A man was brought in the emergency department after being shot by a gun with the bullet stuck inside his chest. On primary examination, the patient had a single entrance wound over the right mandible. No exit wound was visible. The oropharynx appeared normal and the trachea was in midline.

Breathing sounds were clear and equal in all lung fields. Radiography and CT scan revealed bullet aspiration into the left main bronchus (Images A and B). *This case is from the Docplexus Editorial Team for educative purposes only. Source: JAMA Clinical Challenge