images were scientifically reliable. We
    overrule Appellant’s Issue 1A.
    TEX. R. EVID. 403 provides that relevant evidence may be excluded if its
    probative value is substantially outweighed by the danger of unfair prejudice,
    confusion of the issues, or misleading the jury or by considerations of undue delay
    or needless presentation of cumulative evidence. See Young v. State, 
    283 S.W.3d 854
    , 874 (Tex. Crim. App. 2009). Our analysis under Rule 403 includes, but is not
    limited to, the following factors: (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 State’s need for the evidence.
    Hernandez v. State, 
    390 S.W.3d 310
    , 324 (Tex. Crim. App. 2012); Shuffield v.
    State, 
    189 S.W.3d 782
    , 787 (Tex. Crim. App. 2006). In determining whether the
    probative value of a photograph is substantially outweighed by the danger of unfair
    prejudice, we also consider “the number of exhibits offered, their gruesomeness,
    their detail, their size, whether they are in color or black-and-white, whether they
    are close-up, whether the body depicted is clothed or naked, the availability of
    other means of proof, and other circumstances unique to the individual case.”
    Williams v. State, 
    301 S.W.3d 675
    , 690 (Tex. Crim. App. 2009).
    We note at the outset that Appellant did not object to the forty-eight original
    photographs taken of G.B. by Butz at Hendrick Medical Center. Each of the
    twenty-two SDFI images were immediately preceded by the original photograph
    13
    from which they were made. As noted previously, the SDFI images revealed the
    same obvious bruising depicted in the original photographs. While the SDFI
    images of G.B. are disturbing and graphic, they are probative because they are
    accurate depictions of the extent of his injuries. See 
    Williams, 301 S.W.3d at 691
    (photographs were probative because they depicted victim’s injuries). They are no
    more disturbing than the original photographs of G.B.       Furthermore, there is
    nothing in the record to suggest that these photographs were “offered solely to
    inflame the minds of the jury.” Erazo v. State, 
    144 S.W.3d 487
    , 489 (Tex. Crim.
    App. 2004) (quoting Martin v. State, 
    475 S.W.2d 265
    , 267 (Tex. Crim. App.
    1972)).   To the contrary, the SDFI images were primarily used during the
    punishment phase to illustrate the “head-to-toe” nature of G.B.’s injuries. Because
    the SDFI images essentially depict the same injuries depicted in the original
    photographs, the trial court did not abuse its discretion in determining that their
    probative value was not substantially outweighed by the danger of unfair prejudice.
    We overrule Appellant’s Issue 1B.
    Appellant also asserts in his first issue that the SDFI images were not
    properly authenticated. We disagree. A photograph may be authenticated by the
    testimony of any witness who has personal knowledge that the particular item
    accurately represents the scene or event it purports to portray. See Kephart v.
    State, 
    875 S.W.2d 319
    , 321 (Tex. Crim. App. 1994). Butz, the sponsoring witness
    for the SDFI images, was the photographer that took the original photographs and
    the person that processed the photographs through the SDFI system. Accordingly,
    Butz’s testimony was sufficient to authenticate the SDFI images.
    Finally, even if we assume that the trial court erred when it allowed the
    admission of the SDFI images, we cannot say that Appellant was harmed by the
    error. The erroneous admission of evidence is subject to the nonconstitutional
    error standard set out in TEX. R. APP. P. 44.2(b). Easley v. State, 
    424 S.W.3d 535
    ,
    14
    539–40 (Tex. Crim. App. 2014). Pursuant to Rule 44.2(b), an appellate court must
    disregard nonconstitutional error unless it affects the appellant’s substantial rights.
    Barshaw v. State, 
    342 S.W.3d 91
    , 93 (Tex. Crim. App. 2011). An appellate court
    should not overturn a criminal conviction for nonconstitutional error “if the
    appellate court, after examining the record as a whole, has fair assurance that the
    error did not influence the jury, or influenced the jury only slightly.” 
