This 53-years old man with carcinoma breast was found to have new mediastinal nodes on a PET/CT and was referred for a CT guided biopsy.
The only lesion that could be possibly biopsied was the one next to the aorta in the posterior mediastinum.
![](https://www.ctbiopsy.com/content/images/2023/05/pet-comp-2021-and-2019.0004-copy.jpg)
Would you biopsy this lesion? If so how?
![](https://www.ctbiopsy.com/content/images/2023/05/image-1.jpeg)
Which route will you take?
I performed the biopsy using a transpulmonary route.
The video discusses the case as well as the various routes available for mediastinal lesion biopsies.
![](https://www.ctbiopsy.com/content/images/2023/05/routes.jpg)
I have discussed many of these approaches individually. Please follow the links from the Table of Contents to see these cases.
Table of Contents
Table of Contents
![](https://www.ctbiopsy.com/content/images/2022/06/toc-images.jpg)