case_images: PMC10964302_01
case_images: (a, b) Images of the Tru-cut biopsy performed on the date of March 5th, 2021. (a) A 22G, 20-cm Chiba needle
  appears to have entered the peripheral point of the lesion (black arrow). (b) Approximately 30 sec later, pneumothorax
  (black arrow) is observed in the control image obtained just before the 19G, 15-cm guiding needle is advanced into the
  lesion. Control images (c, d) were obtained 5 h after the procedure. The lesion is similar in size at this stage, with no
  significant reduction compared to 5 h ago (black arrow). (c) Minimal pneumothorax (white arrow) persists similarly,
  with no increase. (d) In the mediastinal window, 1.2 cm-thick extrapleural fluid (white arrow) adjacent to the lesion
  can be seen more clearly.
case_images: TJTCS-2024-32-1-101-104-F1.jpg
case_images: PMC10964302_01_TJTCS-2024-32-1-101-104-F1.jpg
case_images: F1
case_images: The lesion was punctured with the coaxial method using a 22-G (Gauge), 20-cm Chiba needle and a 19-G, 15-cm guiding needle through the 11th intercostal space (Figure 1a). Pneumothorax developed as soon as the needle was inserted into the lesion (Figure 1b). A thick effusion was noted that was measured as 1.2 cm in the posterior adjacency of the lesion on CT that was performed after biopsy (Figure 1c, d).
case_images: (a, b) Non-contrast-enhanced thoracic computed tomography images obtained on the date of March 10th,
  2021. (a) The lesion adjacent to the pleural effusion is approximately 42x18 mm in size, although its borders cannot be
  clearly distinguished at this stage. (b) Image of 6.8-cm thick effusion in the mediastinal window, posterior to the right
  lung, causing almost half the lung volume reduction. At this stage, a pleural effusion drainage catheter was inserted in
  the right hemithorax and, due to chylous fluid, the patient was hospitalized, and treatment consisting of medium-chain
  fatty acids was started.
case_images: TJTCS-2024-32-1-101-104-F2.jpg
case_images: PMC10964302_01_TJTCS-2024-32-1-101-104-F2.jpg
case_images: F2