CASE OF THE MONTH

2002

ANSWER

FOR OCT

Fig 1
Figure 1
Fig 1
Figure 2
Fig 1
Figure 3

Figure 1: Frontal chest radiograph shows mediastinal widening with multiple "cannon ball" lesions in both lungs, more in the lower zones.
Figure 2 and 3: CT thorax shows an non-calcified solid anterior mediastinal mass slightly hypodense to the surrounding medistinal structure and with heterogeneous enhancement. Multiple nodules are seen in both lungs.

DIAGNOSIS :

Choriocarcinoma of mediastinum with lung metastases.

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