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. 2017 Jul 8;9(19):840–849. doi: 10.4254/wjh.v9.i19.840

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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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Computed tomography guided biopsy in a 65-year-old man. A: Axial post gadolinium magnetic resonance imaging shows a 4 cm hepatic dome lesion; B: On preprocedural CT, the lesion in the high dome is surrounded by lung (arrow head) on all sides. Pulmonic transgression was not possible as the patient had severe emphysema; C: The CT gantry was angulated in the craniocaudal direction (20 degrees) which created a safe path to the tumor from the anterior aspect (arrow); D: Axial intraprocedural CT image shows biopsy needle within the lesion (arrow). Biopsy: Hepatocellular carcinoma. CT: Computed tomography.