This unfortunate person managed to hammer a nail into their right hand. It looks horrendous, but this view doesn't tell the whole story. The second view:
This view tells us that the nail is within the soft tissues of the palm of the hand, and has missed all the bones. It's still a horrendous injury but makes a huge difference to how the patient will be managed.
So if you are presented with a patient with trauma, make sure you take at least two views, and if you are reading the films, insist on two views, because "one view is a view too few".
Dr Vikas Shah