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CT-guided percutaneous transpulmonary adrenal biopsy — a technical note

¹ Department of Radiology, University of California at Los Angeles, CA 90095, USA, ² Department of Respiratory Medicine, University Hospital Aintree, Liverpool L9 7JL, ³ Department of Oncology, Clatterbridge Centre for Oncology Wirral, Merseyside CH63 4JY, ⁴ Department of Radiology, University Hospital Aintree, Liverpool L9 7JL, UK

Correspondence: Dr Mayil S Krishnam, Diagnostic Cardiovascular and Thoracic Imaging, David Geffen School of Medicine, University of California at Los Angeles, CA 90095, USA. E-mail: mkrishnam{at}mednet.ucla.edu

CT-guided percutaneous adrenal biopsy is commonly performed using a posterior or trans-abdominal approach. However, trans-abdominal access to the gland may not be technically feasible in some patients. In our case, CT-guided transthoracic percutaneous biopsy of the adrenal gland was performed with technical success, identifying the tumour. To the best of our knowledge, there has been no previous case describing this transpulmonary approach in the literature.