A 30-year-old male presents to the emergency department with a single gunshot wound (GSW) to the left neck. The patient is hemodynamically stable, with a blood pressure of 120/70 mmHg, heart rate of 100/min, respiratory rate of 16/min, and a Glasgow Coma Scale (GCS) score of 15. He is able to speak and states that his voice sounds normal to him. There is no stridor or odynophagia. He denies any weakness or numbness in his arms or legs. On physical examination, he is awake and alert. There is a single wound in the left mid-neck between the cricoid cartilage and the angle of the mandible with no bleeding. There is a small but nonexpanding hematoma overlying the injury with no other wounds seen. There is no palpable crepitus or audible bruit. Neurological examination is normal.