A 12 G Bonopty penetration needle was passed down to the soft tissue component of the lesion posterior to the right C4/5 facet joint. A single coaxial pass of an 14 G Achieve needle was made through the soft tissue component.
Unfortunately despite the IV sedation and local anaesthesia, the lesion remained too sensitive for passage of the needle down to bone or for further sampling. A sample was only obtained from the soft tissue component, not the bony component. If further specimens are acquired, patient will need general anaesthesia or IV sedation with the attendance of an anaesthetist.