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Computed tomography guided biopsy of a liver lesion adjacent to the inferior vena cava in a 56-year-old woman with breast cancer. A: Axial post gadolinium image T1 weighted magnetic resonance image demonstrates an enhancing lesion adjacent to the inferior vena cava (arrow); B and C: Intraprocedural computed tomography images demonstrate placement of the biopsy needle into the lesion through the epipericardial fat pad (arrows). Biopsy: Breast cancer metastases.
