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Image of the Month—Interactive Quiz

Image of Figure 1

Computed tomographic scan of the chest.

Anna M. Leung, MD; Stephanie R. Goldberg, MD; Rao Ivatury, MD

A 21-year-old man presented to the emergency department after gunshot wound to the right shoulder. His only concern was chest pain. He denied any dyspnea. On examination, the patient appeared to have no airway compromise and was hemodynamically stable. Physical examination was remarkable for 2 penetrating wounds, one on his right shoulder and one on his left shoulder. After administration of intravenous contrast, a computed tomographic scan of the chest was performed (Figure).

See the full article for an explanation and discussion.