It's more likely they faked the autopsy report in my opinion than Epstein being alive. Imagine they go to the coroner and say "make a believable autopsy report for Epstein. No you cannot see the body." So the coroner just writes a typical report not knowing a detail like this. It feels way more likely. But who knows, if the coroner never saw the body then he could be dead or alive. Just no way to know. But all this really proves is that the report was faked. Which is interesting but it doesn't necessarily prove anything else.