Bifocal (suprasellar/pineal) germ cell tumor (BGCT): sagittal T1-contrast-enhanced MRI of a 13-year-old boy presenting with obstructive hydrocephalus and diabetes insipidus. MRI shows a “bifocal–pineal and suprasellar” tumor. A shunt was placed. CSF and blood markers (AFP + BHCG) were negative. Patient was treated for a presumed germinoma and is tumor-free for more than 5 years. One year after shunt insertion, he underwent an endoscopic third ventriculostomy (ETV) due to a shunt malfunction