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JAMA Clinical Challenge
August 7, 2013

Foreign Body in Right Side of Chest

Author Affiliations
  • 1State University of New York at Buffalo
  • 2Erie County Medical Center, Buffalo
JAMA. 2013;310(5):529-530. doi:10.1001/jama.2013.169720

A man presented to the emergency department after being shot in the face. On primary and secondary survey, he had a patent airway, was hemodynamically stable, and had a single entrance wound over the right mandible. No exit wound was visible. The appearance of his oropharynx was unremarkable. The trachea was in midline, and breath sounds were clear and equal in all lung fields. The patient had a persistent dry cough. Radiography of the chest showed a foreign body in the right side of the chest (Figure, A). After this initial imaging, the patient was log-rolled onto his left side, and a computed tomography (CT) scan of the chest was obtained (Figure, B).