fig 7.

Fig 9. Right supraclavicular fullness is shown in a 52-year-old man who previously underwent left lung resection for carcinoma. The surgeon's physical examination revealed generalized fullness, but no discrete mass.

A, Turbo SE T2-weighted image (2000/105/2 [TR/TE/NSA], 59-s scanning time) reveals focal mass displacing the brachial plexus (arrow).

B, Single frame from continuous series of coronal FISP images (18/7/2/90°[TR/TE/NSA/flip angle], 3.5 s/image) shows 18-gauge side-notch cutting needle (arrowhead) inserted into the dominant mass.

C, Oblique parasagittal FISP image, orthogonal to and with same parameters as B, reveals needle centered within mass (arrowheads) with central stylet extended. The continuous imaging sequence allowed the mass to be separated from adjacent vessels as well as from the adjacent portion of the brachial plexus. Pathologic diagnosis from the biopsy was poorly differentiated large-cell carcinoma.