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Images in Thorax
Transient visual loss following CT-guided percutaneous core needle biopsy of a lung lesion
  1. Karina Bennett1,
  2. Karla Totton2,
  3. Arianna Misacas1,
  4. Fiona Caswell3,
  5. David Miller1
  1. 1 Department of Respiratory, Aberdeen Royal Infirmary, Aberdeen, UK
  2. 2 Department of Stroke, Aberdeen Royal Infirmary, Aberdeen, UK
  3. 3 Department of Radiology, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr Karina Bennett, Respiratory Department, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK; karinambennett{at}gmail.com

https://doi.org/10.1136/thorax-2022-219314

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    Case

    A 61-year-old man presented to primary care with a 5-month history of cough, haemoptysis, weight loss and fatigue. His medical history included diverticulitis, ischaemic colitis and hypercholesteraemia. He was a former cigarette smoker with 20-pack year smoking history.

    A left lower zone abnormality on chest radiograph prompted a thoracic CT, which demonstrated two left lower lobe masses concerning for metastatic disease but with no identifiable site of primary malignancy. Accordingly, a CT-guided percutaneous core needle biopsy was arranged to obtain a histological diagnosis.

    The larger lung lesion (3.7 cm in diameter and 2.8 cm from the pleural surface) was biopsied. The patient was positioned prone and three cores were obtained with one needle pass using a 20 g× 15 cm coaxial biopsy needle.

    Immediately after the procedure, the patient reported dizziness, global limb weakness and total bilateral visual loss. He was treated with high flow oxygen with the …

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    Footnotes

    • Contributors All of the above authors meet the four ICMJE criteria for authorship. All authors made substantial contributions to the conception and design of the work. All authors were directly involved in our patients’ care whilst in hospital and each offered a unique perspective coming from different clinical specialties. KB drafted the main document. FC provided the images. All authors revised it critically for important intellectual content and gave final approval for the version to be published. All authors agree to be accountable for all aspects of the work and that questions related to the accuracy for the integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.