Fig. 1
From: CT-guided biopsy of lung lesions using two needles in difficult and poorly cooperative patients
A 63-year-old man with a 2 cm sized nodule in left upper lobe (patient 8 in the Table 2). The biopsy proceeded in a supine position and a left 5th–6th intercostal approach. a In the first attempt, the needle was placed in the lung parenchyma (arrow) below the target. Because the patient did not reproduce the designated respiration, the operator modified the puncture site and needle direction based on the relationship between the first needle and target. b Leaving the malpositioned needle in position, the second needle was successfully inserted into the target nodule (empty arrow) above the first needle. c Sagittal reconstruction of the lesion and inserted needles. After the biopsy, there was no procedure-related complication. Histopathological examination showed a squamous cell carcinoma