Fig. 1. Right femur with a visible intramedullary nail (A), distal posterolateral defect (B) and lateromedial bulging with periosteal reaction on the anterior aspect of the shaft located 5 cm above the defect (C).

Fig. 2. CT images of the right femur showing several findings that matched the missing person data: defects from the screws from an earlier external fixation (A and C, open arrows) and from a previous intramedullary nail (B, dashed arrows); contours of an earlier fracture/traumatic event (A and B, solid arrows) that were not related to the defect observed on the posterolateral portion of the distal shaft (C) and enlargement of the intramedullary space around the intramedullary nail with some sclerosis of the margin (B, arrowhead). CT: computed tomography.

Fig. 3. Presence of foreign material in the vicinity of the lesion on the posterolateral femur (arrows in A and B). This material was unrelated to the intramedullary nail and the multiple screws/screw defects. Therefore, this material was considered compatible with bullet residue. The location of the finding in the bone (C, horisontal line).