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Fig. 1B. —54-year-old woman with squamous cell carcinoma in right lower lobe. CT scan obtained during fine-needle biopsy with patient in 90° ipsilateral dependent position shows that lesion has shifted to more cephalad position because of elevation of diaphragm. Lesion is only 1 cm deep from posterior pleura. Directional needle (arrow) has been placed superficially to pleura. Biopsy needle (arrowhead) is in lesion; entry point (not shown) was made slightly lower.