Michael Jackson was bald, severly underweight, and dotted with needle wounds — believed to be the result of injections of narcotic painkillers, given three times a day for years — when he was found dead in his rented Los Angeles home last Thursday.

British tabloid The Sun claims to have a obtained a leaked copy of the late King of Pop’s autopsy report, which document a mass of surgery scars from at least 13 cosmetic operations over the years. According to the report, MJ was missing the bridge of his nose and living on a diet of prescription pills at the time of his passing.

“Michael’s family and fans will be horrified when they realize the appalling state he was in,” a source close to the Jackson entourage tell The Sun.

“He was skin and bone, his hair had fallen out and had been eating nothing but pills when he died. Injection marks all over his body and the disfigurement caused by years of plastic surgery show he’d been in terminal decline for years.”