As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled. Once your system installs this update, you will not be able to upload new images. Please use another browser until we can get it fixed.

Pulmonary hemorrhage after percutaneous pleural nodule biopsy

Case contributed by Dr Bruno Di Muzio

Presentation

Indeterminate pleural nodule.

Patient Data

Age: 64
Gender: Male

CT images show a co-axial needle into the pleural nodule. After the procedure, control images show a small local pneumothorax and an intra-alveolar hemorrhage seen as ground-glass infiltrates in local lung parenchyma.

Case Discussion

The advanced position of the co-axial needle into the pleural nodule is the most likely cause of a possible lung punching by the core-biopsy needle. 

Parenchymal hemorrhage is a possible complication of thoracic biopsy and is typically self-limited. Hemoptysis can be the presenting symptom, as was the case in this patient. 

PlayAdd to Share

Case information

rID: 30720
Published: 30th Aug 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.