PMC8558984_01
(A, B) AP and Lateral X Ray Skull; (C, D) Axial CT of Brain Demonstrated the
Retained Bullet in Left Parieto-Occipital Region, Seven Days Following Injury.
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Because of nonresolution of headache over days he underwent cranial radiology in the form of CT of the head and X ray of the skull (Figure 1) which showed a retained metallic bullet in left inferior parieto-occipital region without any significant hemorrhage.
(A) X-Ray Skull, (B) Axial CT Brain, at 20 Months Post Injury Revealing Migration
of Retained Bullet to Right Temporal Horn.
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He returned for follow-up after around 20 months and repeat radiology showed that the retained bullet had migrated to the right temporal region (Figure 2).
(A, B) Axial and Coronal CT Images During Last Follow-up at 28 Months Since
Injury (Bone Windows With Metal Artefact Reduction and Reconstructions) Showing Same
Position of Bullet as in the Previous Scan.
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His most recent follow-up was 28 months since injury, which revealed the same position of the bullet at right inferior temporal region (Figure 3).