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A 60-year-old intubated male underwent CT-guided transthoracic needle lung biopsy (TNLB) for right upper lobe mass, which proved to be small cell lung cancer. Soon after the procedure, O2 saturation decreased drastically and chest radiogram (CXR) showed appearance of pneumothorax, which was resolved completely on chest tube insertion (figs 1 and 2).
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