Young Woman With Chest and Back Pain

Abstract

A 25-year-old woman with history of lupus, pulmonary embolism, and inferior vena cava (IVC) filter placement presented with two days of right back, shoulder, and chest pain. Her vital signs were within normal limits, and physical examination of the chest, back, shoulder, heart, and lungs was unremarkable. A chest radiograph revealed two thin radiopaque foreign bodies overlying the right lung and right side of the heart (Figure 1). Bedside cardiac ultrasonography was performed, demonstrating a hyperechoic structure in the right ventricle (Video, Figure 2), which moved dynamically with cardiac contractions.