Figure 3.

(A) A 50-year-old woman with metastatic uterine leiomyosarcoma. Microwave ablation of a pleural-based right lung metastasis at the inferior edge of a prior radiation treatment. (B, C) By the second postprocedure day, the patient developed fever and extensive subcutaneous emphysema, with computed tomography showing necrotizing postablation zone and air track to subcutaneous tissue from a bronchopleural fistula. A drainage tube was placed in the cavity. The patient was taken to the operating room for debridement and rib resection. Four weeks after the procedure and surgical debridement, there was near complete resolution of the bronchopleural fistula and subcutaneous emphysema (not shown). (Courtesy of Dr. Majid Maybody.)