PMC4899665_01
24-year-old African American male with missile pulmonary embolus. Abdominal transverse CT on admission. The black arrow in the figure illustrates the position of the metallic densities found adjacent to the infrarenal IVC.
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CT of the abdomen revealed several metallic densities adjacent to the infrarenal IVC consistent with both surgical clips and bullet fragments (Fig. 1).
24-year-old African American male with missile pulmonary embolus. Chest X-ray at admission. A metallic density (white arrow) overlies the area of the film corresponding to the left hemithorax.
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His initial chest X-ray before surgery demonstrated a metallic density overlying the left hemithorax (Fig. 2).
24-year-old African American male with missile pulmonary embolus. Thoracic transverse CT. This image better illustrates the localization of the metallic fragment that was apparent on initial chest X-ray. From this slice of the thoracic CT, it appears that the bullet fragment is indeed lodged in a branch of the left pulmonary artery (white arrow).
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The patient recovered uneventfully, and on followup CT weeks later the bullet was again visualized in the same lower-lobe branch of the left pulmonary artery (Figure 3, Figure 4); it had demonstrated no evidence of migration.
24-year-old African American male with missile pulmonary embolus. Thoracic coronal CT. The location of the missile pulmonary embolus (white arrow) can be further localized in this film, and is thus noted to be lodged in a proximal lower branch of the left pulmonary artery.
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The patient recovered uneventfully, and on followup CT weeks later the bullet was again visualized in the same lower-lobe branch of the left pulmonary artery (Figure 3, Figure 4); it had demonstrated no evidence of migration.