Teenager with hemoptysis and large weight loss over 6 months

CXR and CT of lung metastases from embryonal cell carcinoma of testicle
CXR PA and lateral (above) shows a large round solid lesion in the right upper lobe. Axial CT without contrast of the chest (below left) shows a large solid lesion in the right upper lobe and a small solid lesion in the left upper lobe posteriorly. There is an additional solid lesion in the right lower lobe (below right).

The diagnosis was lung metastases due to embryonal cell carcinoma of the testicle.