This 62-years old lady was found to have a focal lesion in the anterior segment of the right upper lobe towards the apex on a CT scan done for COVID-19 screening. Though the uptake on PET was low, it showed spiculated margins. Morphology often trumps uptake in such lesions.
The challenge like in the last case was to get in without injury to the vessels and bronchi. In her case, the lateral decubitus approached seemed more apt, and using a 20G coaxial biopsy gun, I was able to get 3 cores, before I stopped, fearing that the gun tip would go through one of the adjacent vessels.
The diagnosis was adenocarcinoma.
The patient was very co-operative and that helped. The decubitus position also helps with better breath-control. The procedure was done in free breathing.
This 62-years old lady was found to have a focal lesion in the anterior segment of the right upper lobe towards the apex on a CT scan done for COVID-19 screening. Though the uptake on PET was low, it showed spiculated margins. Morphology often trumps uptake in such lesions.
The challenge like in the last case was to get in without injury to the vessels and bronchi. In her case, the lateral decubitus approached seemed more apt, and using a 20G coaxial biopsy gun, I was able to get 3 cores, before I stopped, fearing that the gun tip would go through one of the adjacent vessels.
The diagnosis was adenocarcinoma.
The patient was very co-operative and that helped. The decubitus position also helps with better breath-control. The procedure was done in free breathing.
