Radiologists need to up their game and do more of these biopsies...while they still can.


Current Case:

71-years old man operated for renal cell carcinoma (RCC) had a surveillance CT showing multiple small lung nodules. He was referred for a CT guided biopsy.

Fig. 1 shows the right sided lung nodules. Of all of these the right lower lobe nodule in the medial basal segment seemed the easiest and simplest.

Fig. 1

The nodule measured an average of 8.5 mm in size - 9.2 mm along the z axis and 253 cu mm (Fig. 2).

Fig. 2