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Mediastinal Non-seminomatous Germ Cell Tumor

Mediastinal Non-seminomatous Germ Cell Tumor▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Initial frontal chest radiograph (October 2013) shows subtle abnormal interfaces between lung and mediastinum bilaterally and an anteriorly located abnormality on lateral view, which was initially not appreciated. A follow-up radiograph (May 2014) shows substantial growth of a large anterior mediastinal tumor.

Key takeaways

Mediastinal germ cell tumors can grow rapidly and may be subtly present on initial radiographs, leading to missed diagnoses. Careful evaluation of mediastinal contours on frontal and lateral chest radiographs is important for early detection, especially in young patients.

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