    Id. The SDFI
    images were essentially cumulative of the original photographs
    from which they were made. Inadmissible evidence can be rendered harmless if
    other evidence is admitted without objection and proves the same fact that the
    inadmissible evidence sought to prove. Brown v. State, 
    757 S.W.2d 739
    , 740–41
    (Tex. Crim. App. 1988).        Furthermore, Appellant’s counsel pointed out the
    differences between the SDFI images and the original photographs in his cross-
    examination of the sponsoring witness.         Finally, the jury rejected the State’s
    attempt to convict Appellant of a first-degree felony for the very serious head
    injury alleged in Count One. Instead of finding that Appellant intentionally or
    knowingly caused the head injury, the jury found that he recklessly inflicted the
    injury, thereby convicting him of a second-degree felony rather than a first-degree
    felony. See PENAL § 22.04(e). Accordingly, we have fair assurance that the SDFI
    images had very little influence on the jury. We overrule Appellant’s first issue.
    In his third issue, Appellant contends that the trial court erred in admitting
    evidence of the neurological injuries that G.B. suffered as a result of the head
    injury. Dr. Trammell, the neurosurgeon that performed emergency surgery to
    remove a portion of G.B.’s skull to relieve brain swelling, testified during the
    guilt/innocence phase that G.B. had “severe neurological deficit.”             Appellant
    objected to this testimony on the basis that it constituted evidence of an extraneous
    offense. Appellant additionally objected to evidence regarding the treatment that
    15
    G.B. received for the head injury on the basis that it constituted “victim impact”
    testimony.
    A person commits the offense of injury to a child by causing (1) serious
    bodily injury; (2) serious mental deficiency, impairment, or injury; or (3) bodily
    injury. PENAL § 22.04(a). Appellant contends that evidence of G.B.’s neurological
    injuries constituted evidence of an extraneous offense under Section 22.04(a)(2)
    because he was only charged in Count One with committing serious bodily injury
    under Section 22.04(a)(1). Appellant is correct in his contention that the offense of
    committing injury to a child by causing “serious mental deficiency, impairment, or
    injury” is a separate offense from causing “serious bodily injury.” See Stuhler v.
    State, 
    218 S.W.3d 706
    , 717 (Tex. Crim. App. 2007) (requiring jury unanimity on
    the issue of whether the defendant caused “serious mental deficiency, impairment,
    or injury” versus “serious bodily injury”). However, we disagree with Appellant’s
    argument that evidence of G.B.’s neurological injuries constituted evidence of an
    extraneous offense.
    The Penal Code defines “serious bodily injury” as “bodily injury that creates
    a substantial risk of death or that causes death, serious permanent disfigurement, or
    protracted loss or impairment of the function of any bodily member or organ.”
    PENAL § 1.07(a)(46). Evidence of G.B.’s neurological injuries was relevant to the
    question of whether he suffered “protracted loss or impairment of the function of
    any bodily member or organ.” See 
    id. Circumstances of
    the offense that tend to
    prove the allegations in the indictment are not extraneous offenses. Camacho v.
    State, 
    864 S.W.2d 524
    , 532 (Tex. Crim. App. 1993); Ramirez v. State, 
    815 S.W.2d 636
    , 643 (Tex. Crim. App. 1991). Moreover, evidence of another crime, wrong, or
    act may also be admissible as same-transaction contextual evidence when several
    crimes are intermixed, blended with one another, or connected so that they form an
    indivisible criminal transaction, and full proof by testimony of any one of them
    16
    cannot be given without showing the others. Devoe v. State, 
    354 S.W.3d 457
    , 469
    (Tex. Crim. App. 2011). On the record before us, the trial court could have
    reasonably concluded that evidence of G.B.’s neurological injuries constituted
    admissible same-transaction contextual evidence. Accordingly, the trial court did
    not abuse its discretion in admitting evidence of G.B.’s neurological injuries. We
    overrule Appellant’s third issue.
    This Court’s Ruling
    We affirm the judgments of the trial court.
    JOHN M. BAILEY
    JUSTICE
    August 29, 2014
    Do not publish. See TEX. R. APP. P. 47.2(b).
    Panel consists of: Wright, C.J.,
    Willson, J., and Bailey, J.
    17