Depends it could have done several nasty things whist moving around in the bore, i'd be in several minds as to what i want to do in this situation, half of me would want to remove the head and check for damage, the other half would stick some new plugs in and see what happened.
1) Could have marked the bore, leading to potential compression / oil burning / usage issue.
2) Could have damaged a valve / valve seat.
3) Could have damaged the turbo exhaust side compressor when it got spat out.
4) Could be lodged in the bottom of an exhaust silencer.
5) longshot could block your oil pickup in the sump.......