Background: A rare, but well-known consequence of penetrating trauma is the migration of bullets and other foreign bodies inside the blood vessels. Only, few cases of pulmonary or arterial emboli reported in literature. These injuries have a significantly high mortality rate. Therefore, they can pose a diagnostic problem. A shotgun pellet embolism to the heart requires rapid detection and careful radiological testing. Case study: This case report presents the death of a 19-year-old male following head shotgun injury. Investigating the current case highlights the importance of radiology in firearm injuries. Conclusion: It is crucial to use every practical and available approach during the autopsy and examination to reach proper diagnosis and hence adequate management. The use of virtual autopsies in Egypt faces several challenges that need to be overcome.