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Fig. 2C —69-year-old man with stage IB non–small cell lung
carcinoma (NSCLC) and severe chronic obstructive pulmonary disorder precluding
surgical resection was referred for external beam radiation therapy and
percutaneous tumor ablation. Because of size of mass, three 3.7-cm active tip
microwave antennae (Vivawave System, Covidien) were inserted and single
10-minute ablation at 45 W was performed. Chest radiograph obtained after
procedure shows elevation of left hemidiaphragm (arrow); this finding
is consistent with left phrenic nerve injury.
