PMC4899573_01
19-year-old male status post gunshot wounds. Frontal radiograph of the chest demonstrates a bullet superior to the left clavicle, and a bullet in the region of the tricuspid valve.
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The chest radiograph showed a bullet superior to the left clavicle, and a bullet in the heart (Fig. 1).
19-year-old male status post gunshot wounds. A. Axial, contrast-enhanced CT image at the level of L1/L2, below the renal arteries, viewed in soft-tissue windows, demonstrates contrast extravasation between the aorta and inferior vena cava, which is isodense to blood within the aorta. B. Coronal reformatted image. Early contrast opacification of the inferior vena cava is seen immediately superior to the level of hemorrhage.
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CT of the abdomen showed hemorrhage around the infrarenal aorta (Fig. 2).
19-year-old male status post gunshot wounds. Abdominal aortic angiogram demonstrates blush around the infrarenal aorta, immediately followed by contrast opacification of the adjacent inferior vena cava.
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Angiogram through the right femoral artery demonstrated blush around the infrarenal aorta, immediately followed by contrast opacification of the adjacent inferior vena cava (Fig. 3).