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Primary Posterior Mediastinal Seminoma

James G. Ravenel1, Leonie L. Gordon1, Mark I. Block2 and Uzair Chaudhary3

1 Department of Radiology, Medical University of South Carolina, Box 250322, 169 Ashley Ave., Charleston, SC 29425.
2 Department of Surgery, Medical University of South Carolina, Charleston, SC.
3 Department of Hematology/Oncology, Medical University of South Carolina, Charleston, SC.



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Fig. 1A. Posterior mediastinal seminoma in 47-year-old man. Contrast-enhanced CT scan obtained at level of carina reveals large posterior mediastinal mass pushing descending aorta anteriorly and compressing left main bronchus. Note growth into neural foramen (arrow).

 


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Fig. 1B. Posterior mediastinal seminoma in 47-year-old man. Contrast-enhanced CT scan obtained below carina reveals complete encasement of aorta (A) as well as mass effect on crossing right pulmonary artery and more distal left main bronchus.

 


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Fig. 1C. Posterior mediastinal seminoma in 47-year-old man. FDG PET coronal whole-body images reveal marked uptake in mass and celiac lymph node (arrow).

 

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