Intracardiac foreign body (sewing needle in the heart)
Imaging findings
Chest radiograph shows a 3-inch sewing needle projecting over the heart, which was surgically confirmed to be impaling the myocardium.
Key takeaways
Foreign bodies such as sewing needles can penetrate the chest wall and lodge in the heart. Gated radiographs or CT are useful to localize the needle and plan surgical retrieval to prevent tamponade or valve injury.
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