PMC5483586_01
Existence of metal fragments (white arrows), which were not removed during the surgical procedures, in the right calf. (A) X-ray preformed 1 year after the injury. (B) CT scan preformed 3 years after the injury.
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F1
X-rays, CT scans, and skeletal scans. X-ray and CT scans of the right leg, which were performed for surveillance purposes 1 and 3 years following the injury, clearly indicate the presence of remaining metal fragments, which were not removed during the surgical procedures (Figure 1).
Neoplastic mass next to a shotgun wound scar in the calf (left). Additional shotgun wound scar in the ankle (right).
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F2
Nine years following the injury, the patient began to notice a bulge in the area of the surgical scar in the right posterior calf (Figure 2).
FDG-PET-CT indicated a hypermetabolic mass in the right calf. (A) Axial view. (B) Sagittal view.
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F3
A FDG-PET-CT indicated a mass in the right calf, another hypermetabolic area near the right ankle; an area of former prolonged infection, and no clear-distance metastatic spread (Figure 3).
Existence of metal fragments in the area of the sarcoma in the right calf. (A) CT scan. (B) X-ray.
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F4
An X-ray clearly showed metal fragments in the area of the sarcoma in the right calf (Figure 4).