Imaging guided percutaneous interventions in hepatic dome lesions: Tips and tricks

Figure 2 Computed tomography guided biopsy of a liver dome lesion in a 61-year-old man. A: Axial post gadolinium T1-weighted magnetic resonance image shows a 2 cm lesion (arrow) in the hepatic dome. On pre-procedural computed tomography, the tumor was not well seen and contrast could not be administered due to iodine allergy; B: Needle placement for biopsy was done based on use of anatomic landmarks (arrow) (configuration of inferior vena cava, cardiac margin and aorta) via a transpulmonary approach. Histopathology: Hepatocellular carcinoma.