Man With Chest Pain and Lump in Neck Kenneth D. Marshall, MD, MA, Sydney L. Weese  Annals of Emergency Medicine  Volume 71, Issue 2, (February 2018) DOI: 10.1016/j.annemergmed.2017.08.060 Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 1 Anterior chest wall demonstrating a lump in the soft tissue at the superior right sternal margin. Annals of Emergency Medicine 2018 71, DOI: (10.1016/j.annemergmed.2017.08.060) Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 2 Chest radiograph (posterior-anterior view) demonstrating sternal wire fracture with displaced fragments (arrows). Annals of Emergency Medicine 2018 71, DOI: (10.1016/j.annemergmed.2017.08.060) Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 3 CT of the chest (axial view) showing incomplete union of the median sternotomy (short arrow), as well as the fractured wire protruding into the mediastinum (long arrow). Annals of Emergency Medicine 2018 71, DOI: (10.1016/j.annemergmed.2017.08.060) Copyright © 2017 American College of Emergency Physicians Terms and Conditions

Figure 4 CT of the neck (axial view) showing the fractured wire protruding into the soft tissue (arrow). Annals of Emergency Medicine 2018 71, DOI: (10.1016/j.annemergmed.2017.08.060) Copyright © 2017 American College of Emergency Physicians Terms and Conditions