Cardiac Murmur Associated With an Abnormal Chest X-ray Film*

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Investigation of a cardiac murmur and thrill in an asymptomatic 35-year-old man revealed a foreign body lying within the left ventricular cavity. Upon questioning, the man revealed that he had been shot in the chest years earlier. This is the first reported adult case of a retained intracardiac bullet causing a ventricular septal defect. (CHEST 1998; 114:1459-1462)

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