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He already answered that. Certain trauma to the skull is only apparent in the inside, not the outside. From my own personal experience I can verify that there are cases where a slight crack is visible by looking at it on the inside, but does not show at all by looking at it from the outside. Duh???
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Also, the inside of the skull might be stained by blood or whatever from certain types of injury but naturally not show anything on the outside.
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As a side not, after years of watching Dr G on tv, this is very the first autopsy of Dr G that I have seen where she did not look inside of the skull - I find that rather odd. Her speculation regarding the tape was also perplexing.
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Moreover, I don’t like the fact that the prosecution did not allow Spitz to attend the first official autopsy(what is up with that?) which would have necessarily avoided all of the contradictions - this example of the prosecution showcases the fact that the prosecution is not out to seek the truth via any avenue, rather, the prosecution is out to convince everyone that there scenario is what happened and they want to shut down any alternatives. If I was the government, I personally would seek out anything to find the truth whether it proved my theory right or wrong. I think the goal of the government should be to find the truth and not just to “win” a case. It is ok for the government prosecution to disagree with the defense, but it is not ok to try to shut them down or try to not let them bring up points.