I am not a doctor but this guy's ability to breath must have been seriously impacted (pun intended). I wonder how a surgeon would get all those pellets out.
I'm wondering if this x-ray shows wounds from a hunting accident.
There are so many unknowns here:
What was the range? (That's quite a spread!)
What type and how many garments were worn? Heavy hunting coat, etc?
What was the angle of impact? Above? Below? Side?
Did the pellets pass through brush / other foliage before human impact?
Light target load or heavy hunting load?
Others could probably add to the above list of unknowns.
The point is that too much is unknown to draw serious conclusions from these two x-rays. I am still willing to bet the guy didn't stick around for a second dose. He was probably writhing around on the ground screaming like a little girl -- I know I would be!
If it was a home defense situation and the wounded guy became enraged and charged the shooter, … well, that's why we don't use single shot firearms for HD.
The debate rages on. I know what I rely on and why. I don't try to proselytize the rest of the world.