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. 2023 Jun 15;5(3):e230042. doi: 10.1148/ryct.230042

Figure 13:

Images in a 50-year-old woman with an incidentally detected, enlarging, 10-mm, left upper lobe, part-solid nodule proven to be adenocarcinoma (100% lepidic). (A) Preliminary axial CT image shows a left upper lobe nodule (arrow). (B) The coaxial introducer needle was advanced through the subcutaneous tissue to the pleura. (C) The needle was advanced deeply to the nodule. (D) The first 3-mm gold fiducial marker was deployed, and the needle was retracted. (E) The second fiducial marker was deployed with the nodule sandwiched between fiducial markers and the pleura. (F) Postprocedure radiograph demonstrates the two fiducial markers in the left upper lung (arrow). (G) Radiograph of the specimen with two fiducial markers in the specimen. (Reprinted, with permission, from reference 41.)

Images in a 50-year-old woman with an incidentally detected, enlarging, 10-mm, left upper lobe, part-solid nodule proven to be adenocarcinoma (100% lepidic). (A) Preliminary axial CT image shows a left upper lobe nodule (arrow). (B) The coaxial introducer needle was advanced through the subcutaneous tissue to the pleura. (C) The needle was advanced deeply to the nodule. (D) The first 3-mm gold fiducial marker was deployed, and the needle was retracted. (E) The second fiducial marker was deployed with the nodule sandwiched between fiducial markers and the pleura. (F) Postprocedure radiograph demonstrates the two fiducial markers in the left upper lung (arrow). (G) Radiograph of the specimen with two fiducial markers in the specimen. (Reprinted, with permission, from reference 41.)