HISTORY:

CT DOSE:

SEDATION: Monitored by the IR registered nurse or surrogate, an independent trained observer providing Moderate Sedation with fentanyl.

CONSENT: Following discussion procedure its risks benefits (including bleeding and vessel damage) and alternatives, review of readily available relevant imaging prior to the procedure informed consent was obtained witnessed and documented upon the chart. Standard presurgical timeout confirming patient procedure and when relevant side and site was performed. Any discrepancies were resolved via consultation with appropriate readily available data sources. The patient was prepared and draped in standard sterile fashion.

TECHNIQUE:
Written and oral consent was obtained after discussing risk, benefits, and alternatives, prior to the procedure. Patient decided to proceed with the procedure. Timeout was performed per protocol.

Conscious sedation using fentanyl was provided by certified nursing staff after normal head/neck and cardiopulmonary exam. ASA 2

Procedure was done under sterile technique and local anesthesia using 1 % lidocaine.
The target right lung lesion was localized using CT.
17/18 gauge coaxial system was used. 18 gauge cores were obtained. A pleural plug was then placed.  The incision was covered with a curad/xeroform petrolium gauze and a tegaderm.

The patient tolerated the procedure well. There were no immediate complications. Patient will undergo serial chest X rays to rule out development of pneumothorax .

IMPRESSION:
Successful CT guided core biopsy of the right lung lesion.