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Axial CT image of 18-year-old male that showed multiple mediastinal nodes. Biopsy was obtained from left parasternal approach lateral to internal thoracic artery (arrowhead) as lymph nodal mass was touching chest wall sufficiently to allow safe access lateral to internal thoracic vessels. To maintain needle in proper alignment wet gauze piece was placed (arrow). Biopsy results suggested Hodgkin lymphoma.
