A 63-year-old man underwent follow-up after having coronavirus disease 2019 pneumonia. He was asymptomatic, with a respiratory rate of 16 breaths/min and oxygen saturation of 97% on room air. He had a number of fine scars on his back. While conducting the lung ultrasonographic examination with a convex probe, the physician observed some superficial unexpected vertical shadows and switched to a high-frequency linear probe. The physician detected a small horizontal hyperechogenic line in the subcutaneous tissue, approximately 1 cm below the skin surface, with posterior acoustic shadowing (Figure 1). There were multiple similar lesions in proximity to the scars. Interviewing the patient, we learned that he had undergone a hunting accident 20 years ago, and chest radiography confirmed the presence of multiple pellets (Figure 2).Figure 2Chest radiograph showing multiple millimetric round particles located throughout the thorax and with metallic density.View Large Image Figure ViewerDownload Hi-res image Download (PPT) Shotgun pellets. In other case reports, lead shotgun pellets have been described as focal echogenicities with strong posterior reverberation echoes.1Amazeen P.G. Whitehead F. Questo W. Ultrasonic appearance of lead shotgun pellets in liver.J Clin Ultrasound. 1981; 9: A31-A32Crossref PubMed Scopus (3) Google Scholar,2Li Q. Deng D. Tao J. et al.Ultrasonic imaging of gunshot wounds in pig limb.Genet Mol Res. 2015; 14: 4291-4302Crossref PubMed Scopus (6) Google Scholar