RML LESION: CBCT, Navigation and Radial EBUS guided Cryobiopsy скачать в хорошем качестве

RML LESION: CBCT, Navigation and Radial EBUS guided Cryobiopsy

Division Interventional Pulmonology Yashoda Hospitals Hyderabad Today we present a case of 57year old male, Diabetic, Hypothyroid who presented to ophthalmologist with complaints blurring of vision for 20 days. MRI eye showed choroidal tumours in superior and nasal area of left eye-? choroidal amelanotic melanoma vs hemangioma. Whole body PET scan was done which showed an ill-defined soft tissue thickening in the left eye ball with mild metabolism. Metabolically active subpleural soft tissue nodular lesion in the medial segment of right lobe middle lobe with surrounding ground glassing (1.4x1.3) suv max -14.5; Likely inflammatory more than neoplastic. HRCT showed right upper and lower lobe 2-3 nodules, Largest in right lower lobe anterior segment - 6.6×4.8 mm. He was referred for further management. Lesion was located with navigation platform Synapse 3D and confirmed with Radial EBUS and tool-in-lesion confirmation was done under Cone beam CT guidance. Biopsy was done using 1.1mm cryoprobe. HPE showed granulomatous inflammation suggestive of tuberculosis #bronchoscopy #interventionalpulmonology #womeninip