What is this foreign body in the left shoulder ?
A gun bullet.
Is it recommended to remove the bullet from its place ?
Factors that influence the risk of projectile fragment displacement include: -Ferromagnetic properties of the projectile. -Size and shape of the fragment. -Location in the body. -Duration of implantation. -Strength of the magnet.
This patient has a tumor in his brain, his primary physician asks you, is it safe for us to order brain MRI to assess the brain tumor with this bullet in his shoulder ?
The most common gun bullets are made from lead and is safe in an MRI environment, however, some armor piercing bullets and shot gun bullets are made from steel and stainless steel cores which are hazardous in an MRI environment . So knowing the type of bullet or gun used is important
On chest CT scan, the bullet is causing significant artefact, and appears impacted in the left supraspinatus muscle.