https://www.relentlessdefense.com/forensics/gunshot-wounds/
Wounds inflicted by center-fire rifles differ from those of the other weapons in that they can damage organs, bones, and tissue without even coming into contact with them. This type of gun has higher velocities and higher kinetic energies than the others, and therefore possesses the potential to produce extremely severe wounds. The organs that are directly hit by the bullets of these guns may partially or completely disintegrate, and the pressure is powerful enough to fracture bones and rupture vessels close to the wound. A gunshot wound from a centerfire rifle can cause tissue to eject not only from the exit wound but also from the entrance, and as a result it is not uncommon to find ejected tissue on both sides of the wounded body.