Chang Chen, MD, Hui Zheng, MD, Sen Jiang, MD 

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An Unusual Case of Giant Mediastinal Teratoma With Malignant Transformation  Chang Chen, MD, Hui Zheng, MD, Sen Jiang, MD  The Annals of Thoracic Surgery  Volume 86, Issue 1, Pages 302-304 (July 2008) DOI: 10.1016/j.athoracsur.2007.07.087 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Radiographic images of the giant mediastinal cyst. (a) Helical computed tomographic scan demonstrates a large cyst with sharp margins and multiple spherules found mostly in the upper region. (b) T2-weighted magnetic resonance image shows the majority of left chest cavity occupied and mediastinum shift contralaterally by the mass. Spherules exhibit medium signal intensity. The Annals of Thoracic Surgery 2008 86, 302-304DOI: (10.1016/j.athoracsur.2007.07.087) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Gross appearance of the mass and spherules (cheese-like spherules, 1 to 1.5 cm in diameter and easily fragmented). The Annals of Thoracic Surgery 2008 86, 302-304DOI: (10.1016/j.athoracsur.2007.07.087) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions