EXAM: US BX LYMPH NODES SUPRF#
INTERPRETATION: Clinic indication: Lung cancer. FDG avid right axillary lymph node. Patient is referred for ultrasound-guided biopsy.
Priors: PET/CT dated 01/23/2017.
Initial ultrasound demonstrate abnormal appearing 12 x 10 mm right axillary lymph node with loss of the normal central fatty hilum. .
Following explanation of risks and benefits an informed consent was obtained.
Using sterile technique and ultrasound guidance and following administration of Lidocaine, 22 gauge fine needle aspiration of the above-described right axillary lymph node was performed. A total of 2 passes were obtained. Subsequently 18-gauge core biopsy x4 was performed in order to obtain material for histological evaluation.
Immediate cytological evaluation deemed the specimen adequate.

Post procedure ultrasound demonstrates no hematoma. Patient tolerated the procedure without any immediate complications and was sent home in stable condition.

IMPRESSION: Ultrasound-guided biopsy of right axillary adenopathy.
Specimen sent for cytology and histology evaluation at integrated pathology services.

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