During college I worked at a doc's office (pulmonary). I did a chest x-ray of a fairly large guy (probably 6'-4"; 280#) who was getting a Tn-DVR exam (disability). I developed the CXR (back then we used tanks to develop the film), between developer and fixer, I'd usually make a quick check of the film with a darkroom light. I thought a film had been splattered with fixer. After fully processing the film, and looking at it on the light-box, it was apparent that he had been shot (twice) with birdshot - the lateral films showed that one set of shot was in the front and the other was in the back - both with little penetration. I asked that pt about it - he said it was from a shotgun - from two separate incidents. I asked why the ER didn't remove the shot, he said something to the effect of - he didn't go to the ER (either time) because it wasn't "in his best interest at the time".