hey, studying radiography and found this
A bullet embolism in a major artery, cool huh?
>>29825130
dumping some moneyshots
>>29825155
anyone here?
>>29825187
>>29825130
Talk about a one in a million shot... it fits so snuggly, like it was molded for that very bullet. When I met my wife and we made love, she made the same comment how we connect so closely like we were from the same mold....
This bullet is so romantic, they were meant to meet. His time... was NOW.
https://www.youtube.com/watch?v=ZGoWtY_h4xo
>>29825222
trips get
>>29825187
This is a really good one.
protip: reconstructing bullets for forensic investigation is easier to do on hollowpoint bullets, because fragmentation is reconstructable while mushrooming bullets are harder to trace
:^)
near fatal small caliber gunshot
>>29825255
uwotm8
>>29825267
using FMJ bullets, the odds of identifying the bullet is lower, compared to forensic evidence of a hollow point bullet
meaning if you want to get away with it, use FMJ
english is my second language and ive been working with xrays all day desu
also look at this one, must have hurt like hell
![Air-gun-pellets[1].jpg](https://i.imgur.com/6poxpHS.jpg "Air-gun-pellets[1].jpg")
>>29825130
looks like an air rifle pellet
Sagital shovel "accident"
>>29825286
I can assure you, it is much larger than an airsoft bullet
>>29825294
axial view of shovel wound
this guy got fucked up desu
>>29825155
>that bright spot
gutshot inferior to right kidney
"There is moderate right pleural effusion with high density fluid ? blood. Also there is right perinephric collection at the right posterior perirenal space, laceration at the posterior segment of right hepatic lobe and right urinoma adjacent to the right pelvicalyceal system and confirmed by prone scan."
>>29825334
metal causes artifacts to the image in both CT and MRI :^)
Shotgun to the face
>>29825382
non contrast ct same patient
artifacts are clearly visible
>>29825130
Perfect fit
>>29825363
I know. That's why I remarked on it.
liver shot
neurosurg here
>>29825130
id be curious to know more about that shot: for the bullet to lodge there, it would have had to enter upstream (heart or aorta). a projectile that size would make a big hole. i would guess they'd exsanguinate before making it to the angio suite. still have a little delayed filling of the right iliac.
>>29825187
>>29825265
both show the trajectory crossing the midline. the near-fatal one is lucky as that usually means ~15% survival (not that it would be a good survival), compared with ~65% survival in those where the bullet doesn't cross the midline.
>>29825294
he's fucked in so many ways: superior sagittal sinus transected with blood tracking down the shovel path and casting the ventricles.
>>29825444
trips again :^)
high speed rifle headshot
>>29825462
Fucking awesome
Wish we could get specifics.
>>29825462
>WAKEMEUPINSIDE
>>29825222
Trips confirm le doot
>>29825479
another CT
bullet details are not available on my sources :(
>>29825517
I figured that was the case, no worries!
bullet lodged in pons/medulla spinalis area
>>29825532
another patient using CT 3d reconstruction
>>29825550
Facial headshot
bullet passing through cerebellum
>>29825593
That MRI... his brain looks like it's shrunk in the front.
First off, I'm assuming the individual pictured is ded, but why would the front of the brain shrink back like that? Or is that what brains normally look like?
>>29825695
he was a racist
>>29825695
it's a black patient
>>29825709
>>29825716
Never change, /k/.
>>29825695
Looks like a hematoma pushing his shit back, but that should show up as liquid. Fucked if I know.
>>29825215
Dat sub-q air, tho.
>>29825758
yeah, tissue must have expanded a lot and patient has high body fat, appears to have trapped air on dxt side?
>>29825593
>>29825695
>>29825752
It's air
Presumably this is preop so it could be a tension pneumocephalis
If postop, it's common. Absorbs over time and, if the brain is normal, it'll return to normal appearance
CT is boring, have some ultrasound.
This happened to a kid I knew that got shot with a pellet rifle. Rough childhoods
>>29825279
really close range birdshot?
>>29826628
yeah pic looks like birdshot
>>29825279
How would one go about fixing something like that?
From the looks of it there is severe soft tissue damage, the bone is shattered to all fuck and there is tons of bird shot left in there.
Just cut it all of and call it a day?
>>29825130
I don't think enoxeparin or heparin with help with that clot
>>29827073
thankfully muscle and skin can repair itself relatively well, and as long as most of the bone is glued back together well enough, it should set itself up back properly.
However, there will likely be a lot of screws involved, fake bone, along with procedures to scrape up scar tissue, so the arm doesn't get come out completely fucked up. The person will probably not be back to 100%, but it'll remain functonal
>>29827073
yeah that area is probably bloody mush
would take a team of surgeons hours and hours to even have a chance to save it
im not a doctor tho
Holy shit it works.
You can acctually get immune to bullets!
![h04_16[1].jpg](https://i.imgur.com/zpZnaLN.jpg "h04_16[1].jpg")
Wow its un/k/anny
>>29825229
/b/ pls went
>>29825130
>>29827249
breddy gud
>>29827249
fug :D
>>29826107
I wonder if it's postmortem for research.
>>29828473
Not likely but anything is possible
I thought the CT showed artifact from the endotracheal tube, but it could be from bullet fragments or who knows what the hell.
Pubmed search for "postmortem CT/MRI brain gunshot" doesn't show anything that would make it seem likely. There was this that just sounds like a CSI episode:
"Use of postmortem computed tomography to reveal an intraoral gunshot injuries in a charred body."
Usually the postmortem is just a cold steel table.
That's how you get pic related.
>>29825130
"Case Discussion:
Entry wound was found at the level of fourth left intercostal space, without an exit wound. The patient subsequently presented with signs of ischemia in his right lower limb.
Intraoperative angiography shows the head of the projectile embolizing the right iliac artery. "
http://radiopaedia.org/cases/iliac-arterial-embolisation-by-a-bullet
>>29830381
I summered for 3 years with a coroner's office, It convinced me to go into Vet med. Happy I did. Yeah a dead dog is sad, but not as sad as a dead kid. I couldn't detach.
>>29830435
sounds like he was shot in the heart
>>29832743
and you're to blame
>>29825452
You know I was just gonna say all that.
Seems like we are the 2 smartest people here huh?
>>29825222
Phrenologist here
Was that man a sort of political or religious leader?
>>29825550
He had it coming being a child molester and all.
Are all these headshots from a handgun?
Every gore picture/video on the internet has taught me that a rifle shot to the head will take a fist sized chunk of the skull out of the exit area, and pour badly slurried brains all over the place.
Most of these brains look rather whole.
>>29832961
>>29832743
>giving love a bad name
>>29833555
good post :DDDD
>>29833601
some of these are pistol, some are rifle and some are shotgun
you should be able to tell the difference in each one desu senpai
