Gun shot wound to the right lateral abdomen. No exit wound noted.
RR 18; P – 110; BP 102/55; GCS 15
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
Lung fields are clear. No pneumothorax or effusions.
- The is a 7.62 bullet projected inferior to the medial right hemidiaphragm.
- A lateral X-ray or CT is needed to localize the position more accurately.
FAST scan revealed free fluid in the abdomen and the patient went to theatre for a laparotomy.
He had haemorrhage from a liver laceration and small bowel perforation. The diaphragm was intact.
With a single AP projection such as this, it is very difficult to determine if the bullet is in the soft tissues around the spine, posterior thoracic cavity, or abdomen.