case_images: PMC9272101_01
case_images: Chest CT showing left hemothorax and ballistic fragment adjacent to the heart.
case_images: tsaco-2022-000967f01.jpg
case_images: PMC9272101_01_tsaco-2022-000967f01.jpg
case_images: F1
case_images: A chest CT was then obtained which showed a moderate amount of left hemothorax and a retained missile posterior to the heart (figure 1).
case_images: PMC9272101_02
case_images: ECG showing diffuse concave upsloping ST segment elevations in most leads.
case_images: tsaco-2022-000967f02.jpg
case_images: PMC9272101_02_tsaco-2022-000967f02.jpg
case_images: F2
case_images: A formal ECG showed diffuse ST segment elevations (figure 2) and his troponin level was 0.75 ng/mL, consistent with acute pericarditis.
case_images: PMC9272101_03
case_images: Ballistic fragment retrieved from the pericardium.
case_images: tsaco-2022-000967f03.jpg
case_images: PMC9272101_03_tsaco-2022-000967f03.jpg
case_images: F3
case_images: The heart was gently elevated and a free metallic object was retrieved manually from just posterior to the heart within the pericardial sac (figure 3).
case_images: PMC9272101_04