Snapshot A 28-year-old woman presents to the emergency department after coughing blood. Her symptom is associated with progressively worsening shortness of breath. She has a past medical history of bilateral theca-lutein ovarian cysts. A radiagraph of the chest demonstrates multiple radiopaque pulmonary lesions. Laboratory studies are remarkable for highly elevated β-hCG. Introduction Overview login to view 5 more bullets Epidemiology login to view 2 more bullets Associated conditions login to view 2 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 1 more bullet Imaging Radiography of the chest login to view 4 more bullets Studies Serum labs login to view 1 more bullet Histology login to view 3 more bullets Differential Dysgerminoma login to view 2 more bullets Treatment Medical login to view 6 more bullets Complications Hemorrhage login to view 1 more bullet