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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 43 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 43

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Chief Complaint:
Fifteen year old male with hemoptysis.

Clinical History:
The patient was a 15 year old male with 3 episodes of hemoptysis over several weeks. Review of symptoms was remarkable for a 30 pound weight loss over 5 months which the patient attributed to dieting.

Clinical Physical Exam:

Clinical Labs:

Clinical Differential Diagnosis:

Imaging Findings:
A chest film showed a large lesion in the right upper lobe. Chest CT exam showed that lesion, and three smaller ones.

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Imaging Differential Diagnosis:
Metastatic disease

Operative Findings:
A left orchiectomy was performed. A non-palpable tumor was found.

Pathological Findings:
Pathological examination of the surgical specimen revealed findings characteristic for an embryonal cell carcinoma.

Final Diagnosis:
Metastases, Pulmonary from Testicular Carcinoma

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. He was treated with chemotherapy.

Similar Cases:
Case 44


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