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 extt wound was visible. The appearance of his oropharynx was unremarkable. The trachea was in and breath S0Unds Were dear and equal in all lungfields. 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).
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