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Fig. 3B —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). Because of
proximity of right upper lobe mass to anticipated location of right phrenic
nerve adjacent to superior vena cava (large arrow), pneumothorax was
induced using needle (small arrow) as neuroprotective strategy.
