Pure ballistic sonic pressure wave lung injury on computed tomography (CT) and plain radiograph

Fadhila Mohd Hanapiah, MD; Ahmad Aizuddin Mohamad Jamali, MBBS, MMed; Mohd Ezane Aziz, MD, MMed; Mohd Syazwan Mohktar, MBBS, MMed; Zul Khairul Azwadi Ismail, MD, MMed; Mohd Hafizuddin Husin, MD, MMed; Bazli Md Yusoff, MbBCH BaO, MMed

Radiology Case Reports (Aug 2023)

Pure ballistic sonic pressure wave lung injury on computed tomography (CT) and plain radiograph

Fadhila Mohd Hanapiah, MD,
Ahmad Aizuddin Mohamad Jamali, MBBS, MMed,
Mohd Ezane Aziz, MD, MMed,
Mohd Syazwan Mohktar, MBBS, MMed,
Zul Khairul Azwadi Ismail, MD, MMed,
Mohd Hafizuddin Husin, MD, MMed,
Bazli Md Yusoff, MbBCH BaO, MMed

Affiliations

Fadhila Mohd Hanapiah, MD: Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia; Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
Ahmad Aizuddin Mohamad Jamali, MBBS, MMed: Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia; Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia; Corresponding author.
Mohd Ezane Aziz, MD, MMed: Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia; Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
Mohd Syazwan Mohktar, MBBS, MMed: Radiology Department, Hospital Tawau, Tawau, Sabah, Malaysia
Zul Khairul Azwadi Ismail, MD, MMed: Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia; Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
Mohd Hafizuddin Husin, MD, MMed: Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia; Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
Bazli Md Yusoff, MbBCH BaO, MMed: Radiology Department, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab 2, 16150, Kota Bharu, Kelantan, Malaysia; Radiology Department, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia

Journal volume & issue: Vol. 18, no. 8
pp. 2673 – 2676

Abstract

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Sonic pressure wave should be taken into consideration in all ballistic injury. We review a young gentleman with ballistic injury of his lateral chest wall. The bullet trajectory passed through the lateral chest wall. Chest radiograph shows a wedge-shaped consolidation adjacent to the wound with blunted right costophrenic angle. Subsequent CT scan confirms the consolidation adjacent to the bullet trajectory. This case report emphasizes on value of CT in ballistic chest trauma and indirect injury caused by the sonic pressure wave of the bullet.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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