Electromagnetic navigational bronchoscopy (ENB), one of
the methods of navigational bronchoscopy is an advanced
diagnostic tool allowing tissue sampling at the lung
peripheries which were previously accessible only by
computed tomography (CT) guidance or video-assisted
thoracoscopic surgery (VATS). We report a 53-year-old man
who presented with a cough and dyspnea with
constitutional symptoms for one month. CT thorax revealed
multiple bilateral peripheral lung nodules and there were no
endobronchial lesions on flexible bronchoscopy. ENB was
performed using a loan machine from Veran navigational
technology. Biopsy successfully revealed small cell
carcinoma of the lung thus preventing him from undergoing
a more invasive diagnostic procedure. This case highlights
the utility of ENB in the evaluation of peripheral lung
nodules that were inaccessible by conventional
bronchoscopy. This is one of the first few successful
applications of Veran ENB in Asia.