When Ducky and Jimmy are looking over the body of Lieutenant James Sims in autopsy, Ducky gets a call to meet Mary outside. Ducky's scrubs had been covered in blood, but in the next scene with Mary, his scrubs are clean and there is no sign of blood.
When Lieutenant James Sims' autopsy is performed, his skull is opened and brain removed. However, when his body is seen again later on, there is no sign of his skull having been opened.
The crew claims the victim died on a toll road running by Leesylvania State Park. The only two major roads running near Leesylvania State Park are Route 1 and I-95. Neither is a toll road.
For someone who is so particular about his pronoun citation it is odd to hear Ducky consistently mispronounce 'paella' while others don't. As is commonly known the 'll's' are silent.
In Abbys lab, Ducky, a medical doctor and medical examiner for decades, didn't know how ecstasy affects humans.