PMC9272101_01
Chest CT showing left hemothorax and ballistic fragment adjacent to the heart.
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F1
A chest CT was then obtained which showed a moderate amount of left hemothorax and a retained missile posterior to the heart (figure 1).
PMC9272101_02
ECG showing diffuse concave upsloping ST segment elevations in most leads.
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F2
A formal ECG showed diffuse ST segment elevations (figure 2) and his troponin level was 0.75 ng/mL, consistent with acute pericarditis.
PMC9272101_03
Ballistic fragment retrieved from the pericardium.
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F3
The heart was gently elevated and a free metallic object was retrieved manually from just posterior to the heart within the pericardial sac (figure 3).
PMC9272101_04