PMC4900062_01
AP radiograph or the skull showing the presence of three metallic nails.
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A plain radiograph (Fig. 1) revealed three nails projected over the skull.
Nonenhanced head CT with axial image (A) and coronally reformatted image (B), showing three intracranial nails within both temporal lobes associated with a very small subarachnoid bleed. No evidence of parenchymal hematoma or mass effect is noted.
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The subsequently performed noncontrast-enhanced CT images (Fig. 2) also displayed the three nails.
Chest CT with axial images (A and B) and sagittally reformatted image (C), showing two intracardiac nails traversing the right ventricle and penetrating through the interventricular septum and left ventricular apex, and possibly traversing the diaphragm with evidence of hemopericardium.
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Chest CT following administrtation of intravenous contrast showed two nails from the nail gun (Fig. 3).