Case 15-2003: A 47-Year-Old Man with Waxing and Waning Pulmonary Nodules Five Years after Treatment for Testicular Seminoma

Presentation of Case A 47-year-old man was evaluated in the pulmonary clinic because of waxing and waning pulmonary lesions several years after treatment for seminoma. The patient had been well until five years earlier, when a left testicular seminoma was diagnosed. A left radical orchiectomy was performed; there was no evidence of lymphatic or blood-vessel invasion, and the resection margins, epididymis, and spermatic cord were free of tumor. A computed tomographic (CT) study of the chest, performed after the oral administration of contrast material, disclosed slight anterior pericardial thickening, with no axillary, hilar, or mediastinal lymphadenopathy or evidence of pulmonary . . .