This is an example of a deep sited CT guided lung biopsy. A large amount of lung required to be traversed to access the lesion with the additional risk of biopsy that this presents.
A good example of where time dedicated to planning approach worth the investment prior to the procedure.
1. What is the best/easiest/safest route?
Anterior approach not appealing - especially in a female with breast tissue.
2. Lateral approach ?
Deep route to the lesion and also the difficulties of the ribs to avoid. Positioning the patient in the lateral position also can be harder to maintain a still and stable position.
An appealing unobstructed route, but a lot of lung to traverse en route. Also some prominent vessels posteriorly close to the mass to avoid on the medial aspect.
The procedure was undertaken without complication.