Bronchoscopy Procedure

**PREOPERATIVE DIAGNOSIS**: - Lung mass, right upper lobe **POSTOPERATIVE DIAGNOSIS**: - Lung mass, right upper lobe **PROCEDURE**: - Bronchoscopy with endobronchial ultrasound (EBUS) and biopsy of right upper lobe mass **INDICATIONS**: The patient presented with a suspicious lung mass identified on a recent CT scan. The purpose of the bronchoscopy was to obtain tissue samples for diagnosis and staging. The risks, benefits, pros, cons, side effects, and alternatives of the procedure were reviewed with the patient, and the patient agreed to proceed. Common risks of the procedure, including bleeding, infection, pneumothorax, and respiratory distress, were discussed with the patient, and all questions were answered. **SURGEON**: - Dr. Eleanor Vance **ASSISTANT**: - Dr. John Smith, Fellow **ANESTHESIA**: - General anesthesia with endotracheal intubation **ESTIMATED BLOOD LOSS**: - 10 mL **COMPLICATIONS**: - None **PROCEDURE IN DETAIL**: The patient was placed in the supine position. After induction of general anesthesia, a flexible bronchoscope was advanced through the endotracheal tube. The right upper lobe was visualized. An EBUS probe was used to identify and characterize the lung mass. Multiple biopsies were taken using a 19-gauge needle under EBUS guidance. The bronchoscope was then removed. The patient tolerated the procedure well. Biopsies: - Right upper lobe mass **SPECIMENS SENT**: - Tissue biopsies for pathology - Cytology brushings **POSTPROCEDURE CONDITION**: - Stable **DISPOSITION**: - Recovery room