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.
TOP 150 CXR SERIES