Endotracheal tube is demonstrated 5 cm above the carina. A left internal jugular central line is demonstrated with the tip at the SVC. A right-sided PICC line is demonstrated with the tip at the cavoatrial junction. Heart is normal size. Thoracic aorta is partially calcified.
Lungs are clear with normal vascularity and inflation.
A small metallic birdshot like radiopaque foreign body projects at the right atrium-IVC junction.
Scout radiograph from the CT shows multiple birdshot pellets.