How to do right adrenal FNA/Biopsy

How to do right adrenal FNA/Biopsy

I always wonder how right adrenal FNA or biopsy can be done? It is strictly adhered to vena cava and hwo to avoid vena cava to prick the gland? Also, someitmes it gets difficult to moe the renal artery out of the way to FNA the left adrena; any tips?

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