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The posterior mediastinum is a rare site of origin for seminoma, and extensive cystic change of a seminoma is rarely observed. We present here the case of a 62-year-old male patient with a primary posterior mediastinal seminoma that was encasing the descending thoracic aorta and the tumor showed prominent cystic change on CT and MRI, and intense FDG uptake on PET/CT.

A Posterior Mediastinal Seminoma with Extensive Cystic Change