To evaluate bullet in pelvis prior to MRI. Changes of degenerative disk disease and facet osteoarthritis affect the imaged lower lumbar spine. Mild osteoarthritis affects the left sacroiliac joint. The right sacroiliac joint demonstrates a normal appearance.There are no fractures identified.The hip joints demonstrate a normal radiographic appearance.A vascular graft is identified in the region of the right superficial femoral artery, the patency of which cannot be assessed on this noncontrast study.Atherosclerotic calcifications are noted in the aorta and iliac arteries.No organized fluid collections in the subcutaneous fat.In the left psoas muscle, at the level of the bladder, is an ovoid density, which measures 16 mm in craniocaudal dimensions and 7 mm in diameter. This is compatible with the stated history of bullet.
1. Bullet fragment within the left psoas muscle as above.2. Vascular graft as above, the patency of which cannot be assessed on this noncontrast study.3. Osteoarthritis and degenerative disk disease as above.