A Nexplanon is generally palpable on clinical exam and no imaging is needed for localization. The implantation and removal are done without imaging guidance. 

In this patient, the Nexplanon could not be not palpated on exam and was identified on a radiograph of the humerus. Ultrasound was subsequently performed to facilitate easy removal. 

The nexplanon is radio-opaque and is easily visible on radiography. Given the lack of urgency, the patient decided to schedule a clinic appointment for Nexplanon removal, which typically occurs at three years.

This case was submitted with supervision and input from:

Soni C. Chawla, M.D.
Associate Professor
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center