This 60-years old had multiple lung nodules. The best nodule to biopsy was in the left apex. In the prone position, the vertebral transverse process was in the way. A simple caudiocranial gantry tilt of 5° cleared the transverse process and the needle could be placed easily into the nodule.

The video explains the process and a bit about the history of gantry angulation for CT guided biopsies.

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Region: Lung
Age: 60
Findings: Multiple lung nodules
Lesion Biopsied: Left apical
Size of Lesion: 22.3 x 18.2 mm
Gun: 20G
No of cores: 4 for histopath and 3 for micro
Sedation: No
Position & Approach: Caudiocranial angulation, Prone
Time Taken (marker to wash-out): 12 mins
Complication: None
Level of Difficulty: 2/5
Diagnosis: Organizing pneumonia on histopath

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