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Fig. 2D. 45-year-old man with primary lung adenocarcinoma in left lower lobe. Virtual bronchoscopy images (beginning at A and ending at C [but excluding B]) failed at fourth bronchial order. Images from enhanced virtual bronchoscopy using pulmonary artery (D) were successful in route mapping to tumor (seventh bronchial order). Images from actual bronchoscopy (beginning at B and ending at E [but excluding C and D]) show correlation with virtual bronchoscopy and enhanced virtual bronchoscopy. All arrows show next routes where virtual bronchoscopy or actual bronchoscopy is inserted.