PMC6344185_01
Hand oblique view showing a foreign body at the level of the 4th metacarpal (red-dashed circle).
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F1
Radiography found a 7-mm-long foreign object in the palmar aspect of the 4th metacarpal (Fig. 1).
Hand CT showing a radiopaque foreign body in the soft tissue of the palmar aspect at the 4th metacarpal (red circle).
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F2
Finally, hand computed tomography (CT) identified a 7-mm radiopaque foreign body under the flexor digitorum tendon at the 4th metacarpal shaft (Fig. 2).
Intraoperative PA view showing a migrated foreign body between the hamate and lunate (red-dashed circle).
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F3
An intraoperative radiograph identified the foreign body in the wrist, approximately 5 cm from the original site at the 4th metacarpal (Fig. 3).
The pencil lead removed from the hand.
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F4
The 7-mm-long, sharply pointed pencil lead corresponded with the previous imaging result (Fig. 4).