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Fig. 3A —84-year-old woman who had undergone resection of left lung
non–small cell lung carcinoma (NSCLC) 10 years earlier presented with
cough and pneumonia and was subsequently found to have a solitary PET-positive
nodule in right upper lobe abutting superior vena cava. Because of proximity
of nodule to expected location of right phrenic nerve, artificial pneumothorax
was induced using Safe-T-Centesis needle (Cardinal Health). CT scan obtained
before procedure shows close association of cystic, low-attenuation lung tumor
with posterolateral aspect of superior vena cava (arrow).
