CTICasesTransplanted Donor Liver with Retained Bullet Fragment
Imaging findings
Sequential chest radiographs demonstrate appearance of a bullet-shaped metallic density in the right upper quadrant on post-liver transplant radiographs that was entirely absent on the pre-operative study, confirming the bullet was contained within the transplanted donor liver.
Key takeaways
Retained bullet fragments may be incidentally transferred to recipients via organ transplantation. This is an important finding to identify and document as it can cause diagnostic confusion on subsequent imaging and, if ferromagnetic, may pose an MRI safety hazard and generate artifact that compromises follow-up liver imaging. Radiologists should alert the clinical team when a metallic foreign body appears in a transplant organ that was not present preoperatively.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Intra-Aortic Balloon Pump via Axillary ApproachIatrogenic
- Cardiac Lymphoma (Secondary) with Pericardial EffusionNeoplastic
- Primary Mediastinal Non-Hodgkin Lymphoma (Subtle Initial Radiograph)Neoplastic
- Subcarinal Infected (or Inflamed) Bronchogenic CystCongenital
- Bartonella quintana Endocarditis with Aortic Root PseudoaneurysmInfection
- Pleuropulmonary Blastoma Type 1r (Regressed) with DICER1 SyndromeNeoplastic
- Pulmonary AL Amyloidosis with Cystic Lung Disease and Thin-Wall BronchiectasisMetabolic
- Radiation Fibrosis with Comet Tail SignIatrogenic
See all cases from February 20, 2021 →
Related Artifact cases
- Migratory Calcified Pleural Bodies from Extrapleural Fat Necrosis
- Acutely Enlarging Thymic Cyst in a Transplant Patient
- Benign Colonic Pneumatosis after Lung Transplant
- Transdiaphragmatic Air via the Foramen of Morgagni (Macklin Phenomenon)
- Lamellar Pleural Effusion from Subpleural Interstitial Edema
- Ponytail Artifact Mimicking a Hilar Nodule