Wednesday, July 28, 2010

Bullets and Shrapnel in the Chest on Plain Film and CT Scans

Findings
-This patient presents with two 9 mm bullets as outlined on plain film and CT scans: Bullet 1 is just deep to the ribs, bullet 2 is in the superficial soft tissues anterior to the sternum.

Discussion
-This patient was radiographed on a trauma backboard. When locating a foreign body on plain film, orthogonal views (views at 90 degrees to each other) are mandatory.


http://eradiology.bidmc.harvard.edu/Classics/item.aspx?section=Emergency+Radiology&labelpk=33f0adab-853f-4010-a0e2-0756b3f1eac5&pk=0b5aab3a-1116-4bad-9ddd-80ddbda0973c

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