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Bhavin Jankharia
Current Case:
A 72-yrs old with rheumatoid arthritis and RA-ILD came with fever and CT scan showed a necrotic, confluent nodal mass in the left para-aortic mediastinum in the prevascular space.
The rheumatologist wanted a biopsy.
The video discusses the case, the transsternal biopsy approach with a little history of this technique, and multiple similar cases
Please note that the video only plays within this browser page and not outside of this browser page. If the video does not autoplay in your email, then you will need to open this page in your browser, by clicking "View Online", in the 2nd line below the title of the post and next to my name.
Region: Mediastinum
Age: 72 yrs
Findings: Left para-aortic prevascular space mass
Lesion Biopsied: Same
Size of Lesion: Not relevant
Gun: 18G Cook, 10 mm throw, long
No of cores: 3 for histopath and aspirate pus for micro
Sedation: No
Position & Approach: Supine, transsternal
Time Taken (marker to wash-out): 9 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Tuberculosis and Staph hemolyticus
Table of Contents and Other Lung Nodule Biopsies
Table of Contents
Table of Contents
Bhavin Jankharia
Previous Post:
Case 155: Sub-4 mm Lung Nodule Biopsy
Even 3 and 4 mm lung nodules can be biopsied with good breath control and attention to technique.
Bhavin Jankharia
Other Sites and Cases:
Case 105: The Pseudo-Miliary Appearance
Unsharp, ill-defined nodules of varying sizes with ground glass halos define this condition
Bhavin Jankharia
Case 49: Femoral Levels
5-years old with a distal femur lesion
Bhavin Jankharia
The Three-Second Choice: Buckle Up or Risk Becoming a Backseat Bullet
Wearing a seatbelt in the backseat of the car saves lives
Bhavin Jankharia
Case 170: Heart of Stone
Calcification in different parts of the heart can help with diagnosis and prognostication
Bhavin Jankharia
