Clark J G, Shaw R C
Chest. 1980 Nov;78(5):776-7. doi: 10.1378/chest.78.5.776.
A patient presented with massive hemoptysis, and a chest roentgenogram revealed a right lower lobe cavity which contained a movable mass of soft tissue density. He had sustained a gunshot wound to the chest seven years earlier. Thoracotomy was performed for uncontrollable hemoptysis, and parenchymal cavitation was found which contained a plastic foreign body. We retrieved a film following the original injury which revealed a mass density that proved to be a plastic wadding capsule from a shotgun shell. This type of complication from intraparenchymal foreign bodies is discussed and the unusual roentgenographic presentation of this patient is considered.
一名患者出现大量咯血，胸部X线片显示右下叶有一个空洞，洞内有一个可移动的软组织密度肿块。该患者7年前胸部曾遭受枪伤。因咯血无法控制而进行了开胸手术，发现实质内有空洞，其中含有一个塑料异物。我们找到了受伤当时的一张胸片，显示有一个肿块密度影，后来证实是一枚猎枪子弹的塑料弹壳。本文讨论了这种实质内异物引起的并发症，并分析了该患者不寻常的影像学表现。
