A biopsy imaging rod (100) includes an elongated rod member (200) having a sharp distal end (210) and a channel extending from a proximal end to an egress port (220) near the distal end, and it also includes an onboard biopsy marker (400) positioned in the channel proximal to the egress port. The biopsy imaging rod also includes a pushrod (300) slideably positioned in the channel adjacent to the biopsy marker extending from the proximal end of the elongated rod member to the egress port, the pushrod biased to bend toward the biopsy marker. The biopsy imaging rod may additionally include an imageable portion between the distal end and the egress port. Methods for making and using the biopsy imaging rod are also disclosed.