PMC9228050_01
CT scan of two left lung nodules: (A) 15 mm upper lobe; and (B) 12 mm lower lobe.
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F1
We present a case of a no smoker 62-year-old man diagnosed with two metachronous left lung metastases (15 and 12 mm) 20 months after surgery for colorectal adenocarcinoma (Figure 1).
CT scan of needle injection of indocyanine green.
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F2
After local anesthesia with lidocaine, a marking solution (1 ml) was injected near the nodules (Figure 2).
(A) Intraoperative field. Metastatic nodules: infrared (B) and white light (C) signal images.
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F3
During bi-portal VATS, ICG-FL was visualized using Stryker's SPY Fluorescence technology with a 30  camera, and the thoracoscopic NIDM detection was immediate (Figure 3).