key: cord-0932510-rlg9xj5y
authors: Zattera, Caterina; Cappa, Giovanni; Perlini, Stefano
title: Middle-aged Man Recovering from COVID-19 Pneumonia
date: 2021-02-20
journal: Ann Emerg Med
DOI: 10.1016/j.annemergmed.2020.08.026
sha: e447c69a1cfd0477d2edfa207928c0332ee08695
doc_id: 932510
cord_uid: rlg9xj5y

nan

[Ann Emerg Med. 2021;77:e85-e86.]

A 63-year-old man underwent follow-up after having coronavirus disease 2019 pneumonia. He was asymptomatic, with a respiratory rate of 16 breaths/min and oxygen saturation of 97% on room air. He had a number of fine scars on his back. While conducting the lung ultrasonographic examination with a convex probe, the physician observed some superficial unexpected vertical shadows and switched to a high-frequency linear probe. The physician detected a small horizontal hyperechogenic line in the subcutaneous tissue, approximately 1 cm below the skin surface, with posterior acoustic shadowing ( Figure 1 ). There were multiple similar lesions in proximity to the scars. Interviewing the patient, we learned that he had undergone a hunting accident 20 years ago, and chest radiography confirmed the presence of multiple pellets ( Figure 2 ).

For the diagnosis and teaching points, see page e86. To view the entire collection of Images in Emergency Medicine, visit www.annemergmed.com 

Shotgun pellets. In other case reports, lead shotgun pellets have been described as focal echogenicities with strong posterior reverberation echoes. 1, 2 

Ultrasonic appearance of lead shotgun pellets in liver

Ultrasonic imaging of gunshot wounds in pig limb